# data[].attributes.headline
defin - low blood glucose <50mg/dL (crisis)<70mg/dL(indication)

# data[].attributes.subject
defin - low blood glucose <50mg/dL (crisis)<70mg/dL(indication)

# data[].attributes.body
too much insulin

bottom out if index

insuff. PO intake

NPO

excess exercise

infection

stress

steroids (liver resistance to insulin)

alcohol use (metabolizes in the liver, simple)

# data[].attributes.body
<50 crisis <70 is low/concerning

sweating

clammy

confused

weak

dizzy

fatigue

VS - increase pulse and high/low ? BP,

LOC

breathing

ARE they a diabetic (med bracelet)

MEDS!!! how much was given

did they eat!!!

# data[].attributes.body
RULE 15:

Step 1: 15 grams of simple carbs - 4-6 oz juice, 8 oz of milk, glucose tabs/gel, hard candy, glucagon PO and PR

if they are unconscious or need something else - Glucagon SQ or IM or dextrose IV

then I do:

recheck the glucose in 15 mins

then I do:

if not high enough start over on the the 15 grams

then recheck in 15 mins and if stale 80-100mg/dL

protein and a complex carb

# data[].attributes.headline
definition - elevated Blood glucose > 106 mg/dL, crisis (DKA >300mg/dL + and HHS)

# data[].attributes.subject
definition - elevated Blood glucose > 106 mg/dL, crisis (DKA >300mg/dL + and HHS)

# data[].attributes.body
Normal finger blood glucose range -

Fasting blood glucose-

Venous glucose - >200mg/dL (hyperglycemia)

normal people

prediabetic

diabetic

they will test you a few times to confirm the dx.

# data[].attributes.body
Type of medications - steroids - beta blockers, diuretics, and some antipsychotics, ad birth control, MOAIS, statins.

stress

Flight or flight

illness

not using enough insulin

pregnancy

sed. lifestyle

obesity

lack of sleep

diet high in simple carbs

Asian

African American

Hispanics

native Americans

# data[].attributes.body
3 P's - polydipsia, polyphagia, polyuria

check the glucose

ask how they are feeling - malaise,

Vitals - HR increase, BP HTN

Weight - assess BMI

LOC

diet

Macrovascular complication

Perfusion --> heart - CHF, HTN, stroke,

cerebrovascular - CVA, stroke,

CAD

peripheral vascular disease

Microvascular complications

Retinopathy - vision changes

neuropathy - limbs and feet decrease sensation and can lead to necrotic, cognition

Nephropathy - kidney

# data[].attributes.body
administer medications -

insulin - based on BG - rapid or short

This will be chronically managed - bolus vs basal

increase Fluids

oral electrolyte (Mg+low, Na+ high/low, K+ high/low, Ca usually matches mg) solution hydration

diet

low carb, low sugar, complex in moderation, increase dark leafy greens, add fiber, lean proteins, fruit --> 1600-1800 ADA or Diabetic diet or mediatrian diet

education

monitor and follow up every 3-6 months

blood work A1C

Eyes

kidneys

Provide a monitor ac/hs and journal

carb counting (both) or sliding scale