General Treatment of Diabetes Flashcards
What should majority of calories come from?
Complex carbs, then fats, and lastly proteins
Carbs should be __% of diet?
45%
Fats should be ___% of diet?
30-40%
Proteins should be ___% of diet?
15-20%
Why are we worried about carbs?
Sugar destroys vessels just like fat
High fiber slows down ____ absorption in intestines, therefore eliminating sharp rise/fall in blood sugar
Glucose
Wait until blood sugar ____ to begin exercise
Normalizes
What should the client do pre-exercise to prevent hypoglycemia?
Eat a snak
Exercise when blood sugar is high or low?
Highest
T/F: Exercise same time and amount daily
T
Extreme blood sugar= ?
Vascular damage
Examples of complex carbs?
Fruits
Veg
Whole grains
Establish ___ with exercise
Routine
What type of diabetes get oral anti-diabetics and non-insulin injectables?
T2
Oral anti-diabetics and non-insulin injectables
Administered how?
Oral
SQ
Oral anti-diabetics and non-insulin injectables
How do they work-improve what 2 things?
- How body produces insulin
2. How body uses insulin and glucose
All oral anti-diabetics work to _____
Decrease amount of circulating glucose
What is the most widely used anti-diabetic?
Metformin
T/F: Metformin may be used for weight control in T2 diabetes
T
T/F: Metformin may be used with clients who have pre-diabetes
T
Why is metformin a favorite?
It reduces glucose production
Enhances how glucose enters cells
T/F: Metformin does not stimulate the release of insulin
T
Can you see hypoglycemia with metformin?
No!
Does not stimulate the release of more insulin!! It just reduces glucose production and helps the way glucose gets in a cell
If metformin is not controlling blood glucose, then what may be ordered?
Another anti-diabetic ….like Glargine (Lantus)
Clients undergoing surgery or any radiologic procedure that involves contrast dye should temporarily discontinue metformin. When can they resume?
48 hours after the procedure if kid function has returned and Cr is normal