Acute diabetes complications Flashcards
multi dose insulin users testing rate
at least 3 times daily
Once a day insulin users testing rate
once per day at variable times
at target T2DM testing rates
unless on sulfs, no need to check daily, checking A1C every 3-6 months is good.
above target T2DM testing rates
Daily testing could provide some help in controlling A1C levels
Exercise and BG
Do not start to work out if you are <4 or >14
- levels during can fluctuate from different workouts, have snacks close (may need 15g of carbs every 30min)
-24 hours after can fluctuate with delayed hypo in 6-12 hours (monitor closely after)\
dose change for cart golfing, gardening, shopping
Low level
decrease bolus 25-50%
Dose change for mowing, biking, leaves, swimming
moderate level
decrease bolus by 50-75%
dose change needed for competitive sports, snow shovelling, jogging, soccer
high level
decrease bolus by 75-100%
Alcohol and diabetes
-hypoglycemia can look like drunkenness
-high carb drinks
-delayed hypo 24 hours later from any alcohol (risk of night time lows, snack before bed and test)
Alcohol effect
causes reduced hepatic glucose production causing delayed hypoglycaemia
Travelling east
Day is shorter so you need to decrease the basal dose (3h 1/4-1/3) (7h 1/3-1/2)
get onto dosing schedule at location sooner
Travelling west
day is longer so you need to plan for an extra dose at landing or lay over with a snack
driving diabetes
check before driving if <4 then 15g of carbs, once >5 wait 40 min for brain to work and drive
- have candy close at hand in the car
-diabetes medical every 2 years
Blood sugars during sick days
Body releasing cortisol, glucagon and hormones, increases liver glucose and promotes insulin resistance
- You might need more insulin and your BG may increase without eating
-check >4 times daily
-increase hydration
-avoid decongestants
Ketoacidosis Sx
increased RR
dehydration
ketones on breath and in urine
abdominal pain
decreases consciousness
