Diabetes

Question 1

What syndrome increases risk for type 2

Answer 1

metabolic

Question 2

Testing for prediabetes

Answer 2

IGT: 140-199

IFG: 100-125

Question 3

Classic symptoms of type 1`

Answer 3

Polyuria

Polydipsia

Question 4

Type 1 SUGARR

Answer 4

Slow wound healing
Blurry vision
Glucosuria
Acetone breath
Rashes on skin
Repeated yeast infections

Question 5

Type 2: 4 S’s

Answer 5

Sepsis
Stress
Steroids
Skipping insulin

Question 6

Type 2 diabetes manifestations

Answer 6

Fatigue
Recurring infection
Vaginal yeast/candida infection
Prolong wound healing
Visual problems

Question 7

A1C levels

Answer 7

6.5 or higher

Question 8

Fasting BG

Answer 8

> 126

Question 9

2 hour glucose levels

Answer 9

> 200

Question 10

Weight loss for type 2

Answer 10

5-7% improves insulin sensitivity

Question 11

Carb counting:

Answer 11

15g of CHO

typically 45-60g per meal

Question 12

When to test BG

Answer 12

before meals
two hours after last bite
When hypo is suspected
every 4 hrs during illness
before/after exercise

Question 13

Signs of DKA eyes

Answer 13

soft

sunken eyes

Question 14

Signs of DKA skin

Answer 14

Dry
warm
inelastic skin

Question 15

Signs of DKA respiratory

Answer 15

Kussmaul respirations (rapid & deep)

Question 16

Signs of DKA cardio

Answer 16

hypotension
weak
rapid pulse

Question 17

Signs of DKA GI

Answer 17

fruity breath

Question 18

Labs

Answer 18

leukocytosis
BUN, Cr
Increased triglycerides
Decreased HDL

Question 19

Objective data

Answer 19

Glycosuria
Ketonuria
Albuminuria
Acidosis

Question 20

Diabetic risk factos

Answer 20

Age
Ethnicity
obestiy
baby greater than 9 lbs
H/O gestational diabetes
Family history of diabetes

Question 21

Acute care

Answer 21

check BG every 4 hours during illness

Question 22

If glucose >240

Answer 22

check urine for ketones every 3-4 hrs

Question 23

Two consecutive levels greater than 300 or moderate to high urine ketone levels should

Answer 23

be reported to HCP

Question 24

Increase what for type 1?

Answer 24

Insulin to avoid DKA

Question 25

Acute illness

Answer 25

maintain normal diet
increase noncaloric fluids
Supplement with CHO containing fluids

Question 26

Intraoperative period

Answer 26

IV fluids/insuiln when NPO

Question 27

Caregiver instructions

Answer 27

Assess meaning of having diabetes
determine mutual goals
support system

Question 28

Regular foot care

Answer 28

inspect daily
avoid going barefoot
proper footwear

Question 29

Obtain A1c blood test every

Answer 29

3-6 months

Question 30

Self monitoring instructions

Answer 30

Wash & dry hands
warm hands in water or let arm hand
use side of finger pad

Question 31

Exercise: if Bg is <100

Answer 31

eating 15 g carb; recheck after 15-30 min

delay if still less

Question 32

Exercise: if bg >250

Answer 32

in type 1 with ketones; delay vigorous activity until ketones are gone