How is diabetes diagnosed? - -A1C of 7 or >
-fasting plasma glucose > or = 126 mg/dL
-2 hour plasma glucose level > or = to 200 mg/dL
-pt w/ polyuria, polydipsia, polyphagia, and unexplained weight loss or random
plasma glucose > 200 will be treated
what are the manifestations of diabetes? - -polyuria, polydipsia, polyphagia
-hyperglycemia
-unexplained weight loss
what is diabetes the leading cause of? - -End-stage renal disease
-Adult blindness
-Non-traumatic lower limb amputations
what are the complications of diabetes? - -heart disease
-hypertension
,-stroke
what should nutrition education be for someone with diabetes? - -eat at regular
intervals
-should carb count
-coordinate diet with activity
-weight loss (if applicable)
-fruits and vegetables
what is the exercise education with pt with DM? - -consistent exercise
-walking 30 min/day for 5 days/week
-have snack before exercise, check BGM, keep simple carb on hand
-best done 1hr after meals or have 10-15g snack before
what is the nursing intervention for a patient with hyperglycemia? - -continue med
regimen
-check BGM fx
, -increase fluids
-call provider
-check urine for ketones
what are the manifestations for hyperglycemia? - -hot dry skin
-fruity breath
what are the manifestations for hypoglycemia? - -shakiness
-confusion
-profuse sweating
-palpitations
-headache
what is the rule of 15 for hypoglycemia? - -15g of simple carb (4-6oz of juice or
soft drink)
-recheck in 15 min