Nursing-BGL
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| What if the test result doesn’t sound right? | Have the strips expired? > Is the strip the right one for the meter?
> Is there enough blood on the strip?
> Has the strip been put into the meter the right way?
> Did you wash and thoroughly dry your hands before doing the test? > Is the calibration
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| What is a glycosylated haemoglobin (HbA1c) test? | The HbA1c test shows an average of your blood glucose level over the past 10–12 weeks and should be arranged by your doctor every 3–6 months.
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| Why is it so important to test my blood? | Regular testing and recording of your blood glucose level can help you monitor the effects of your healthy lifestyle choices and inform you of your response to other choices and infl uences.
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| Why does glucose level go up and down? | food – time eaten, type and amount of carbohydrate (for example. bread, pasta, cereals, starchy vegetables, fruit and milk)*exercise or physical activity * illness and pain * diabetes medication*alcohol*emotional stress
other medications
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| When should you test? | before breakfast (fasting)
2 hours after a meal
before bed.
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| Check often if you are.... | being more physically active or less physically active*sick or stressed*experiencing changes in routine or eating habits, such as when you are travelling*dizzy*experiencing night sweats or morning headaches.
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| What do you use to check the BGL? | Glucometer
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| How often to check? | every 4 hours
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| How long after eating food we can check the BGL? | 2 hours
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| What can effect your BGL? | Hyperlipedemia - high cholesterol and dialysis
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| Which steroid can effect BGL? | Predisolone
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| What are the symptoms of hypoglycemia? | Sweating
Fatigue
Feeling dizzy
Being pale
Feeling weak
Feeling hungry
A higher heart rate than usual
Blurred vision
Confusion
Convulsions
Loss of consciousness
And in extreme cases, coma
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| Who is at risk of hypos? | Whilst low blood sugar can happen to anyone, dangerously low blood sugar can occur in people who take the following medication:
Insulin
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| What are the causes of hypoglycemia? | Factors linked to a greater risk of hypos include:
Too high a dose of medication (insulin or hypo causing tablets)
Delayed meals
Exercise
Alcohol
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| How is hypoglycemia diagnosed? | Is detected by measuring BGL with a glucose meter. Below 4.0 mmol/L indicates that the individual has hypoglycemia. Urine tests do not detect hypoglycemia.
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| How serious is hypoglycemia? | Episodes can range from mild to severe.
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| Dead in Bed Syndrome | is a term used to describe the sudden unexplained deaths of young people with type 1.
The syndrome is characterised as when someone with insulin dependent diabetes has gone to bed seemingly perfectly fine and has been found dead in an undisturbed bed.
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| Can people with type 2 die from dead in bed syndrome? | There have not been any significant reports about dead in bed syndrome applying to people with type 2 diabetes.
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| Why are good blood sugar levels important? | Diabetes complications are health problems which include:
Kidney disease
Nerve damage
Retinal disease
Heart disease
Stroke
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| Identifying hyperglycemia | frequent urination, hunger, dry mouth, thirst, blurred vision, numbness or tingling in the hands and feet, decreased sexual function, and fatigue
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