Hypoglycemia

Question 1

BG < 50mg/dL

Answer 1

Hypoglycemia

Question 2

Symptoms include tachycardia, palpitations, sweating, anxiety, tremor, nervousness,
headache, confusion, drowsiness, & fatigue. If severe, seizures, coma, & death.

Answer 2

Hypoglycemia

Question 3

If BG > or = 60, treat with…

Answer 3

milk, crackers, and cheese

Question 4

If BG 20-60, treat with…

Answer 4

non-diet soda, honey, juice, candy, or

oral glucose tablets or glucose gel

Question 5

If the patient is unconscious…

Answer 5

IV dextrose or IM glucagon

Question 6

Glucagon

Answer 6

a hormone that promotes glycogen breakdown & increases blood glucose levels

Question 7

Keep glucose levels as close to normal as possible to avoid fluctuations

Answer 7

Goal of Therapy

Question 8

Avoid long-term complications associated with uncontrolled blood sugars

Answer 8

Goal of Therapy

Question 9

Low rates of complications

Reduced overall healthcare costs

Answer 9

Advantages of Tight Glucose Control

Question 10

More injections
Increased risk of hypoglycemic episodes
Compliance is harder
Increased costs of medication and supplies

Answer 10

Disadvantages of Tight Glucose Control

Question 11

Daily Aspirin
ACE-I & ARB
Statins
Antihypertensives
Flu shot

Answer 11

Beneficial Medications in Diabetics

Question 12

Beta-blockers
Decongestants
Corticosteriods
Some quinolone abx
Antipsychotics
Some herbals

Answer 12

Potentially Problematic Meds in Diabetics