Signs & symptoms of diabetes type 1 - Answers recent/sudden weight loss, Polydipsia, Polyuria,
Polyphagia
Signs & symptoms of diabetes type 1 - Answers impeding or actual ketoacidosis, weakness, fatigue,
recurrent infection
Signs & symptoms of diabetes type 1 - Answers recurrent vaginal yeast or monilia infection, prolonged
wound healing, visual changes
Polydipsia - Answers excessive thirst, osmotic effect of glucose
Polyuria - Answers frequent urination, osmotic effect of glucose
Polyphagia - Answers excessive hunger, a consequence of cellular malnourishment when insulin
deficiency prevents utilization of glucose for energy
Diagnostic test that would show the overall control of glucose over several months - Answers A1C
Hemoglobin A1C - Answers measurement of glycosylated hemoglobin; indicates the amount of glucose
that has been attached to hemoglobin molecules over their life span (previous 90 to 120 days)
Hemoglobin A1C - Answers useful in determining glycemic levels over time
A1C - Answers measures the amount of glycosylated hemoglobin as a percentage of total hemoglobin
(A1C of 7% means that 7% of the total hemoglobin has glucose attached to it).
According to ADA, ideal A1C goal of person with diabetes - Answers less than or equal to 7.0%
Patient teaching regarding exercise for the diabetic patient - Answers regular, consistent exercise is
essential part of diabetes and prediabetes management, ADA recommends 150 min per week of
moderate-intensity aerobic activity
Patient teaching regarding exercise for the patient w/ type 2 - Answers ADA recommends perform
resistance training 3 times a week in the absence of contraindications
U.S. Surgeon general recommends patient with diabetes - Answers most adults have at least 30 min of
moderate-intensity activity on most days
Moderate Activity for diabetic patient (200-350kcal/hr) - Answers Active housework, Bicycling (light),
Bowling, Dancing, Gardening, Golf, Roller Skating, Walking briskly
Therapeutic benefits of regular physical activity - Answers decreased need for diabetes medicines in
order to reach target blood glucose goals
, Regular exercise - Answers help reduce triglyceride and LDL cholesterol levels, increase HDL, reduce
blood pressure, improve circulation
Exercise - Answers decreases insulin resistance, can have direct effect on lowering the blood glucose
levels, contributes to weight loss (also decreases insulin resistance)
New exercise program for diabetic patient - Answers should be started only after medical clearance,
started slowly w/ gradual progression toward desired goal
Patients who use meds that cause hypoglycemia - Answers schedule exercise 1 hour after meal or have
10-15g carbohydrate snack and check blood glucose before exercise; several small carbohydrate snacks
can be taken every 30 min during exercise to prevent hypoglycemia
Patient and caregiver teaching guide for diabetic exercise - Answers does not have to be vigorous to be
effective, can be brisk walking
Patient and caregiver teaching guide for diabetic exercise - Answers exercise should be enjoyable to
foster regularity
Patient and caregiver teaching guide for diabetic exercise - Answers important to have proper fitting
footwear, session should have warm-up and cool down period; started gradually, increased slowly
Patient and caregiver teaching guide for diabetic exercise - Answers best done after meals, when blood
glucose level is rising; exercise plan should be individualized & monitored by health care provider
Patient and caregiver teaching guide for diabetic exercise - Answers important to self-monitor blood
glucose level before, during, after exercise to determine effects exercise has on blood glucose level at
particular times of day
Patient and caregiver teaching guide for diabetic exercise - Answers before exercise: blood glucose less
than or equal to 100mg/dL eat 10-15g carbo snack. After 15-30 min, retest blood glucose levels. DO NOT
EXERCISE IF LESS THAN 100 MG/DL
Patient and caregiver teaching guide for diabetic exercise - Answers before exercise: blood glucose
greater than or equal to 250 mg/dL with type 1 & ketones are present, vigorous activity SHOULD BE
AVOIDED
Delayed exercise-induced hypoglycemia - Answers occur several hours after completion of exercise
Taking glucose lowering meds - Answers does not mean planned or spontaneous exercise cannot occur
Important to compensate for extensive planned or spontaneous activity - Answers monitoring blood
glucose level to make adjustments in the insulin dose (if taken) and food intake
patient teaching regarding diet for diabetes - Answers Carbohydrate counting, teach to read food label,
MyPyramid, plate method, include person/patient caregiver that will be cooking, carbohydrate diabetes
meal plan