This study source was downloaded by 100000859819779 from CourseHero.com on 02-09-2023 13:29:04 GMT -06:00https://www.coursehero.com/file/187036644/Fall-176-Exam-1-Reviewpdf/ NUR176 Exam 1 Diabetes - General DM Care o Normal Range 70 - 120 o Fasting Range 70 - 100 (over 126 is time for GTT test) o High fiber, low carb diet o Monitor blood glucose o Foot care - inspect daily, do not use hot water or cold water, no lotion between toes, do not allow pt. to clip nails themselves. Can lose feeling in feet (neuropathy), wear well-fitting shoes, never go bare foot, need an order to trim nails and they have to be cut straight across. o Circulatory - keep lower extremities warm. If the legs are losing hair, become shiny, and are cold to touch - an indicator for circulatory issues o Pt. teaching on how to give insulin, rotate sites, and lipodystrophy. S/S of hypo/hyperglycemia, what to do under stress or illness. o Steroids and Cortisol raise blood sugar o Annual eye exam and renal panels (Cr., BUN, Urine Specific Gravity). - Labs o Lipid Panel - LDL, HDL, Triglycerides If Triglycerides are high, glucose levels are high High HDL show insulin resistance o Renal function - BUN and Creatinine