Diabetes
FPG
Normal Level: <100 mg/dl
Prediabetes: 100 mg/dl to 125 mg/dl
Diabetes: >126 mg/dl
Questions to Ask
When did you eat last?
When did you take your insulin?
Do you monitor your BIS levels? How often?
What was your last BIS reading?
Do you know your A1C level?
Causes
Hypoglycemia
Pt vomited
Hyperglycemia
Pt took too much medication & did not eat.
Exercised heavily
Excessive Insulin
Pt consumes too much sugar
Not taking meds
Infection
Stress
Symptoms
Hypoglycemia
Hyperglycemia
Sweating/Cold
Shakiness
Moist/Clammy Hands
Vision Problems
Bounding Heart Rate
Nervousness
Confusion
Pallor
Dehydration
Fever
Triad Ps
Dry Skin
Rapid breathing
Sweet / Fruity Breath
Confusion
Polyuria: urination
Polyphagia: appetite
Polydipsia: thirst
Hypoglycemia PABCD
Conscious
Unconscious
Monitor Vitals & Blood Pressure
Maintain Open Airway
Semi-reclining Position
Administer Oral Sugar
Maintain Open Airway
Activate EMS
Monitor Vitals & Blood Pressure
Revaluate Diagnosis
Supine Position
Signs of Deterioration
Seizures
Cardiac Arrest
Loss of Consciousness
CVA or TIA
Signs of Recovery
Patient appears more alert