Treatment FAQ

if ineffective in lowering blood glucose, what will the next course of treatment include? quizlet

by Audie Weimann Published 3 years ago Updated 2 years ago

Why is it important to control blood glucose levels within the range?

Jan 24, 2020 · When type 2 diabetes first develops, you may be insulin resistant, which means you make a lot of insulin, but your body can’t use it effectively, Dr. …

Which is not used to control blood glucose in patients with Type 2?

Oct 24, 2020 · Several classes of type 2 diabetes medicines exist. Each class of medicine works in different ways to lower blood sugar. A drug may work by: Stimulating the pancreas to produce and release more insulin; Inhibiting the production and release of glucose from the liver; Blocking the action of stomach enzymes that break down carbohydrates

What should the nurse do if the patient's blood glucose level is 210?

Jan 29, 2022 · 2. Don't smoke. Avoid smoking or quit smoking if you smoke. Smoking increases your risk of type 2 diabetes and the risk of various diabetes complications, including: Reduced blood flow in the legs and feet, which can lead to infections, nonhealing ulcers and possible amputation. Worse blood sugar control.

Which factors are most likely to maintain good glycemic control successfully?

Apr 03, 2022 · Here are 17 nursing care plans (NCP) and nursing diagnoses for diabetes mellitus (DM): Risk for Unstable Blood Glucose Level. Deficient Knowledge. Risk for Infection. Risk for Disturbed Sensory Perception. Powerlessness. Risk for Ineffective Therapeutic Regimen Management. Risk for Injury.

How does diabetes medicine work?

Each class of medicine works in different ways to lower blood sugar. A drug may work by: Stimulating the pancreas to produce and release more insulin. Inhibiting the production and release of glucose from the liver.

What are the best ways to manage type 2 diabetes?

Healthy lifestyle choices — including diet, exercise and weight control — provide the foundation for managing type 2 diabetes. However, you may need medications to achieve target blood sugar (glucose) levels. Sometimes a single medication is effective. In other cases, a combination of medications works better.

Is diabetes a single treatment?

No single diabetes treatment is best for everyone, and what works for one person may not work for another. Your doctor can determine how a specific medication or multiple medications may fit into your overall diabetes treatment plan and help you understand the advantages and disadvantages of specific diabetes drugs. Oct. 24, 2020.

Does lowering cholesterol help with diabetes?

Lower cholesterol and have a very modest effect in lowering blood glucose when used in combination with other diabetes medications

How to control blood sugar levels?

Make healthy eating and physical activity part of your daily routine. Maintain a healthy weight. Monitor your blood sugar, and follow your doctor's instructions for managing your blood sugar level. Take your medications as directed by your doctor.

How to take care of diabetes?

Careful diabetes care can reduce your risk of serious — even life-threatening — complications. Here are 10 ways to take an active role in diabetes care and enjoy a healthier future. 1. Make a commitment to managing your diabetes. Members of your diabetes care team — doctor or primary care provider, diabetes nurse educator, and dietitian, ...

How to reduce risk of heart attack and stroke?

Consider a daily aspirin. If you have diabetes and other cardiovascular risk factors, such as smoking or high blood pressure, your doctor may recommend taking a low dose of aspirin every day to help reduce your risk of heart attack and stroke.

What are the risks of diabetes?

2. Don't smoke. Smoking increases your risk of type 2 diabetes and the risk of various diabetes complications, including: Reduced blood flow in the legs and feet, which can lead to infections, ulcers and possible removal of a body part by surgery (amputation) Heart disease. Stroke.

How to prevent gum infection from diabetes?

Diabetes may leave you prone to gum infections. Brush your teeth at least twice a day with a fluoride toothpaste, floss your teeth once a day and schedule dental exams at least twice a year . Call your dentist if your gums bleed or look red or swollen. 7.

How to control high blood pressure?

Eating a healthy, reduced-fat diet and exercising regularly can go a long way toward controlling high blood pressure and cholesterol. Your doctor may also recommend taking prescription medication, if necessary.

Who can help with diabetes?

Members of your diabetes care team — doctor or primary care provider, diabetes nurse educator, and dietitian, for example — can help you learn the basics of diabetes care and offer support along the way. But it's up to you to manage your condition.

Which sulfonylureas stimulate insulin secretion by the pancreas?

Sulfonylureas: glipizide (Glucotrol), glyburide (DiaBeta), glimepiride (Amaryl)#N #Sulfonylureas stimulate insulin secretion by the pancreas, used mostly in type 2 diabetes to control blood glucose levels. They also enhance cell receptor sensitivity to insulin and decrease the liver synthesis of glucose from amino acids and stored glycogen.

What are the risks of blood glucose control?

Here are 17 nursing care plans (NCP) and nursing diagnoses for diabetes mellitus (DM): Risk for Unstable Blood Glucose. Deficient Knowledge. Risk for Infection. Risk for Disturbed Sensory Perception. Powerlessness.

What is the goal of diabetes management?

The goal of diabetes management is to normalize insulin activity and blood glucose levels to prevent or reduce the development of complications that are neuropathic and vascular in nature. Glucose control and management can dramatically reduce the development and progression of complications.

What is diabetes mellitus associated with?

Diabetes mellitus associated with other conditions is when specific types of diabetes develop due to other causes (e.g., pancreatic diseases, hormonal abnormalities, medications).

How does hyperglycemia affect the body?

1. Assess for signs of hyperglycemia.#N#Hyperglycemia results when there is an inadequate amount of insulin to glucose. Excess glucose in the blood creates an osmotic effect that results in increased thirst, hunger, and increased urination. The patient may also report nonspecific symptoms of fatigue and blurred vision.

What is the goal of nursing care for diabetic patients?

Nursing care planning goals for patients with diabetes include effective treatment to normalize blood glucose levels and decrease complications using insulin replacement, balanced diet, and exercise. The nurse should stress the importance of complying with the prescribed treatment program through effective education of the patient. Tailor your teaching to the patient’s needs, abilities, and developmental stage. Stress the effect of blood glucose control on long-term health.

Why is weight loss important for diabetics?

Weight loss is an important factor in the treatment of diabetes. Weight loss of around 5-10% of the total body weight can reduce or eliminate the need for medications and significantly improve blood glucose levels. 14.

What type of diabetes is a patient with chronic renal insufficiency?

A patient with chronic renal insufficiency was recently diagnosed with type 2 diabetes. The nurse should contact the health care provider and hold which medication?

How long does it take to discard insulin?

Discard any unused insulin after 28 days. The nurse is teaching a patient about the manifestations and emergency treatment of hypoglycemia. In assessing the patient's knowledge, the nurse asks the patient what he or she should do if feeling hungry and shaky.

Why is insulin administration less important in the treatment of HHS?

Insulin administration plays a less important role in the treatment of HHS because it is not needed for reversal of acidosis, as in diabetic ketoacidosis (DKA). 16.A nurse is caring for a patient with type 1 diabetes who is being discharged home tomorrow.

How does Alpha Glucosidase inhibitor work?

Alpha glucosidase inhibitors work by delaying the absorption of glucose in the intestinal system, resulting in a lower postprandial blood glucose level. 7.A diabetes nurse educator is teaching a group of patients with type 1 diabetes about sick day rules.

How long does it take for insulin to peak?

Regular insulin (a short-acting insulin) peaks in 2 to 3 hours, and NPH (an intermediate-acting insulin) peaks in 4 to 10 hours. Hypoglycemia would most likely occur between 9 am and 5 pm (0900 to 1700 hours). Glipizide (Glucotrol) 10 mg bid PO has been ordered for an adult client with type 2 diabetes.

What is the difference between Type 1 and Type 2 diabetes?

Type 2 diabetes involves insulin resistance and impaired insulin secretion. The body does not make glucose.

What is the criteria for diagnosis of diabetes?

Criteria for the diagnosis of diabetes include symptoms of diabetes plus random plasma glucose greater than or equal to 200 mg/dL, or a fasting plasma glucose greater than or equal to 126 mg/dL. 3.A patient newly diagnosed with type 2 diabetes is attending a nutrition class.

What is HHS in nursing?

22.A nurse is caring for a patient newly diagnosed with type 1 diabetes. The nurse is educating the patient about self-administration of insulin in the home setting.

What are the three Ps of diabetes?

Classic clinical manifestations of diabetes include the three Ps: polyuria, polydipsia, and polyphagia. Lack of interest in sweet foods, fatigue, and foul-smelling urine are not suggestive of diabetes. 13.A diabetes educator is teaching a patient about type 2 diabetes.

What type of diabetes is unable to maintain good blood glucose control?

If a patient with type 1 diabetes is unable to maintain good blood glucose control through insulin injections, the physician may recommend

What causes type 1 diabetes mellitus?

The cause of type 1 diabetes mellitus is. a. excessive intake of simple sugars. b. destruction of pancreatic beta cells. c. inability of cells to respond to insulin in the bloodstream. d. inability of the pancreas to keep up with the body's demands for insulin.

What is the fasting glucose level of a 50 year old man?

At a routine physical examination, a 50-year-old man has a fasting blood glucose level of 160 mg/dL. The next step in diagnosis and treatment would be

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