Acute diabetes complications Flashcards

1
Q

multi dose insulin users testing rate

A

at least 3 times daily

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2
Q

Once a day insulin users testing rate

A

once per day at variable times

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3
Q

at target T2DM testing rates

A

unless on sulfs, no need to check daily, checking A1C every 3-6 months is good.

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4
Q

above target T2DM testing rates

A

Daily testing could provide some help in controlling A1C levels

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5
Q

Exercise and BG

A

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)\

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6
Q

dose change for cart golfing, gardening, shopping

A

Low level
decrease bolus 25-50%

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7
Q

Dose change for mowing, biking, leaves, swimming

A

moderate level
decrease bolus by 50-75%

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8
Q

dose change needed for competitive sports, snow shovelling, jogging, soccer

A

high level
decrease bolus by 75-100%

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9
Q

Alcohol and diabetes

A

-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)

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10
Q

Alcohol effect

A

causes reduced hepatic glucose production causing delayed hypoglycaemia

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11
Q

Travelling east

A

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

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12
Q

Travelling west

A

day is longer so you need to plan for an extra dose at landing or lay over with a snack

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13
Q

driving diabetes

A

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

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14
Q

Blood sugars during sick days

A

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

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15
Q

Ketoacidosis Sx

A

increased RR
dehydration
ketones on breath and in urine
abdominal pain
decreases consciousness

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16
Q

hyperosmolar hyperglycemic state

A

Occurs days to weeks after severe illness trigger
- BG >25 with little to no ketones
-needs hospital if Sx appear

17
Q

hyperosmolar hyperglycemic state Sx severity (5)

A

If 2 or more appear go to hospital
- vomiting, diarrhea (no fluids)
- gastroenteritis with fever
- abdominal pain
-BG >14 and climbing
-ketones in urine or blood