Recent evidence suggests that patients with type 2 diabetes who are not taking insulin may not benefit from self-monitoring of blood glucose. Patients with diabetes who require insulin have to monitor their blood glucose by finger-prick (capillary) testing up to 3–4 times or more a day along with their 1–5 insulin injections.
Full Answer
Which is not used to control blood glucose in patients with Type 2?
Insulin is not used to control blood glucose in patients with type 2 diabetes. b. Complications of type 2 diabetes are less serious than those of type 1 diabetes. c. Changes in diet and exercise may control blood glucose levels in type 2 diabetes. d. Type 2 diabetes is usually diagnosed when the patient is admitted with a hyperglycemic coma.
Is glucose self-monitoring useful for type 2 diabetes patients without insulin?
While it is generally accepted that glucose self-monitoring is useful for those with insulin-treated type 2 diabetes,2-4evidence supporting the practice for patients with diabetes who do not require insulin is limited.
How can blood glucose levels be controlled in type 2 diabetes?
Changes in diet and exercise may be sufficient to control blood glucose levels in type 2 diabetes. A patient screened for diabetes at a clinic has a fasting plasma glucose level of 120 mg/dL (6.7 mmol/L). The nurse will plan to teach the patient about a.self-monitoring of blood glucose. b.use of low doses of regular insulin.
What is the management of type 2 diabetes?
Management of type 2 diabetes includes: 1 Healthy eating 2 Regular exercise 3 Weight loss 4 Possibly, diabetes medication or insulin therapy 5 Blood sugar monitoring
Is self-monitoring recommended for type 2 diabetes?
Do not routinely offer self-monitoring of blood glucose levels for adults with type 2 diabetes unless: the person is on insulin or. there is evidence of hypoglycaemic episodes. or the person is on oral medication that may increase their risk of hypoglycaemia while driving or operating machinery.
Is CGM necessary for type 2 diabetes?
Currently, CGM does not fit these criteria for people with type 2 diabetes not taking insulin. CGM will one day become the standard of care for type 2 diabetes, especially as the technology becomes easier to use and cost comes down. With the proper support, CGM could become a powerful motivational tool.
What are the treatment options for a person with type 2 diabetes?
TreatmentHealthy eating.Regular exercise.Weight loss.Possibly, diabetes medication or insulin therapy.Blood sugar monitoring.
Can Type 2 diabetics use FreeStyle Libre?
The FreeStyle Libre continuous glucose monitoring system is changing management for people with diabetes — both type 1 and type 2. The FreeStyle Libre system reduces the need for routine fingersticksi and makes diabetes care even easier.
Can Dexcom G6 be used for type 2 diabetes?
Learn more about Dexcom CGM proven outcomes and see how continuous glucose monitoring is a clinically proven way to help patients with type 2 diabetes improve glycemic control.
Who needs continuous glucose monitoring?
The Endocrine Society recommends CGM for adults with type 1 diabetes who have A1C levels above 7% and who have shown they can use these devices nearly every day. 5 Some devices are also approved for children over age 2 with a healthcare provider's prescription.
Is type 2 diabetes treated with insulin?
People with type 2 diabetes are occasionally treated with "intensive" insulin regimens. Intensive insulin treatment requires multiple injections of insulin per day or the use of an insulin pump.
Do Type 2 diabetics take insulin?
“Someone with Type 1 diabetes will always require insulin injections, because their body produces little or no insulin, but someone with Type 2 diabetes may require insulin injections as part of their treatment plan as well,” said Eileen Labadie, Henry Ford Health diabetes education specialist.
What is the most common medication for type 2 diabetes?
Metformin. Metformin is the most common medicine for type 2 diabetes. It can help keep your blood sugar at a healthy level. It comes as tablets you take with or after meals.
Is FreeStyle Libre only for insulin?
For those not using insulin, these results imply that using FreeStyle Libre technology can have a similar impact to using insulin therapy,4 meaning people could use the FreeStyle Libre system to manage their glucose levels instead of adding insulin.
What is the FreeStyle Libre 2?
The FreeStyle Libre 2 Flash Glucose Monitoring System is a continuous glucose monitoring (CGM) device with real time alarms capability indicated for the management of diabetes in persons age 4 and older.
Can type 2 diabetics get FreeStyle Libre on NHS?
Patients with Type 2 Diabetes who do not meet the above criteria are NOT eligible for FreeStyle Libre® on the NHS. Reluctance to carry out finger prick testing (e.g. due to distress or inconvenience) alone is not considered to be criteria qualifying the use of FreeStyle Libre®.
Why is a glucose test important?
The home glucose test is useful because it can be performed by the patient anywhere and anytime. The date, time, and blood glucose reading are all stored in the machine’s memory. These results can be downloaded onto the computer and used by patients and their providers to make dosing adjustments.
Do diabetics need a glucose meter?
Persons with type 2 diabetes who take insulin or on other diabetes medications also need to measure their glucose levels regularly, as recommended by their health care provider. Most glucose meters require a drop of blood from a pin-prick on the patient’s finger. The blood glucose value is then displayed on the glucose meter ’s screen.
SMBG Use and Frequency
SMBG works by having patients perform a number of glucose tests each day or each week.
Recommending a Meter
There are now seven manufacturers and more than 20 types of meters available on the market. Meters vary in size, weight, test time, memory capabilities, and special features. Most meters can measure blood glucose with only a one- or two-step process.
Summary
SMBG can play an important role in improving metabolic control in patients with diabetes. It is recommended for patients treated with insulin and is desirable for all patients with diabetes.
What is the correct statement about diabetes?
Which statement by the nurse about type 2 diabetes is correct?#N#a. Insulin is not used to control blood glucose in patients with type 2 diabetes.#N#b. Complications of type 2 diabetes are less serious than those of type 1 diabetes.#N#c. Type 2 diabetes is usually diagnosed when the patient is admitted with a hyperglycemic coma.#N#d. Changes in diet and exercise may be sufficient to control blood glucose levels in type 2 diabetes.
What does a type 1 diabetic with lispro mean?
A patient with type 1 diabetes who uses glargine (Lantus) and lispro (Humalog) insulin develops a sore throat, cough, and fever. When the patient calls the clinic to report the symptoms and a blood glucose level of 210 mg/dL, the nurse advises the patient to. a.
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.
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 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.
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 often should a nurse test for ketones?
The nurse should emphasize that the patient should take insulin agents as usual and test ones blood sugar and urine ketones every 3 to 4 hours. In fact, insulin-requiring patients may need supplemental doses of regular insulin every 3 to 4 hours.
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.
Is beta cell destruction a hallmark of type 1 diabetes?
Beta cell destruction is the hallmark of type 1 diabetes. Noninsulin-dependent diabetes is synonymous with type 2 diabetes, which involves insulin resistance and impaired insulin secretion, but not beta cell destruction.
Diagnosis
- Type 2 diabetes is usually diagnosed using the glycated hemoglobin (A1C) test. This blood test indicates your average blood sugar level for the past two to three months. Results are interpreted as follows: 1. Below 5.7% is normal. 2. 5.7% to 6.4% is diagnosed as prediabetes. 3. 6.5% or high…
Clinical Trials
- Explore Mayo Clinic studiestesting new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.
Lifestyle and Home Remedies
- Careful management of type 2 diabetes can reduce your risk of serious — even life-threatening — complications. Consider these tips: 1. Commit to managing your diabetes.Learn all you can about type 2 diabetes. Make healthy eating and physical activity part of your daily routine. 2. Work with your team.Establish a relationship with a diabetes educator, and ask your diabetes treatment tea…
Alternative Medicine
- Many alternative medicine treatments claim to help people living with diabetes. According to the National Center for Complementary and Integrative Health, studies haven't provided enough evidence to recommend any alternative therapies for blood sugar management. Research has shown the following results about popular supplements for type 2 diabetes: 1. Chromiumsupple…
Coping and Support
- Type 2 diabetes is a serious disease, and following your diabetes treatment plan takes round-the-clock commitment. To meet the demands of diabetes management, you may need a good support network. Anxiety and depression are common in people living with diabetes. Talking to a counselor or therapist may help you cope with the lifestyle changes or stressors that come with …
Preparing For Your Appointment
- Keeping your annual wellness visits enables your health care provider to screen for diabetes and to monitor and treat conditions that increase your risk of diabetes — such as high blood pressure, high cholesterol or a high BMI. If you are seeing your health care provider because of symptoms that may be related to diabetes, you can prepare for your appointment by being ready to answer …