Diabetes part 2 monitoring Flashcards
Some Factors that Can Influence Glucose Readings
________ eaten
Activity
Interval from injection to _________
Injection ________
Injection site manipulation
Temperature of skin
Rubbing of injection site
Type of __________
________ level prior to measured glucose
foods
meal
site
type of insulin
glucose level
Some Factors that Can Influence Glucose Readings
_________ dose of insulin
Complications such as gastroparesis
Individual ___________to insulin
Medications taking or not taking
________, illness, or addiction, perfusion
Hypoglycemic reaction in near past
prior
sensitivity
stress
The best meter on the market is the one the patient will use appropriately!
Accuracy and Precision of a Meter
in a box
_________: Acceptable by the FDA 20% plus/minus (clinically accurate) Comparison to a lab reference value
ADA Goal:Try to achieve a total error of <10% (levels ranging 30-300mg/dl)
Accuracy
________:Repeatability of a specific reference glucose level
Precision
Factors to Consider When Helping a Patient Choose a Meter
Accuracy
Most meters (in a box) have high (> 95%)
accuracy rates
Patient __________ may alter the accuracy rate
technique
Factors to Consider When Helping a Patient Choose a Meter
Accuracy
Most meters (in a box) have high (> 95%) accuracy rates
Patient _________may alter the accuracy rate
technique
Factors to Consider When
Helping a Patient Choose a Meter
Consider:
________ of use
Dexterity
________
Lifestyle
Ease
Vision
Factors to Consider When
Helping a Patient Choose a Meter
Sample size
Amount of blood needed
Ranges from 0.3 uL to 1.5 uL
Ease of blood application
Hanging drop vs. capillary action (sipping)
How often should people check their blood glucose?
It depends…on so many things…
Check blood glucose every day if:
newly __________ – T1D or T2D?
take _______
feel __________ than usual recently started or changed diabetes drugs
recently started or changed _______ and exercise program
newly diagnosed
insulin
differently
diet and exercise program
How often should people check their blood glucose?
Check once a week if:
only on ________ or oral therapy – which ones?
have readings in the _________ range
have not recently started or changed diabetes drugs
diet
goal range
What time each day should people check their blood
glucose?
They should check their blood glucose in the morning if they:
Take diabetes pills in the _________
Take insulin at ________
They should check their blood glucose at other times of day (noon, dinner, bed) to make sure nothing sneaks up on them
morning
bedtime
Lancing Devices
Dexterity
Depth settings
Alternate site testing
Disposal
Alternate Site Testing
Alternate site testing before meals (________)
gives accurate results in nearly all patients
____________ (fed state) testing may not give
consistent results between sites
Individual patient evaluation may be needed
Hypoglycemia test from ________
fasting state
post-prandial
finger
