9Diabetes MedicinesName your diabetes medicine, the dose and when you should take it.Explain how the medicine works and there are any side effects.If you use insulin you should be able to draw up and give an insulin injection using the correct sites and rotation.
10If you don’t use insulin or take diabetes pills Many people with Type2 diabetes don’t have to use insulin or take diabetes pills.
11If you take diabetes pills If you have Type 2 diabetes your doctor may prescribe diabetes pills. Diabetes pills only work in people whose bodies make some insulin of their own. Diabetes pills are not the same as insulin.
12Get regular exerciseExercise is good for your diabetes. Walking, swimming, dancing riding a bicycle, playing baseball, and bowling are all good ways to exerciseExercise helps keep weight down.Exercise helps insulin work better to lower blood sugar.Exercise is good for your heart and lungs.Exercise gives you more energy.
13Things to know about your insulin TypeSourceBrandExpiration DateStorage
14Type There are 5 main types of insulin Humalog (also called Lispro) R (also called regular)N (also called NPH)70/30U (also called ultralente)
15Humalog Insulin How it acts - very fast Starts to work in 15 minutes Peaks in… ½ to 1 ½ hoursLasts… 5 hours or less
16Regular Insulin Acts fast Works in ½ hours Peaks in 2-4 hours Lasts 6-8 hours
17NPH Acts slowly Starts to work in 1-3 hours Peaks in 6-12 hours Lasts hours
18UVery slowlyWork in 4-8 hoursPeaks in12-18 hoursLasts hours
19Different Diabetic Pills Brand name (generic name)Glucotrol andGlucotrol XL(glipizide)MicronaseDiabetaGlynaseGlyburideAmaryl(GlimpiridePrandinRepaglinideGlucophageMetforminPrecoseAcarboseGlyset (miglitol)RezulintroglitazoneAvandiaRosiglitazoneActospioglitazone
21Site Selection and Rotation Injected into the soft, fatty tissue between the skin and muscle.Stomach - except the waistline and 2 inches around the navelUpper thighs (front and outside)Upper outer armsButtocks
22Storage of Insulin Do not let it freeze. Keep it between 36 and 86F Keep it away from heat and sunlight.
23When to Take InsulinThe Physician will write order & give time of day to give insulinIt may be given before breakfast, before lunch, before supper, at bedtime or a combination such as before breakfast and before supper.
25Site Selection and Rotation Insulin should be injected into the soft, fatty tissue between your skin and muscle.Stomach (except the waistline and 2 inches around the navel)Upper thighs (front and outside)Upper outer armsButtocks
26Insulin Syringe Disposal Never throw loose needles or lancets into the trash.Used needles and lancets are to be disposed of into hard plastic or metal container with a screw on – top (example: Soda bottle or bleach bottle). mark the container “used syringes and lancets”.Place the container into the trash. Do not put it in the recycle bin.
27What is Normal Blood Sugar Level? Normal range - 70 to 110Blood sugar goes up after eating, but returns to the normal range in 1 or 2 hours.
28(Continued)Everyone is different. A good blood sugar range for every one may be differentFor example, a blood sugar of 80 may be too low for some people.
29Low Blood Sugar Low blood sugar can come on fast. Blood sugar reading lower than 70 is to low.If you give insulin or diabetic pill to a client low blood sugar can happen.
30Low Blood Sugar (continued) Take too much diabetes medicine( pills or insulin)Miss or delay a meal or snackExercise too muchDrink too much alcoholOther medicines can cause blood sugar to drop
31Symptoms of Low Blood Sugar Shaky or nervousFaint or mixed upDizzyGrouchy, unhappyHungryTiredSweatyHeadacheIf blood sugar drops lower, one can get very confused, sleepy, or irritable, or may pass out or have a seizure.
32What Cause High Blood Sugar? Not giving diabetes medicineEat too much of the wrong kinds of foodNot enough exerciseStressed or upsetSick or have an infectionOther medicine may cause high blood sugar
34Symptoms of High Blood Sugar Very thirsty or have a dry mouthFrequent urinationBlurry vision or problems seeingVery weak and tiredVery hungryNaseau & vomiting
35Documenting the Blood Sugar Reading Always document on the MAR or the special glucose monitoring sheetDocument in the progress notes
36Medical Follow Up Always inform the doctor if there are problems Call the administrator for directionsCall the Nurse if there are questions
37ConclusionAlways remember to check the blood sugar as ordered by the doctorKeep OJ and sugar available in the event of low blood sugarAlways monitor what the client is eatingRemember to call 911 if the client goes into insulin shock or diabetic comaRemember to inform the doctor of changes in blood sugar levels
38Other Services “Q” professional services for group homes Medication AdministrationMental IllnessMedication AideRN Instructor for Medication AideBlood Borne PathogensClient’s Rights
39Other Services (continued) Developmental DisabilitiesIncidentsSeizure ManagementGroup Homes Policy and Procedure ManualPreventing Client Abuse
40To Contact Instructor Evelyn Stone 1008-F Big Oak Court Knightdale, NC 27545(919)(919) Fax