hypoglycemia & hyperglycemia 2025 by Julie Leavitt https://padlet.com/jleavitt5/l0kf052ou6q3uoqf en-us 2025-03-24 18:46:42 UTC 2025-03-26 19:55:04 UTC hello@padlet.com defin - low blood glucose <50mg/dL (crisis)<70mg/dL(indication) jleavitt5 https://padlet.com/jleavitt5/l0kf052ou6q3uoqf/wish/3380186065 2025-03-24 21:44:39 UTC https://padlet.com/jleavitt5/l0kf052ou6q3uoqf/wish/3380186065 risk factors: jleavitt5 https://padlet.com/jleavitt5/l0kf052ou6q3uoqf/wish/3380188042

  • 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)


    • ]]>     2025-03-24 21:48:06 UTC https://padlet.com/jleavitt5/l0kf052ou6q3uoqf/wish/3380188042     assessment jleavitt5 https://padlet.com/jleavitt5/l0kf052ou6q3uoqf/wish/3380190878 <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!!!


    ]]>     2025-03-24 21:52:32 UTC https://padlet.com/jleavitt5/l0kf052ou6q3uoqf/wish/3380190878     interventions jleavitt5 https://padlet.com/jleavitt5/l0kf052ou6q3uoqf/wish/3380197117

  • 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

    ]]>     2025-03-24 22:01:32 UTC https://padlet.com/jleavitt5/l0kf052ou6q3uoqf/wish/3380197117     jleavitt5 https://padlet.com/jleavitt5/l0kf052ou6q3uoqf/wish/3383745898 2025-03-26 19:13:23 UTC https://padlet.com/jleavitt5/l0kf052ou6q3uoqf/wish/3383745898 definition - elevated Blood glucose > 106 mg/dL, crisis (DKA >300mg/dL + and HHS) jleavitt5 https://padlet.com/jleavitt5/l0kf052ou6q3uoqf/wish/3383755136

    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.


    ]]>     2025-03-26 19:23:34 UTC https://padlet.com/jleavitt5/l0kf052ou6q3uoqf/wish/3383755136     risk factors: jleavitt5 https://padlet.com/jleavitt5/l0kf052ou6q3uoqf/wish/3383760091 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


    ]]>     2025-03-26 19:28:55 UTC https://padlet.com/jleavitt5/l0kf052ou6q3uoqf/wish/3383760091     Assess jleavitt5 https://padlet.com/jleavitt5/l0kf052ou6q3uoqf/wish/3383771862

  • 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


    ]]>     2025-03-26 19:40:45 UTC https://padlet.com/jleavitt5/l0kf052ou6q3uoqf/wish/3383771862     Interventions jleavitt5 https://padlet.com/jleavitt5/l0kf052ou6q3uoqf/wish/3383784625 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

    ]]>     2025-03-26 19:55:03 UTC https://padlet.com/jleavitt5/l0kf052ou6q3uoqf/wish/3383784625