It's All About the Numbers: Glucose Monitoring

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It's All About the Numbers: Glucose Monitoring

  1. 1. Know Your Numbers Jenna Rainis, RN BSN Denise Stumpf, RN, BSN, CDE Sarah Tierney, RN BSN, CDEwww.SpringfieldClinic.com
  2. 2. Let’s look at the Numbers 25,800,000 people in the US have diabetes That’s 8.3% of the population! But only……… 18,800,000 have been diagnosed 7,000,000 undiagnosed!!!! In 2010, 1.9 million new diagnosis of DM for adults > 20 years of age
  3. 3. Let’s Start from thebeginning…. American Diabetes Association Link for Lou sufyan
  4. 4. How is this diagnosed? American Diabetes Association • Fasting blood glucose >126 mg/dl • 2 hour post glucose load >200mg/dl • Symptoms of diabetes, PLUS casual plasma glucose >200mg/dl • A1C > 6.5%
  5. 5. The Bad Stuff…………….Long Term Uncontrolled Diabetes is the leading cause of ….• Blindness for those 20-74 years of age• Kidney failure• Amputations accounts for 60% of non traumatic• Neuropathy affects 60-70% of those with diabetes• Heart Disease 2-4x increased risk then those without diabetes• Stroke 2-4x increased risk then those without diabetes
  6. 6. SO…..WHAT ARE YOUR TARGETS? Before Meal 2 hours After MealDiabetes 70-130mg/dl <180mg/dlNo Diabetes 70-120mg/dl 70-120mg/dl
  7. 7. W About This? hatShaky Dizziness M Hunger IA C ESweaty L HeadacheY Weakness l O G d g/ HeartbeatIrritability PAnxiety m H Y 7 0 Rapid <Impaired/blurry vision
  8. 8. RULE OF 151. If possible, test2. Drink/eat 15-20 grams of Carbohydrates*3. Wait 15 minutes4. Re-test, if still low, repeat # 2,35. Eat a meal within the next hour*if blood sugar 50mg/dl or below, drink/eat 30 grams of carbohydrates
  9. 9. W About This? hatThirsty ia Frequent urination m yc eWeakness* r g l Impaired/Blurred vision* p eIrritability* y Nausea or vomiting HWeight loss despite extreme hunger
  10. 10. Treatment of Hyperglycemia Exercise Water Sensible Meal ChoicesMedication as instructed by your provider Call office if blood sugar >400mg/dl TELENURSE available after hours, weekends & Holidays
  11. 11. Diabetes Learning CenterGOALS FOR MANAGEMENT OF DIABETES MELLITUS American Diabetes Association Clinical Practice Recommendations 2012
  12. 12. Lipid Targets
  13. 13. Blood Pressure TargetsGoal: < 130/ 80
  14. 14. NephropathyKeys to prevention include:Meet blood pressure goalMeet blood glucose goalsAnnual labs to check:Creatinine, BUN and Microalbumin
  15. 15. Oral Health Care• People with diabetes are at an increased risk of cavities, gingivitis, and tooth loss• See your Dentist at least yearly
  16. 16. RetinopathyVery small blood vessels grow from the surface of the retina. These growingblood vessels are very delicate and bleed easily.•See an ophthalmologist at least once a year for a diabetes dilated eye exam
  17. 17. Peripheral NeuropathyOvertime, diabetes can cause: skin breakdown loss of feeling poor circulation See your doctor for a annual foot exam using a monofiliment
  18. 18. Benefits and/or Goals• Prevent long term complications of diabetes• Improve blood glucose – 70-130 before meals <180 after meals• Maintain healthy weight• Weight loss – 5-7% current body weight
  19. 19. Body Mass Index• Goal of LESS THAN 25• Remember, focus on loss of 5-7% of current weight for reduction in insulin resistance
  20. 20. Aerobic Activity Start with:1.10 minutes of activity2.Increase session time3.Increase frequencyGoal: At least 3 times a weekFor at least 30 minutes each time
  21. 21. Carbohydrates• Single most important nutrient that affects blood sugar• MINIMUM of 30 grams per meal
  22. 22. Come Learn MORE……The Diabetes Learning CenterWHAT? You Can Do It….Successful Diabetes ManagementWHEN? Tuesday evenings and Thursday AfternoonsHOW? Talk with your Primary Care Physician, Endocrinologist or call theDiabetesLearning Center

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