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HCC Diabetes Mngmt

HCC Diabetes Management

QuestionAnswer
Foot Care Inspect daily, wash warm water mild soap, gently pat dry, mild foot powder, cut nails even w/round of toes after shower, absorbant socks w/no seams.
Nutritional Education Refer to dietician and reinforce learning at each meal.
Sick Teach glucose checks q4hr, continue medication regimen, 8oz sugar-free liquid q1hr to avoid dehydration, meet carbs w/solids if poss, rest.
Oral Antidiabetic Not proven to be safe or effective for use in children.
3P's of DM Polyuria(excessive urination), Polydipsia(excessive thirst), Polyphagia(excessive hunger).
DM Type I S&S 3P's, wt. loss, fatigue, increased frequency of infections.
DKA (Type I) S&S Dehydration Intense thirst, decreased skin turgor, warm dry skin, soft eyeballs, dry mucous membranes, decreased BP, increased weak pulse.
DKA (Type I) S&S Acidosis N&V, ketone breath, lethargy, coma.
DKA S&S Abdominal pain, kussmaul's resp.'s, blood glucose in excess of 300, pH<7.3, bicarb <10, presence of serum ketones.
Hyperglycemia Hot & Dry = Sugar High
Hypoglycemia Cold & Clammy = Need Some Candy
Triangle of Diabetes Management MED. Medication, Exercise, Diet.
Insulin Concentrations 40U/mL(U-40), 100U/mL(U-100), 500U/mL(U-500). U100 is recommended to be universal dose by ADA. U-500 is only with regular.
3 Sources of Insulin Beef, Pork, and Synthetic Human. Synthetic human is for newly Dx'd and/or pregnant.
Lispro(Humalog), Aspart(Novolog) RAPID ACTING. Onset 15min, peak 30min-3hr, 2-5hr. Dose & eat.
Regular(Humulin R, Novolin R) SHORT ACTING. Onset 30-60min, peak 2-4hr, duration 8-12hr.
Isophane NPH (Humulin N, Novolin N, Lente L, Humulin L, and Novolin L INTERMEDIATE ACTING. Onset 2-4hr, peak 6-14hr, duration 16-20hr.
Humulin U & Ultra-Lente LONG ACTING. Onset 6-8hr, peak 12-16hr, duration 20-30hr.
Created by: mande747
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