Practical Diabetes Management Flashcards
What do the IDF guidelines state the blood glucose should be?
4-8mmol/L
When should you increase blood glucose monitoring?
Acute illness
What is the target blood glucose for patients in hospital?
6-10mmol/L
How is blood ketone testing done?
Finger prick done
What does ketone monitoring measure?
Beta hydroxybutyrate
What accounts for about 50% of insulin produced?
The insulin that is secreted at a low basal rate
What is secreted in relation to post meal glucose?
Post prandial insulin
What is insulin pump therapy?
Type 1
Programmable infusion pump
Pulsates analogue insulin constantly
Bolus does pumped at meal times calculated on CHO content of food
What is an insulin pump connected to?
Continuous blood glucose monitor
What risks are associated with hyperglycaemia?
Poor healing Infection Osmotic symptoms of diabetes Dehydration Diabetes emergency
What are ‘sick day rules’?
For people treated with insulin
Increase fluids, monitoring of blood glucose and usual glucose by 10%
Consider short acting insulin if ketone positive
Before treatment what should you consider?
Does the pt need to fast
Will they be able to eat after it
Presence of infection
Risk of infection
At what blood sugar level is it considered a hypo?
What people are at particular risk of hypoglycaemia?
Elderly Renal impaired / liver disease Mental health issues Dementia Learning difficulties Alcohol related problems Poor awareness
Tx of hypo if patient can swallow?
Provide 20g sugar - 100ml lucozade or 5-6 glucose tabs
