Please tell us how to handle a patient who has false hypos - their body has adjusted to high levels of glucose, say, 300, and it drops to 250 and they start getting sweaty, shaky, combative, all the signs a person would get under 70, and the patient lives in fear of this happening. Eating a piece of cheese or having some nuts will straighten it out but eating or drinking something sweet makes it worse. So how can you get to a lower set point where the body doesn’t have this kind of reaction? Thank you so much!
I recommend these types of patients be referred to a diabetic educator. Eating every 2-3 hours can help alleviate hypoglycemic symptoms. There are other patient specific recommendations that can be made in working with provider, patient, and diabetic educator.
We are having some technical difficulties with this cheat sheet's link right. If you email the RWNP team at customersupport@realworldnp.com, we can send you a copy of this cheat sheet. Thanks for your support!
This is really patient, provider, and clinic dependent. I make sure my patients understand how to use the glucometer and tools, understand the signs and symptoms of hypoglycemia and how to administer the insulin with a needle. It's a lot to handle, so it depends on the person and if you have a diabetes educator available to help with the process. I'll do a few days, a week, 2 weeks depending on how comfortable they're feeling with it, and err on the side of sooner than later if it's all new to them. There's no hard and fast rule.
I need help!!! My husband has type 2 diabetes and it runs from 200 to 350. Sometimes higher. The other day, it was 600. I try to cook healthier meals for him, but he is keep eating all the bad foods that increase his blood sugar and he doesn’t listen. He also doesn’t want to start insulin injection. At this point, I’m almost giving up. Any advice?
Hello! I am really sorry, but for legal and safety reasons I can't advise you on this. We always refer people back to their primary care providers, who are familiar with your case, and have seen your husband. I wish you all the best in this.
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I am a new nurse practitioner. Diabetes management is my weakness. Please do more videos on diabetes
Welcome to my challenge Angel. Will definitely look at more videos on Diabetes Management.
I LOVE your videos and your lab course!
Thanks so much!!
This was so helpful, thank you!!
You're so welcome!
Thank you so much for exampling this so well.
You are so welcome!
Please do more on DM Type II management!!!!
Thanks for following - will be looking at more DM videos :)
Thank you!! Please do more videos related to DM2 management 🙃
Absolutely! Any topics in particular you have questions about?
I would like to know more about initiating and managing other type of insulins.. do we dc some of the p.o. meds or keep it all ?
Please tell us how to handle a patient who has false hypos - their body has adjusted to high levels of glucose, say, 300, and it drops to 250 and they start getting sweaty, shaky, combative, all the signs a person would get under 70, and the patient lives in fear of this happening. Eating a piece of cheese or having some nuts will straighten it out but eating or drinking something sweet makes it worse. So how can you get to a lower set point where the body doesn’t have this kind of reaction? Thank you so much!
I recommend these types of patients be referred to a diabetic educator. Eating every 2-3 hours can help alleviate hypoglycemic symptoms. There are other patient specific recommendations that can be made in working with provider, patient, and diabetic educator.
Where is the cheat sheet?
We are having some technical difficulties with this cheat sheet's link right. If you email the RWNP team at customersupport@realworldnp.com, we can send you a copy of this cheat sheet. Thanks for your support!
After I initiate basal insulin for a patient who has never has it and send them to monitor FBG levels , when do they follow up?
This is really patient, provider, and clinic dependent. I make sure my patients understand how to use the glucometer and tools, understand the signs and symptoms of hypoglycemia and how to administer the insulin with a needle. It's a lot to handle, so it depends on the person and if you have a diabetes educator available to help with the process. I'll do a few days, a week, 2 weeks depending on how comfortable they're feeling with it, and err on the side of sooner than later if it's all new to them. There's no hard and fast rule.
I need help!!! My husband has type 2 diabetes and it runs from 200 to 350. Sometimes higher. The other day, it was 600. I try to cook healthier meals for him, but he is keep eating all the bad foods that increase his blood sugar and he doesn’t listen. He also doesn’t want to start insulin injection. At this point, I’m almost giving up. Any advice?
Hello! I am really sorry, but for legal and safety reasons I can't advise you on this. We always refer people back to their primary care providers, who are familiar with your case, and have seen your husband. I wish you all the best in this.
@@RealWorldNP thank you. I will try to do that
From Where can I download cheat sheet?
You can download it here: www.realworldnp.com/038-opt-in