Diabetes Resources. Tamara Meier, APRN-CNS, IBMC Diabetes Specialist. Call ANYTIME for questions!
|
|
|
- Katrina Robertson
- 8 years ago
- Views:
Transcription
1 Diabetes Resources Diabetes Specialists Tamara Meier, APRN-CNS, IBMC Diabetes Specialist. Call ANYTIME for questions! Alicia Johnson, APRN-CNP, ISMC Diabetes Specialist Annie L. Gonzalez, BSN, RN, ICVH Diabetes & Transitional Care Coordinator Protocols INTEGRIS Inside Homepage>Clinical HotSpots>Physician Order Sets>Diabetes Policies INTEGRIS Inside Homepage, policies tab, Metro Nursing Policies NSG-1312 Medication Administration of Insulin NSG-1330 Medication Insulin Pump Therapy Diabetes Resource Page INTEGRIS Inside Homepage> Clinical Hotspots> Diseases & Diagnosis>Diabetes o o o o Blood Glucose Record CAUTION Insulin Pump Sign Patient Menu with Carb Counts Tips, Guidelines, Insulin Pen Instructions, DC Instructions, Tamara s Phone Number Patient Education Patient Education on Powerchart ToolBar>Custom>Diabetes/Hyperglycemia Post Discharge Instructions (Custom) Remember to Fill in Hmg A1C! Choose to Live: Your Diabetes Survival Guide located on each unit except ICUs (call if out) Freestyle glucometers located on every unit Living with Diabetes ADA DVD (ICVH) Education Videos Channel 83 ( channel 86 Spanish) (IBMC): Blood sugar testing Diabetic Ketoacidosis Foot care for people with diabetes Remember to document patient and family teaching! Meal planning for people with diabetes Type 1 Diabetes in adults Type 2 Diabetes
2 Insulin and diabetes Carbohydrate Counting IBMC/ISMC Weekly Menu with Nutritional Information: Outpatient Diabetes Education INTEGRIS Baptist Medical Center Diabetes Education Program 3300 Northwest Expressway , OKC, OK INTEGRIS Canadian Valley Hospital Diabetes Education 1201 Health Center Parkway, Yukon, OK, INTEGRIS Southwest Medical Center Free INTEGRIS Baptist Free Community Clinic Olivet Baptist Church 1201 NW 10 th St. OKC, OK Referral needed-questions/concerns/referrals-please contact Brenda Rice at
3 NEW AND IMPROVED TUBE FEEDING CARBOHYDRATE COUNT (Minus the fiber!) Ensure Jevity 1 Cal Jevity 1.2 Cal Osmolite Promote Perative Pulmocare Nepro Glucerna Two Cal HN Vital HN Oxepa g carbs/ml g carbs/ml 0.15 g carbs/ml g carbs/ml 0.13 g carbs/ml 0.17 g carbs/ml g carbs/ml g carbs/ml 0.08 g carbs/ml g carbs/ml g carbs/ml g carbs/ml NutriHep 0.29 g carbs/ml Formula for calculating continuous tube feeding nutritional insulin: ) (g Carbs/mL x TF rate) x 4 = # of units insulin regular subcut Y to be given every 4 hours
4 CASE SCENARIO #1 Your patient, Ms. Sweet, is a 56 year old patient that has type 2 diabetes and was admitted with CHF exacerbation early this morning. Her am labs showed a glucose level of 268. Ms. Sweet s physician places her on the Hyperglycemia Management Protocol default settings with aspart (Novolog) insulin coverage (AC, HS & 0300). Breakfast: 0700 FSBS is Ms. Sweet s correctional coverage would be:. Ms. Sweet ate: 100% cornflakes (16g) 100% reduced fat milk (12g) 2. Ms. Sweet s total carb intake is. Nutritional coverage would be. Lunch: 1130 FSBS is Ms. Sweets correctional coverage would be:. Ms. Sweet ate:100% of the beef tips 50% of the noodles (30g) 50% of the broccoli 25% of the carrot cake (30g) 100% of the dinner roll (30g) 4. Total carb intake is. Nutritional coverage would be:. Afternoon: Ms. Sweet calls you in concerned because she does not feel right. I am kind of shaky. You decide to check a FSBS and it is What would you do? Describe in detail. Supper: 1630 FSBS is Ms. Sweet s correctional coverage would be:. Ms. Sweet ate: 100% turkey 100% dressing (15g) 100% cranberries (15g) 100% green beans 100% LC Vanilla pudding (24g) 7. Total carb intake is.nutritional coverage would be:
5 CASE SCENARIO #1 ANSWERS The Hyperglycemia Management Protocol Default Settings are: x=25 & y=10.
6 1. Ms. Sweet s FSBS was 250. Her correctional coverage can be calculated using the following formula =150, =6 Ms. Sweet s correctional coverage would be 6 units aspart insulin subq. 2. Total carb intake is 28 grams of carbs. Use the following formula to calculate Ms. Sweet s nutritional coverage = 2.8 or 3 units aspart insulin subq. 3. Ms. Sweet s FSBS was 195. Her last two FSBS readings have been high. Advance Ms. Sweet a level on the HMP to level 3, x=20, y= =95, 95 20=4.75 or 5 units aspart insulin subq for correctional coverage grams of carbs. Nutritional coverage can be calculated using the following formula =6.56 or 7 units aspart insulin subq for nutritional coverage. 5. Follow the directions on the Hypoglycemia Protocol, rule of 15/15. Give Ms. Sweet 15 grams of carbs and recheck her FSBS in 15 minutes, repeat until FSBS above 70mg/dL. Notify care provider of FSBS and move Ms. Sweet back a level on the HMP. *Don t forget to document carbs and call to physician. *Don t forget to change x and y in the EMR. 6
7 6. Ms. Sweet was moved back to level 2 on the HMP, x=25, y= = -18, = -0.72, so you will subtract 1 unit from the nutritional dose. 7. Ms. Sweet s carb count is 54 grams of carbs = 5.4 or 5 units. 5-1(from correctional formula) = 4 units aspart insulin for nutritional coverage 7
8 CASE SCENARIO #2 Your patient was started on TPN this afternoon. Your physician has ordered to initiate the HMP for FSBS>140mg/dL. Your patient s 1600 FSBS is 180. How much insulin would you give? Correctional: Nutritional: 8
9 CASE SCENARIO 2 ANSWERS The Hyperglycemia Management Protocol Default Settings are: x=25 & y=10. Use this formula to calculate correctional dose =80, 80 25=3.2 or 3 units regular insulin for correctional coverage. Use this formula to calculate nutritional dose. 20 X 95= 1900, = 19, 19 10=1.9, 1.9 X 4= 7.6 or 8 units of regular insulin subq for nutritional coverage. Since you are not waiting on the patient to eat, add the correctional & nutritional values together and give the patient 11 units of regular insulin. Remember this dose is to cover the upcoming 4 hours. 9
10 CASE SCENARIO #3 You arrive to work and begin your 3-11 shift. Your patient has been receiving pulmocare continuous tube feedings at 70mL/hr for several days and is on the Hyperglycemia Management Protocol. They are currently on default settings. Their FSBS is 310 at What should you do? 1. Your patient is still on pulmocare continuous tube feeding at 70mL/hr. Their FSBS is 301 at What should you do? 2. 10
11 CASE SCENARIO #3 ANSWERS 1. Move the patient to the next level of HMP, level 3, X=20, y=8 Now, use the formula below to calculate correctional coverage =210, =10.5 or 11 units of regular insulin Use the formula below to calculate nutritional coverage. 0.1 X 70=7, 7 8= 0.875, 0.875X4= 3.5 or 4 units of regular insulin * g carbs/ml is found on page 2 of HMP or calculated from can Now add 11+4 and give patient 15 units regular insulin. *Remember you are giving this dose to cover the upcoming 4 hours. 11
12 2. Notify physician of FSBS over 300, since twice consecutively and advance patient a level on HMP to level 4, x=15, y= =201, =13.4 or 13 units regular insulin for correctional coverage. 0.1 X 70=7, 7 5=1.4, 1.4 X 4= 5.6 or 6 units regular insulin for nutritional coverage. Now add 13+6 and give patient 19 units regular insulin. *Remember you are giving this dose to cover the upcoming 4 hours. 12
Learning Objectives. ADA Diet vs. Medical Nutrition Therapy. In Diabetes, Food IS Medicine: Current Trends In Diabetes Nutrition Management
In Diabetes, Food IS Medicine: Current Trends In Diabetes Nutrition Management Laurel Najarian RD, CDE, M.ED Learning Objectives 1. Discuss the rationale and importance for the use of carbohydrate counting
[ ] POCT glucose Routine, As needed, If long acting insulin is given and patient NPO, do POCT glucose every 2 hours until patient eats.
![[ ] POCT glucose Routine, As needed, If long acting insulin is given and patient NPO, do POCT glucose every 2 hours until patient eats.](/thumbs/35/17205932.jpg "[ ] POCT glucose Routine, As needed, If long acting insulin is given and patient NPO, do POCT glucose every 2 hours until patient eats.")
Glycemic Control - Insulin Infusion NOTE: For treatment of Diabetic Ketoacidosis or Hyperglycemic Hyperosmolar Syndrome please go to order set named Diabetic Ketoacidosis (DKA) and Hyperglycemic Hyperosmolar
(30251) Insulin SQ Prandial Carbohydrate
Diagnosis Patient MUST BE educated using carbohydrate counting for prial insulin coverage before hospitalization to be eligible for this order set Nursing Metered Glucose (Single Select Section) Metered
Carbohydrate Ratio Correction Target Correction Factor
Information Needed to Get Started How many grams of carbs the child is eating Blood glucose (BG) taken before eating Important numbers from primary caregiver: Carbohydrate Ratio Correction Target Correction
Type 1 Diabetes Management Based on Glucose Intake www.utmem.edu/endocrinology click Patients (Revised 7/13/2007)
Type 1 Diabetes Management Based on Glucose Intake www.utmem.edu/endocrinology click Patients (Revised 7/13/2007) The following is a system of insulin therapy, diet management, and blood glucose monitoring
Carbohydrate Counting and Insulin. Diabetes Care Group www.diabetescaregrp.com
Carbohydrate Counting and Insulin Diabetes Care Group www.diabetescaregrp.com 1 Objectives State carbohydrate grams in commonly eaten foods Determine total carbohydrate grams using a nutrition label or
BLOOD GLUCOSE MONITORING MEDICATION
DIABETES CARE FOR SCHOOL MEDICAL MANAGEMENT PLAN Most Recent A1C and Date: BLOOD GLUCOSE MONITORING Meter Type: Testing Independently: yes no Testing times: Before meals Two hours after insulin dosing
Optimizing Insulin Therapy. Calculating Insulin to Carbohydrate Ratios and Correction/Sensitivity Factors
Optimizing Insulin Therapy Calculating Insulin to Carbohydrate Ratios and Correction/Sensitivity Factors Introduction Diabetes management, and particularly self-management, has come a long way. Unfortunately,
Objectives. Clinical Impact of An Inpatient Diabetes Care Model. Impact of Diabetes on Hospitals. The Nebraska Medical Center Stats 6/5/2014
Objectives Clinical Impact of An Inpatient Diabetes Care Model Beth Pfeffer MSN, RN CDE Andjela Drincic, MD 1. Examine the development of the role of the diabetes case manager model in the inpatient setting
BASAL BOLUS INSULIN FOR MEDICAL- SURGICAL INPATIENTS
BASAL BOLUS INSULIN FOR MEDICAL- SURGICAL INPATIENTS C O N T A C T D I A B E T E S S E R V I C E S F O R M O R E I N F O R M A T I O N 8 4 7-9 1 7-6 9 0 7 THIS SLIDE PRESENTATION WAS PREPARED BY SUE DROGOS,
Calculating Insulin Dose
Calculating Insulin Dose First, some basic things to know about insulin: Approximately 40-50% of the total daily insulin dose is to replace insulin overnight, when you are fasting and between meals. This
Basal Rate Testing Blood sugar is affected at any time by 1) basal insulin 2) food (carbohydrate) intake 3) bolus insulin (meal time and correction)
Basal Rate Testing Blood sugar is affected at any time by 1) basal insulin 2) food (carbohydrate) intake 3) bolus insulin (meal time and correction) 4) activity and 5) other factors such as stress and
Clinical Impact of An Inpatient Diabetes Care Model. Objectives
Clinical Impact of An Inpatient Diabetes Care Model Beth Pfeffer MSN, RN CDE June 4, 2014 Objectives 1. Examine the development of the role of the diabetes case manager model in the inpatient setting 2.
INPATIENT DIABETES MANAGEMENT Robert J. Rushakoff, MD Professor of Medicine Director, Inpatient Diabetes University of California, San Francisco
INPATIENT DIABETES MANAGEMENT Robert J. Rushakoff, MD Professor of Medicine Director, Inpatient Diabetes University of California, San Francisco CLINICAL RECOGNITION Background: Appropriate inpatient glycemic
Do children with diabetes need a special diet?
Do children with diabetes need a special diet? No! The basic nutritional needs of a child or adolescent with diabetes is the same as their peers Healthy eating is important for all children Children with
You may continue to use your old manuals by writing in the detailed changes below:
STANFORD PATIENT EDUCATION RESEARCH CENTER: CHANGES TO THE DSMP LEADER MANUAL (2012 version to the 2015 version) Stanford has corrected the DSMP manuals with the new ADA guidelines. Call- out icons and
Chapter 1 The Importance of Education in Diabetes
Chapter 1 The Importance of Education in Diabetes H. Peter Chase, MD DeAnn Johnson, RN, BSN, CDE INTRODUCTION Families and children need to understand as much as possible about diabetes. A shorter book,
Blood Sugar and How to Manage It
PO Box 70735, SW Station Washington, DC 20024-0735 800-717-0060 office / 202-889-0502 fax Young Marines Diabetes Care Plan Child s Name: Date of Birth: Age: Unit: Event: (Drill, Encampment, SPACES, NDSP,
Carbohydrate Counting for Patients with Diabetes. Lauren Dorman, MS RD CDE Registered Dietitian & Certified Diabetes Educator
Carbohydrate Counting for Patients with Diabetes Lauren Dorman, MS RD CDE Registered Dietitian & Certified Diabetes Educator Program Purpose To increase knowledge of carbohydrate counting skills for nurses
No More Carb Confusion
No More Carb Confusion Choosing carbs ( carbohydrates ) wisely helps you control your blood sugar and weight. What is low-carb dieting? What can it do for you when you're trying to control your blood sugar
Taking Insulin Pumps to School. Rachel Calendo, MS, RN, CPNP, CDE, Martha Cuevas, RN, BSN, CPT
Taking Insulin Pumps to School Rachel Calendo, MS, RN, CPNP, CDE, Martha Cuevas, RN, BSN, CPT Insulin Pumps Today A micro-computer, about the size of a pager Programmed to deliver both a preset amount
at The Valley Hospital (TVH) for Nursing Students/Nursing Instructors 2012
at The Valley Hospital (TVH) for Nursing Students/Nursing Instructors 2012 Subject - Insulin Safety Background Insulin known to be high risk medication Can promote serious hypoglycemia if given incorrectly
Should I Eat This or This? Exchange List and Carbohydrate Counting to Manage Diabetes
Should I Eat This or This? Exchange List and Carbohydrate Counting to Manage Diabetes Faculty Linda Jennings, MS, RD, LD Nutrition Assistant Administrator Alabama Department of Public Health Satellite
Carbohydrate Counting
Carbohydrate Counting What is Carbohydrate Counting? Carbohydrate counting is a meal-planning tool that many people use to manage their blood sugar. Carbohydrate counting, or carb counting, is done by
Diabetes. New Trends Presented by Barbara Obst RN MS August 2008
Diabetes New Trends Presented by Barbara Obst RN MS August 2008 What is Diabetes Diabetes is a condition characterized by high levels of glucose. The glucose circulates in your blood and serves as the
Diabetes Education Information for Teachers and School staff
Diabetes Education Information for Teachers and School staff The information below is intended to educate school staff on the basics of diabetes care. If you have a student in your classroom or you will
Insulin/Diabetes Calculations
Insulin/Diabetes Calculations Dr. Aipoalani St Lukes Endocrinology Goals Describe various calculations for insulin dosing Understand importance of the total daily dose (TDD) of insulin Be able to calculate
Diabetes Medical Management Plan
Diabetes Medical Management Plan 1 School District: School: School Year: Grade: Student Name: DOB: Provider Name: Phone #: Fax #: Blood Glucose Monitoring at School Blood Glucose Target Range: - mg/dl
High Blood Sugar, Low Blood Sugar. Let s Check our Blood Sugar
High Blood Sugar, Low Blood Sugar Testing your blood sugar Check with your provider to see if and when he/she wants you to check your blood sugar. Keep a record of your blood sugar numbers, the date and
In-hospital management of diabetes
Dr. Tom Elliott MBBS, FRCPC Medical Direct 4102 2775 Laurel St. phone: 604.675.2491 Vancouver, BC fax: 604.875.5931 V5Z 1M9 Canada email: info@bcdiabetes.ca In-hospital management of diabetes General Management
My Diabetic Meal Plan during Pregnancy
My Diabetic Meal Plan during Pregnancy When you have diabetes and are pregnant, you need to eat small meals and snacks throughout the day to help control your blood sugar. This also helps you get in enough
Medical Assistant s Diabetes Survey
Medical Assistant s Diabetes Survey Instructions: Circle one answer for each question. Thank-you. Basic Knowledge 1. Risk factors for developing Type 2 diabetes include: a. Family members with diabetes
Monitoring and Carbohydrate Counting: The Cornerstones of Diabetes Control. Linda Macdonald, M.D. November 19, 2008
Monitoring and Carbohydrate Counting: The Cornerstones of Diabetes Control Linda Macdonald, M.D. November 19, 2008 Objectives Understand the relationship between insulin, carbohydrate intake, and blood
type 2 diabetes and you Live Well with Diabetes
type 2 diabetes and you Live Well with Diabetes Basic Guidelines for Good Diabetes Care Check your blood sugar regularly At every doctor visit: Review your blood sugar records Blood pressure Weight Foot
Chapter 21 Adjusting the Insulin Dosage and Thinking Scales
Chapter 21 Adjusting the Insulin Dosage and Thinking Scales BLOOD SUGAR GOALS (suggested ranges) It is our general goal to have blood sugar levels in the ranges listed below (also see Chapter 7). These
Blood Sugar Log. Breakfast (daily) Before Lunch Before Dinner Bedtime
Blood Sugar Log Date Before Breakfast (daily) Before Lunch Before Dinner Bedtime DIABETES MANAGEMENT (HEMOGLOBIN A1c) Your Hemoglobin A1c is the blood test that tells your doctor how well you are managing
You and Your Child s Rights. What is a 504 Plan? Who Qualifies for a 504? 3/11/2014. Speak Softly and Carry a Big Stick!
Practical Tips for Helping Your Child with Diabetes Succeed in School By Kathy Spain RN, BSN, CDE, CPT You and Your Child s Rights Your child has the right to a free, appropriate public education without
Objectives PERINATAL INSULIN PUMPS: BASICS FOR NURSES. Historical Perspective. Insulin Pumps in Pregnancy. Insulin Pumps in the US
Objectives PERINATAL INSULIN PUMPS: BASICS FOR NURSES Jo M. Kendrick, APN BC, CDE jkendric@utmck.edu Describe indications and contraindications for insulin pump use in hospitalized patients Differentiate
Diabetes Management and Treatment Plan for School (For the insulin pump student)
Lafayette School Corporation Health Services Diabetes Management and Treatment Plan for School (For the insulin pump student) Effective Dates: This plan should be complete by the student s personal health
THE MOLLY CENTER FOR CHILDREN WITH DIABETES AND ENDOCRINE DISORDERS DIABETES-HEALTH CARE PLAN
THE MOLLY CENTER FOR CHILDREN WITH DIABETES AND ENDOCRINE DISORDERS DIABETES-HEALTH CARE PLAN (To be completed by parent and school nurse) DATE: SCHOOL: GRADE: STUDENT: BIRTHDATE: HOME ADDRESS: PARENT/GUARDIAN:
Carbohydrate counting a pocket guide
counting a pocket guide www.bayerdiabetes.ca Contents Starches 3 Vegetables 4 Fruit/Fruit juices 5 Milk/Yoghurt 5 Fast foods 6 Proteins (meat/meat substitutes) 6 Drinks 6 Sweets/Sugary foods 7 Combination
ACH DIABETES TEAM CONTACT INFORMATION
DIABETES 101 PHYSICIANS: DR. JON ODEN SECTION CHIEF DR. PAUL FRINDIK DR. Y. ANNIE WANG DR. ABHA CHOUDHARY ADVANCED PRACTICE NURSES: HEATHER CANTRELL, APRN, MNSC, CPNP AC, CDE LINDLEY ABRAMS, APRN, MNSC,
CLASS OBJECTIVES. Describe the history of insulin discovery List types of insulin Define indications and dosages Review case studies
Insulins CLASS OBJECTIVES Describe the history of insulin discovery List types of insulin Define indications and dosages Review case studies INVENTION OF INSULIN 1921 The first stills used to make insulin
A Beginner s Guide to Carbohydrate Counting
A Beginner s Guide to Carbohydrate Counting This slide show explains: What foods contain carbohydrates How much of these foods you can eat Where to look up the carb content of foods Pia has a Bachelors
Your Insulin Adjustment Workbook Yes, You Can Do It!
S T AY I N G O N T A R G E T TARGET THERAPY Staying on Target TM Your Insulin Adjustment Workbook Yes, You Can Do It! YES, YOU CAN DO IT! Your How-To Guide for Adjusting Basal and Bolus Insulin This workbook
Carbohydrate Counting. Who chooses what you eat every day? Setting The Stage. Pre-Test. Pre-Test. Eating for Diabetes Made Easier
Carbohydrate Counting Eating for Diabetes Made Easier Kris Williams, MS RD Department of Health Education Kaiser Permanente, Kern County Setting The Stage Who chooses what you eat every day? Pre-Test.
Resident s Guide to Inpatient Diabetes
Resident s Guide to Inpatient Diabetes 1. All patients with diabetes of ANY TYPE, regardless of reason for admission, must have a Hemoglobin A1C documented in the medical record within 24 hours of admission
Kaiser Sunnyside Medical Center Inpatient Pharmacy Manual
Page: 1 of 10 PURPOSE To provide a standard procedure for optimizing care of the inpatient with hyperglycemia and/or diabetes. Substantially provide safe and effective glucose control for all adult inpatients.
Food Portions and Serving Sizes in Diabetes Meal Plans
Food Portions and Serving Sizes in Diabetes Meal Plans This slide show explains: Difference between a serving and a portion Where to find serving sizes on food labels Serving sizes for meats, fruits, vegetables
Insulin Dependent Diabetes Trust
Insulin Dependent Diabetes Trust Type 2 and You Issue 6 - January 2011 Registered Company Number 3148360 Registered Charity No 1058284 Welcome to the sixth issue of Type 2 and You. Counting Carbs Why count
Are you ready to pump?
The decision to use an insulin pump is not an easy one. There is a lot involved with managing diabetes using a pump. Take some time to make this decision. Talk about it with your family and your health
Carbohydrate Counting for Patients With Diabetes. Review Date 4/08 D-0503
Carbohydrate Counting for Patients With Diabetes Review Date 4/08 D-0503 Program Objectives At the end of the session you will know how to: Define carbohydrate counting Identify the relationship between
Steroid Induced Diabetes
What is high blood sugar (hyperglycemia)? Hyperglycemia is a high level of sugar in the blood. Blood sugar is also called glucose. Some people are unable to process the sugar that is found in food and
Insulin Dose Adjustment REAL-Time CGMS Guidelines for Subjects on Pump Therapy
Insulin Dose Adjustment REAL-Time CGMS Guidelines for Subjects on Pump Therapy In addition to using the blood sugar logs to adjust your insulin doses every week, you should also use your continuous glucose
Carbohydrate Counting: Basic to Advanced
Carbohydrate Counting: Basic to Advanced Brenda A Broussard, MPH, MBA, RD, CDE, BC-ADM Brenda@BroussardConsulting.com February 12, 2013 IHS Advancements in Diabetes Outline: Carb Awareness Basic/Consistent
Continuous Subcutaneous Insulin Infusion (CSII)
IMPORTANCE OF FOCUS CSII (Insulin pumps) have been used for more than 35 years. In the U.S. in 2005, the level of insulin pump penetration was estimated at 20 to 30% in patients with type 1 diabetes mellitus
CARDIAC SURGERY INTRAVENOUS INSULIN PROTOCOL PHYSICIAN ORDERS INDICATIONS EXCLUSIONS. Insulin allergy
Page 1 of 5 INDICATIONS EXCLUSIONS 2 consecutive blood glucose measurements greater than 110 mg per dl AND NPO with a continuous caloric source AND Diagnosis of : Cardio-thoracic Surgery NOTE: This protocol
Riley Hospital for Children General Diabetes Medical Management Information- Injections
Riley Hospital for Children General Diabetes Medical Management Information- Injections 1. HEALTH CARE SUPERVISION All school support staff, including: secretaries, cafeteria staff, custodians and bus
SLIDING SCALE INSULIN ASPART PROTOCOL PLAN
Weight Allergies Patient Care Accucheck Per Sliding Scale Insulin Frequency AC & HS AC & HS 3 days TID BID q12h q6h q6h 24 hr q4h q2h Sliding Scale Insulin Protocol Follow SSI Reference Text Medications
Managing the Hospitalized Patient on Insulin: Care Transition. Catie Prinzing MSN, APRN, CNS
Managing the Hospitalized Patient on Insulin: Care Transition Catie Prinzing MSN, APRN, CNS Diabetes and Hospitalization People with DM are hospitalized 3x more frequently than patients without diabetes
Diabetes Medical Management Plan (DMMP)
Diabetes Medical Management Plan (DMMP) This plan should be completed by the student s personal diabetes health care team, including the parents/guardian. It should be reviewed with relevant school staff
ALVIN INDEPENDENT SCHOOL DISTRICT Diabetes Medical Management Plan
ALVIN INDEPENDENT SCHOOL DISTRICT Diabetes Medical Management Plan of Plan: School Year (must be current): This plan should be completed by the student s personal health care team and parents/guardian.
Diabetes Insulin Pump Health Care Plan District Nurse Phone: 262-560-2104 District Nurse Fax: 262-560-2106
EMPOW ERING A COMMUNITY OF LEARNERS AND LEADERS Diabetes Insulin Pump Health Care Plan District Nurse Phone: 262-560-2104 District Nurse Fax: 262-560-2106 Student DOB School Grade Doctor Phone School Year
Carbohydrate Counting for Pediatric Patients With Type 1 Diabetes. Review Date 4/08 K-0591
Carbohydrate Counting for Pediatric Patients With Type 1 Diabetes Review Date 4/08 K-0591 Program Purpose To increase knowledge of carbohydrate counting and insulin management skills for those caring for
The Joint Commission Advanced DSC Certification for Inpatient Diabetes Care
The Joint Commission Advanced DSC Certification for Inpatient Diabetes Care November 12, 2013 Caroline Isbey RN, MSN, CDE Associate Director Teresa Gomez Associate Project Director Specialist-SSM Carol
Getting the Big Picture
About Diabetes This health information is being provided for general educational purposes only. Your health care provider is the single best source of information regarding your health. Please consult
SHINE Study Ordering Instructions for Investigators SUNY Downstate
General Directions SHINE Study Ordering Instructions for Investigators SUNY Downstate 1) Call Spiro Demetis to get patient admitted to ICU ASAP. Cell: 646-261-5730; Pager: 917-760-1653. Let him know that
Ready, Set, Start Counting!
Ready, Set, Start Counting! Carbohydrate Counting a Tool to Help Manage Your Blood Glucose When you have diabetes, keeping your blood glucose in a healthy range will help you feel your best today and in
Func%onal insulin therapy: rela%onship to carbohydrate intake
Func%onal insulin therapy: rela%onship to carbohydrate intake Prof. Andrej Janež MD, PhD University Medical Centre Ljubljana, Slovenia Conflict of interests Merck Sharp&Dohme, Novo Nordisk, NovarEs, Boehringer
Dear Parent/Guardian and Physician of
DIABETIC MANAGEMENT PLAN Parent Consent and Physician Authorization POWAY UNIFIED SCHOOL DISTRICT HEALTH SERVICES 15250 Avenue of Science San Diego CA 92128 Dear Parent/Guardian and Physician of California
University Hospitals of Leicester NHS Trust. Carbohydrates. A guide to carbohydrate containing foods for people with diabetes
University Hospitals of Leicester NHS Trust Carbohydrates A guide to carbohydrate containing foods for people with diabetes This information is designed to help you to understand how carbohydrates affect
Managing the Diabetes Patient. Dan Kremer, RN, BSN Diabetes Nurse Educator
Managing the Diabetes Patient Dan Kremer, RN, BSN Diabetes Nurse Educator Objectives Referring & assessing the inpatient Address the needed diabetes education for the patients survival skills Problem solving
Anchor Bay School District Diabetic Medical Care Plan. Student Name Date Grade Teacher
Rev: 4/2009 Anchor Bay School District Diabetic Medical Care Plan Place Child s Picture Here Student Name Date Grade Teacher Emergency Contact information (Please list in order to be called) #1 Parent
Diabetes Health Care Plan
The Public Schools of Brookline School Health Services of Plan: Diabetes Health Care Plan To be completed by the student s health care team and parents/guardian. Plan will be kept with the school nurse
Your blood sugar will be checked on arrival to Endoscopy and monitored whilst you are there.
GASTROSCOPY TABLET CONTROLLED DIABETES (Including injectable medication which is not insulin) MORNING APOINTMENT Take your tablets as normal on the day before the test. On the day of the test: Omit your
Myths About Type 2 Diabetes and Insulin
About Diabetes This health information is being provided for general educational purposes only. Your health care provider is the single best source of information regarding your health. Please consult
The Basics of Insulin Pump Therapy
The Basics of Insulin Pump Therapy Table of Contents The Basics of Insulin Pump Therapy Introduction Welcome... 3 Chapter 1 Balancing Glucose and Insulin............................. 10 Section 1: Glucose,
PHYSICIAN ORDERS TRANSIENT ISCHEMIC ATTACK (TIA) OBSERVATION
SCREENING- ABCD-2 Score The ABCD2 score is a risk assessment tool designed to improve the prediction of short-term stroke risk after a transient ischemic attack (TIA). Higher ABCD2 scores are associated
School Year 20 / 20. Diabetes Health Care Plan for Southgate Schools
School Year 20 / 20 Diabetes Health Care Plan for Southgate Schools Diabetes Medical Management Plan, Initialized Healthcare Plan and Physician Orders Part A: Contact Information must be completed by the
Diabetes means you have too much sugar in
WHAT IS DIABETES? Diabetes means you have too much sugar in your blood. The medical word for sugar in the blood or blood sugar is glucose, but most people just say sugar. Your body changes most of the
THE INS AND OUTS OF INSULIN. Mary Beth Wald, RN,BSN,CDE
THE INS AND OUTS OF INSULIN Mary Beth Wald, RN,BSN,CDE WHAT HAPPENS IN MY BODY? When we eat, the food gets changed into glucose, a type of sugar. Glucose travels in the blood to all the cells in your body
A Simplified Approach to Initiating Insulin. 4. Not meeting glycemic goals with oral hypoglycemic agents or
A Simplified Approach to Initiating Insulin When to Start Insulin: 1. Fasting plasma glucose (FPG) levels >250 mg/dl or 2. Glycated hemoglobin (A1C) >10% or 3. Random plasma glucose consistently >300 mg/dl
Health Professional s. Guide to INSULIN PUMP THERAPY
Health Professional s Guide to INSULIN PUMP THERAPY Table of Contents Introduction Presenting Insulin Pump Therapy to Your Patients When Your Patient Chooses the Pump Estimates for Starting Insulin Pump
An introduction to carbohydrate counting
An introduction to carbohydrate counting Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm
Algorithms for Glycemic Management of Type 2 Diabetes
KENTUCKY DIABETES NETWORK, INC. Algorithms for Glycemic Management of Type 2 Diabetes The Diabetes Care Algorithms for Type 2 Diabetes included within this document are taken from the American Association
DIABETES PACKET. To ensure your child s well-being, please provide the school with the following supplies:
NSG-203A NORTH ROYALTON CITY SCHOOLS 6579 Royalton Road North Royalton, Ohio 44133 DIABETES PACKET Dear Parent/Guardian: You have indicated that your child has Diabetes. Please complete the attached SCHOOL
SECTION: NM NUMBER: 20. HENRY FORD HOSPITAL DETROIT, MICHIGAN TITLE: GLYCEMIC CONTROL INTENSIVE CARE PROTOCOL UNIT: All ICUs
CLINICALPROTOCOL MULTIDISCIPLINARY SECTION: NM NUMBER: 2 HENRY FORD HOSPITAL DETROIT, MICHIGAN TITLE: GLYCEMIC CONTROL INTENSIVE CARE PROTOCOL UNIT: All ICUs APPROVED: 3/3 REVIEWED: REVISED: 12/3, 5/,
A Community Pediatric Diabetes Program: Innovation, Technology & Best Practice
A Community Pediatric Diabetes Program: Innovation, Technology & Best Practice Markham Stouffville Hospital Opened in 1990 in the heart of Markham Demographics include 14% growth (provincial average only
Insulin Initiation and Intensification
Insulin Initiation and Intensification ANDREW S. RHINEHART, MD, FACP, CDE MEDICAL DIRECTOR AND DIABETOLOGIST JOHNSTON MEMORIAL DIABETES CARE CENTER Objectives Understand the pharmacodynamics and pharmacokinetics
DIABETIC EDUCATION MODULE ONE GENERAL OVERVIEW OF TREATMENT AND SAFETY
DIABETIC EDUCATION MODULE ONE GENERAL OVERVIEW OF TREATMENT AND SAFETY First Edition September 17, 1997 Kevin King R.N., B.S., C.C.R.N. Gregg Kunder R.N., B.S.N., C.C.T.C. 77-120 CHS UCLA Medical Center
9/16/2014 OBJECTIVES DISCLOSURE STATEMENT DIABETES: TACKLING THE TOUGH ISSUES A TEAM APPROACH
DIABETES: TACKLING THE TOUGH ISSUES A TEAM APPROACH Your Patient With Diabetes Is Ready To Go Home Now What Do You Do? Kathleen Glaza, MSN, RN, ACNS - BC OBJECTIVES 1. Discuss the management of hypoglycemic
Diabetes Education. Shelley Conner, RN, BSN, CDE April 26, 2012
Diabetes Education Shelley Conner, RN, BSN, CDE April 26, 2012 Rex Healthcare Key Facts Locations in Wake County North Carolina Raleigh, Cary, Wakefield, Apex, Garner, Knightdale, Holly Springs Panther
Green Brook Township School District DIABETES- Insulin Pump IHP/IEHP
Green Brook Township School District DIABETES- Insulin Pump IHP/IEHP 1. Personal Information: I. STUDENT INFORMATION NAME: Grade HR.- Teacher: Address Home Phone #: Birth date Bus: # N/A Gender Male Female
SLIDING SCALE INSULIN REGULAR PLAN
PHYSICIAN S Weight Allergies DETAILS Patient Care POC Blood Sugar Check Per Sliding Scale Insulin Frequency AC & HS AC & HS 3 days TID BID q12h q6h q6h 24 hr q4h q2h Sliding Scale Insulin Regular Guidelines
Telephone: Home Work Cell E-mail Address Father/Guardian: Address:
SAMPLE Diabetes Medical Management Plan/Individualized Healthcare Plan Part A: Contact Information must be completed by the parent/guardian. Part B: Diabetes Medical Management Plan (DMMP) must be completed
Diabetes Self Management Training Insulin Pump Follow Up
701 East Marshall Street, West Chester, PA 19380 www.chestercountyhospital.org 610.431.5000 Diabetes Self Management Training Insulin Pump Follow Up Patient Name: Visit Date: Time: To prepare for your
Should We Count Fat and Protein in Bolus Insulin Dose Calculation: Does Carbohydrate Counting Work? Howard A. Wolpert, MD
Should We Count Fat and Protein in Bolus Insulin Dose Calculation: Does Carbohydrate Counting Work? Howard A. Wolpert, MD Carbohydrate to Insulin Ratio, circa 1935 Standard Insulin Replacement Regimen
My Doctor Says I Need to Take Diabetes Pills and Insulin... What Do I Do Now? BD Getting Started. Combination Therapy
My Doctor Says I Need to Take Diabetes Pills and Insulin... What Do I Do Now? BD Getting Started Combination Therapy How Can Combination Therapy Help My Type 2 Diabetes? When you have type 2 diabetes,
Carbohydrate Counting (Quiz Number: Manatee3032009)
Page 1 The goal of Carbohydrate Counting is to make clear to you which foods affect your blood glucose and then to spread these foods evenly throughout the day (or to match insulin peaks and durations).
Carbohydrate Counting
Carbohydrate Counting Carbohydrate When carbohydrates; sugars & starches are digested, they break down to form glucose in the blood stream. Your quick acting insulin dose can be based on how much carbohydrate