Capillary Blood Glucose Flashcards
Little to no insulin
20-30% hereditary
Ketoacidosis
Type 1 IDDM
Some insulin produced
90% hereditary
Type 2 NIDDM
During pregnancy
Gestational Diabetes
Signs and Symptoms
Polyphagia
Polydipsia
Polyuria
Weight loss
Fatigue
Extreme thirstiness
Polydipsia
Excessive eating
Polyphagia
Excessive urine production
Polyuria
Complications
Stroke
Heart attack
Peripheral artery disease
Diabetic retinopathy
Cataracts
Glaucoma
Diabetic foot
Diabetic nephropathy
Peripheral neuropathy
Blood sugar mnemonic
Hot and Dry
Sugar high
Blood sugar mnemonic
Cold and clammy
Need some candy
High blood glucose
Hyperglycemia
Cause of Hyperglycemia
Too much food, too little insulin or diabetes pills, illness, stress
Symptoms: Hyperglycemia
Extreme thirst, hungry
Dry skin, need to urinate often
Blurry vision, drowsy
Slow-healing wounds
What to do: Hyperglycemia
Check blood glucose
Call healthcare provider
Mnemonic: Hypoglycemia
HE - Headache
IS - Irritable/sweating
T - Tachycardia
I - Irritability
R - Restlessness
E - Excessive hunger
D - Dizziness
The cornerstone of diabetes management
Blood Glucose Monitoring
Different ways to monitor Blood Glucose Levels
- Continuous Glucose Monitoring
- HbA1c (Glycosylated Hemoglobin)
- Self-monitoring of Blood Glucose
Measures the level of blood sugar and displays it on screen
Blood Glucose Meters
Equipment needed for CBG monitoring
Blood glucose meter
Pricker (penlet)
Lancet (needle)
Calibrator strip
Test pad or strip
Cotton balls (dry and wet)
Recommended Blood Sugar Level
Before meals
Normal: <110mg/dl
Blood glucose goal: 80-120mg/dl
Recommended Blood Sugar Level
2hrs after meal
Normal: <140mg/dl
Blood glucose goal: <180mg/dl
Recommended Blood Sugar Level
Bed time
Normal: <120mg/dl
Blood glucose goal: 100-140mg/dl
Factors affecting SMBG performance
- Visual acuity
- Fine motor coordination
- Cognitive ability
- Comfort with technology
- Willingness to use it
- Cost
Common cause of error when using the BG meter
- Not applying enough blood into the strip pad
- Incorrect timing of the test
- Failure to clean the meter
- Improper handling and storage of test pads and meters
- Outdated strips
- Some meters can check ketones
Candidates for SMBG
- Unstable diabetes
- A tendency to develop severe ketosis and hypoglycemia
- Hypoglycemia without warning symptoms