Olenik 3 Flashcards

1
Q

Continuous Glucose Monitoring

  • check BG every ___ to ___ minutes
  • stand alone or in combination with ___
  • displays blood glucose ___
  • 4 different types:
A
  • 1-5 mins
  • insulin pump
  • trend
    1. real time
    2. intermittently scanned
    3. professional
    4. unblinded
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2
Q

Ambulatory Glucose Profile (AGP) Report - report that combines input from multiple ___, displaying CGM data over a single ___ hour period

A

days, 24

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2
Q

Mean Glucose Management Indicator (GMI) - conversion of CGM-derived mean glucose to an estimate of the current ___ level when data from active CGM use is at least > ___ % during ___ day time period

A
  • A1C
  • 70%
  • 14
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3
Q

Time above range

% of time spent above ___ mg/dL
- goal for most pts: ___ %
- goal for high risk pts: ___ %

% of time spent > ___ mg/dL
- goal for most pts: ___ %
- goal for high risk pts: ___ %

A
  • 180
  • 25
  • 50
  • 250
  • 5
  • 10
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4
Q

Time in Range

% of time spent between ___ and ___ mg/dL
- goal for most pts: ___ %
- goal for high risk pts: ___ %

each 1% TIR = ___ mins

A

70-180
- 70 - 50

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5
Q

Time Below Range

% of time spent < ___ mg/dL
- goal for most pts: ___ %
- goal for high risk pts: ___ %

% of time spent < ___ mg/dL
- goal for most pts: ___ %
- goal for high risk pts: ___ %

A
  • 70
  • 4
  • 1
  • 54
  • 1
  • 0
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6
Q

we typically want to see that the CGM was active for > ___ % of the time during a ___ day period

A
  • 70%
  • 14
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7
Q

DATAA Model

1) download ___ : AGP, what is going well with self management
2) assess ___ : look at lows/events
3) time in range: focus on positive
4) areas to improve: look at highs
5) action plan

no such thing as “good” or “bad”
only low and high, dont add shame

A
  • pt data
  • safety
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8
Q

T or F: we fix the highs first

A

FALSE; fix lows first

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9
Q

FreeStyle Libre 2 system

Placement: ___
Calibration: ___ hr warm up period when first pairing with sensor
Sensor life: ___ days
- interaction with high doses of ___

A
  • upper arm
  • 1
  • 14
  • Vit C
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10
Q

FreeStyle Libre 3 System

Placement: ___
Calibration: ___ hr warm up period when first pairing
Sensor Life: ___

A
  • upper arm
  • 1
  • 14 days
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11
Q

Dexcom G6

Placement: ___
Calibration: ___ hr warm up period when first pairing
Sensor Life: __- days

A
  • abdomen
  • 2 hr
  • 10
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12
Q

Dexcom G7

Sensor Placement: ___
Calibration: ___ min warm up time
Sensor Life: ___ days

all in one sensor with no transmitter

A
  • back of upper arm
  • 30
  • 10
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13
Q

Medtronic Guardian Connect

Placement: ___ and ___
Calibration: required every ___ hrs
___ hr warm up period
sensor life: ___ days

A
  • abdomen and arm
  • 12
  • 2
  • 7
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14
Q

Eversense E3 CGM System

under the skin of the upper arm
- ___ calibrations during initialization phase (6-36 hrs)
- ___ calibrations required each day of first __ days, followed by 1-2 callibrations per day
- ___ hr warm up phase

A
  • 4
  • 2, 21
  • 24
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15
Q

Combination CGM-Insulin Pumps

A
  • T:Slim X2 with Dexcom G6 CGM
  • Omnipod 5 with Dexcom G6 CGM
  • Minimed 630 G with Guardian Sensor 3 CGM
  • MiniMed 770G with Guardian Sensor 3 CGM
  • MiniMed 780 G with guardian Sensor 3 CGM
  • MiniMed 780G with Guardian Sensor 4 CGM
16
Q

3 good clearinghouse websites

A

iMedical Apps
AppScript
danatech

17
Q

A1C

gives a picture of a pts average blood glucose control over the past ___ months
- test every ___ months
- if stable, test every ___ months

A

3
3
6

18
Q

A1C goals

AACE: less than or equal to ___
ADA: less than ___ for most nonpregnant pts

A

6.5
7

19
Q

Hypoglycemia Levels

Level 1: glucose , ___ mg/dL and greater than or equal to ___ mg/dL
Level 2: glucose < ___ mg/dL
Level 3: a severe event characterized by altered ___ and or ___ status requiring assistance for treatment of hypoglycemia

A
  • 70, 54
  • 54
  • mental, physical
20
Q

signs and symptoms of hypoglycemia

A
  • shakieness
  • dizziness
  • sweating
  • hunger
  • tachycardia
  • confusion
  • irritability
  • headache
  • anxiety
  • inabaility to concentrate
21
Q

How to get out of a low

  1. check BG
  2. rule of 15 (consume 1 serving ___ gm of fast acting carbs, wait ___ min)
  3. recheck BG

IF
- < 70 ___
- > 70, longer than 1 hr away from next meal, eat protein/long acting carb snack ( ___ gm carbs)
- > 70 and eating meal within the hour; no further action

A
  • 15, 15,
  • repeat
  • 30
22
Q

Severe Hypoglycemia

A
23
Q

Severe Hypoglycemia

Zegalogue (dasiglucagon)
- auto injector or prefilled syringe
- good in fridge for ___ years, can be used at room temp for up to ___ year
- no reconstitution required

Gvoke HypoPen
- ___ injection
- auto injector or pre-filled syringe
- do not ___

A
  • 3, 1
  • SQ
  • refrigerate
24
Q

Urine Ketones

A