Know Your Numbers Jenna Rainis, RN BSN Denise Stumpf, RN, BSN, CDE Sarah Tierney, RN BSN, CDE www.SpringfieldClinic.com
May 07, 2015
Know Your NumbersJenna Rainis, RN BSNDenise Stumpf, RN, BSN, CDESarah Tierney, RN BSN, CDE
www.SpringfieldClinic.comwww.SpringfieldClinic.com
Let’s look at the Numbers
25,800,000 people in the US have diabetes
That’s 8.3% of the population!But only………
18,800,000 have been diagnosed 7,000,000 undiagnosed!!!!
In 2010, 1.9 million new diagnosis of DM for adults > 20 years of age
Let’s Start from the beginning….
American Diabetes Association
Link for Lou sufyan
How is this diagnosed?
American Diabetes Association• Fasting blood glucose >126 mg/dl• 2 hour post glucose load >200mg/dl• Symptoms of diabetes, PLUS casual
plasma glucose >200mg/dl• A1C > 6.5%
The Bad Stuff…………….Long Term Uncontrolled Diabetes is the
leading cause of ….• Blindness for those 20-74 years of age• Kidney failure • Amputations accounts for 60% of non
traumatic • Neuropathy affects 60-70% of those with
diabetes• Heart Disease 2-4x increased risk then
those without diabetes• Stroke 2-4x increased risk then those
without diabetes
SO…..WHAT ARE YOUR TARGETS?
Before Meal 2 hours After Meal
Diabetes 70-130mg/dl <180mg/dl
No Diabetes 70-120mg/dl 70-120mg/dl
What About This?Shaky Dizziness Hunger
Sweaty Headache Weakness
Irritability Anxiety Rapid Heartbeat
Impaired/blurry vision HYPOGLYCEMIA
<70mg/dl
RULE OF 15
1. If possible, test2. Drink/eat 15-20 grams of Carbohydrates*3. Wait 15 minutes4. Re-test, if still low, repeat # 2,35. Eat a meal within the next hour
*if blood sugar 50mg/dl or below,
drink/eat 30 grams of carbohydrates
What About This?Thirsty Frequent urination
Weakness* Impaired/Blurred vision*
Irritability* Nausea or vomiting
Weight loss despite extreme hunger Hyperglycemia
Treatment of Hyperglycemia
ExerciseWater
Sensible Meal ChoicesMedication as instructed by your
providerCall office if blood sugar >400mg/dl
TELENURSE available after hours, weekends & Holidays
Diabetes Learning Center
GOALS FOR MANAGEMENT OF DIABETES MELLITUS
American Diabetes Association Clinical Practice Recommendations 2012
Lipid Targets
Blood Pressure Targets
Goal: < 130/80
Nephropathy
Keys to prevention include:Meet blood pressure goalMeet blood glucose goals
Annual labs to check:Creatinine, BUN and Microalbumin
Oral Health Care• People with diabetes are at an
increased risk of cavities, gingivitis, and tooth loss
• See your Dentist at least yearly
RetinopathyVery small blood vessels grow from the surface of the retina. These growing blood vessels are very delicate and bleed easily.
•See an ophthalmologist at least once a year for a diabetes dilated eye exam
Peripheral NeuropathyOvertime, diabetes can cause:
skin breakdownloss of feeling
poor circulation
See your doctor for a annual foot exam using a monofiliment
Benefits and/or Goals
• Prevent long term complications of diabetes
• Improve blood glucose– 70-130 before meals
<180 after meals• Maintain healthy weight• Weight loss – 5-7% current body weight
Body Mass Index
• Goal of LESS THAN 25
• Remember, focus on loss of 5-7% of current weight for reduction in insulin resistance
Aerobic Activity
Start with:
1.10 minutes of activity 2.Increase session time3.Increase frequency
Goal: At least 3 times a weekFor at least 30 minutes each time
Carbohydrates
• Single most important nutrient that affects blood sugar
• MINIMUM of 30 grams per meal
Come Learn MORE……
The Diabetes Learning Center
WHAT? You Can Do It….Successful Diabetes Management
WHEN? Tuesday evenings and Thursday Afternoons
HOW? Talk with your Primary Care Physician, Endocrinologist or call the Diabetes Learning Center