- 1 Which 2 interventions in a critically ill patient can contribute to insulin resistance?
- 2 Which treatment should you expect in a critically ill type 2 diabetes?
- 3 What action is important for a patient with diabetes to take on sick days?
- 4 What information should be included when teaching a patient with diabetes about foot care?
- 5 Why are ICU patients on insulin?
- 6 What is the blood glucose goal for this patient in the ICU?
- 7 What is a critical diabetic?
- 8 What are the current recommendations for glycemic control in critically ill patients?
- 9 What causes hyperglycemia in critically ill patients?
- 10 Do diabetics get sick easier?
- 11 What is a diabetic sick day kit?
- 12 What should a diabetic eat when sick?
- 13 What are 3 things you should never do to the feet of someone with diabetes?
- 14 Should diabetics wear socks to bed?
- 15 Is Vaseline good for diabetic feet?
Which 2 interventions in a critically ill patient can contribute to insulin resistance?
In critical illness, elevated catecholamines, cortisol, growth hormone and glucagon may also contribute to insulin resistance.
Which treatment should you expect in a critically ill type 2 diabetes?
A continuous insulin infusion in the critically ill patient with type 2 diabetes likely provides optimal glycemic management. Alternatively, basal insulin for patients with type 2 diabetes may be provided with NPH, lente, or ultralente insulin at a starting dose of 0.4–0.6 U/kg/d in equally divided doses every 8–12 h.
What action is important for a patient with diabetes to take on sick days?
Follow these additional steps when you’re sick even if your blood sugar is within your target range: Continue taking your insulin and diabetes pills as usual. Test your blood sugar every 4 hours and keep track of the results. Drink extra calorie-free liquids*, and try to eat as you normally would.
What information should be included when teaching a patient with diabetes about foot care?
Diabetes Foot Care Guidelines
- Inspect your feet daily.
- Bathe feet in lukewarm, never hot, water.
- Be gentle when bathing your feet.
- Moisturize your feet but not between your toes.
- Cut nails carefully.
- Never treat corns or calluses yourself.
- Wear clean, dry socks.
Why are ICU patients on insulin?
Protocols in the ICU decrease variability of practice and improve outcomes (17). Insulin infusion protocols decrease the time to and permit maintenance of a target blood glucose range and decrease hypoglycemia relative to sliding-scale insulin and physician-directed titration (18–20).
What is the blood glucose goal for this patient in the ICU?
Clinical guidelines recommend target blood glucose between 140 and 180 mg/dL (7.8 and 10 mmol/L) for most patients in the intensive care unit (ICU).
What is a critical diabetic?
In diabetic patients, SIH is be defined as blood glucose levels greater than 180-220 mg/dL . This clinical condition increases the morbidity and mortality in critically ill patients and leads to poor outcomes and prognosis.
What are the current recommendations for glycemic control in critically ill patients?
Current recommendation of glycemic control in ICU as per American Diabetic Association is to initiate insulin therapy for blood sugar at or above 180 mg/dl and to keep the glucose range between 140-180 mg/dl for majority of critically ill patient.
What causes hyperglycemia in critically ill patients?
The mechanisms underlying the development of hyperglycemia in critical illness include a release of counter-regulatory stress hormones (corticosteroids and catecholamines) and proinflammatory mediators and the administration of exogenous corticosteroids, vasopressors, and parenteral solutions containing dextrose.
Do diabetics get sick easier?
People with diabetes are more susceptible to developing infections, as high blood sugar levels can weaken the patient’s immune system defenses. 1 In addition, some diabetes-related health issues, such as nerve damage and reduced blood flow to the extremities, increase the body’s vulnerability to infection.
What is a diabetic sick day kit?
Create a Sick-Day Kit A glucose meter. Extra batteries. Supplies for your insulin pump or continuous glucose monitor. Ketone test strips. A week’s worth of glucose-lowering medication (don’t store these longer than 30 days before use)
What should a diabetic eat when sick?
What Should I Eat?
- 1/2 cup regular gelatin.
- 1/2 cup regular soft drink, like 7-up or Sprite.
- 1/2 Popsicle.
- 1/2 cup unsweetened applesauce.
- 1/3 cup apple juice.
- 1/2 cup sports drink, like Gatorade.
What are 3 things you should never do to the feet of someone with diabetes?
Avoid soaking your feet, as this can lead to dry skin. Dry your feet gently, especially between the toes. Moisturize your feet and ankles with lotion or petroleum jelly. Do not put oils or creams between your toes — the extra moisture can lead to infection.
Should diabetics wear socks to bed?
Wearing socks in bed is the safest way to keep your feet warm overnight. Other methods such as rice socks, a hot water bottle, or a heating blanket may cause you to overheat or get burned.
Is Vaseline good for diabetic feet?
Use unscented lotion or petroleum jelly (Vaseline) on your feet, though not between your toes. Diabetes can cause very dry skin, which in turn can cause cracking and other problems. but remember, DON’T put lotion or Vaseline between your toes.