- You cannot drink alcohol while taking antidiabetic medications
- Foot care: Check feet daily, use proper fitting shoes, no soaking, no
putting lotion between toes, pat feet dry, cut straight across toe nails,
and wear cotton breathable socks.
- Insulin pairs with glucose to go into the cells
- Insulin goes into the cell but also takes potassium with it (drop which
can cause arrythmias)
- If you rechecked a blood sugar and it is still really low, administer some
type of sugar (15g of carbohydrates, esp. juice or regular soda) and
recheck in 15 minutes. If they are good once you check, then give PB
and gram cracks. If they are still low, restart the whole process and
continue to do the 50g of carbohydrates and recheck in 15.
- If patients cannot take things PO, give amp d50 (glucagon)
- DKA: 300 and up. Acidosis and ketones are present. Due to infection.
- HHS: 600 and above. Acidosis and ketones are NOT present. Solve with
hydration and it corrects on its own.
- TIRED is the acronym used for s/s of hypoglycemia
o T: tachycardia I: irritability R: restlessness E: excess hunger D:
diaphoretic
- PPP is the acronym for signs and symptoms of diabetes
o Polydipsia, Polyphagia, and Polyuria
- Hallmark sign for diabetes is hyperglycemia
- Most common cause of DKA is infection
- If you are on any type of antidiabetic medications, ALWAYS monitor for
s/s of Hyperglycemia.
- Beta cells produce the insulin. Lower the blood sugar
- Alpha cells produce glucagon which makes sugar production. Increases
blood sugar
- Regardless of DKA or HHS, what is ordered to correct the problem?
Hydration!!!
- Monitor A1C t give us the big picture. It must be greater than 6.5 to be
diagnosed with diabetes.
- Type 1 is treated with insulin.
o SubQ
o Inhaled
o Pump
o Regular can be given IV, not NPH
- DKA is the fruity breath like juicy fruit
- Glucose is stores in the liver and skeletal muscles.
o In type 1, we see weight loss being a sign and symptom from
skeletal muscle break down
- Foot care: Check feet daily, use proper fitting shoes, no soaking, no
putting lotion between toes, pat feet dry, cut straight across toe nails,
and wear cotton breathable socks.
- Insulin pairs with glucose to go into the cells
- Insulin goes into the cell but also takes potassium with it (drop which
can cause arrythmias)
- If you rechecked a blood sugar and it is still really low, administer some
type of sugar (15g of carbohydrates, esp. juice or regular soda) and
recheck in 15 minutes. If they are good once you check, then give PB
and gram cracks. If they are still low, restart the whole process and
continue to do the 50g of carbohydrates and recheck in 15.
- If patients cannot take things PO, give amp d50 (glucagon)
- DKA: 300 and up. Acidosis and ketones are present. Due to infection.
- HHS: 600 and above. Acidosis and ketones are NOT present. Solve with
hydration and it corrects on its own.
- TIRED is the acronym used for s/s of hypoglycemia
o T: tachycardia I: irritability R: restlessness E: excess hunger D:
diaphoretic
- PPP is the acronym for signs and symptoms of diabetes
o Polydipsia, Polyphagia, and Polyuria
- Hallmark sign for diabetes is hyperglycemia
- Most common cause of DKA is infection
- If you are on any type of antidiabetic medications, ALWAYS monitor for
s/s of Hyperglycemia.
- Beta cells produce the insulin. Lower the blood sugar
- Alpha cells produce glucagon which makes sugar production. Increases
blood sugar
- Regardless of DKA or HHS, what is ordered to correct the problem?
Hydration!!!
- Monitor A1C t give us the big picture. It must be greater than 6.5 to be
diagnosed with diabetes.
- Type 1 is treated with insulin.
o SubQ
o Inhaled
o Pump
o Regular can be given IV, not NPH
- DKA is the fruity breath like juicy fruit
- Glucose is stores in the liver and skeletal muscles.
o In type 1, we see weight loss being a sign and symptom from
skeletal muscle break down
