Nurs 488 Endocrine Test
With Solution
Diabetes Mellitus Diagnostic Studies - ANSWER 1. A1C of 6.5% or higher.
2. Fasting plasma glucose (FPG) level greater than or equal 7.0 mmol/L.
Fasting is defined as no caloric intake for at least 8 hours.
3. Two-hour plasma glucose level greater than or equal to 11.1 mmol/L
during 75 g oral glucose tolerance test (pregnancy).
4. random plasma glucose greater than or equal to 11.1 mmol/L in a patient
with classic symptoms of hyperglycemia
A1C test - ANSWER checking amount of glucose on red blood cells to get an
average glucose level over several months (3-4 months)
ideal goal is less than 7%
insulin therapy - ANSWER we use synthetic (exogenous) insulin given via
injection
MUST be used for type 1, can be additional treatment for type 2
practitioners MUST be aware of onset, peak, and duration of all insulin
administered
rapid-acting insulin times - ANSWER injected 0 to 15 minutes before meal
Onset: 10-15 mins
Peak: 60-90 mins
, Durations: 3-5 hours
*****short-acting insulin times***** - ANSWER injected 30-45 minutes before
meal
****only insulin that can be given by IV: humulin R****
Onset: 30-60 mins
Peak: 2-4 hours
Durations: 5-8 hours
intermediate acting insulin times - ANSWER injected twice a day (not specific
to meals)
Onset: 1-3 hours
Peak: 6-8 hours
Durations: 12-16 hours
long acting (basal) insulin times - ANSWER injected once a day
released steadily and continuously
Onset: 1-2 hours
Peak: 2-8 hours
Durations: 24+ hours
insulin therapy regimens - ANSWER BASAL-BOLUS: long acting once a day,
rapid/short acting before meals
BBIT: basal insulin, bolus insulin, insulin correction, titrate
fixed combination insulins
With Solution
Diabetes Mellitus Diagnostic Studies - ANSWER 1. A1C of 6.5% or higher.
2. Fasting plasma glucose (FPG) level greater than or equal 7.0 mmol/L.
Fasting is defined as no caloric intake for at least 8 hours.
3. Two-hour plasma glucose level greater than or equal to 11.1 mmol/L
during 75 g oral glucose tolerance test (pregnancy).
4. random plasma glucose greater than or equal to 11.1 mmol/L in a patient
with classic symptoms of hyperglycemia
A1C test - ANSWER checking amount of glucose on red blood cells to get an
average glucose level over several months (3-4 months)
ideal goal is less than 7%
insulin therapy - ANSWER we use synthetic (exogenous) insulin given via
injection
MUST be used for type 1, can be additional treatment for type 2
practitioners MUST be aware of onset, peak, and duration of all insulin
administered
rapid-acting insulin times - ANSWER injected 0 to 15 minutes before meal
Onset: 10-15 mins
Peak: 60-90 mins
, Durations: 3-5 hours
*****short-acting insulin times***** - ANSWER injected 30-45 minutes before
meal
****only insulin that can be given by IV: humulin R****
Onset: 30-60 mins
Peak: 2-4 hours
Durations: 5-8 hours
intermediate acting insulin times - ANSWER injected twice a day (not specific
to meals)
Onset: 1-3 hours
Peak: 6-8 hours
Durations: 12-16 hours
long acting (basal) insulin times - ANSWER injected once a day
released steadily and continuously
Onset: 1-2 hours
Peak: 2-8 hours
Durations: 24+ hours
insulin therapy regimens - ANSWER BASAL-BOLUS: long acting once a day,
rapid/short acting before meals
BBIT: basal insulin, bolus insulin, insulin correction, titrate
fixed combination insulins
