Diabetes Management on the NCLEX
Glucose monitoring, insulin dosing, sick day rules, hypoglycemia, foot care.
Diabetes management combines glucose monitoring, meds, diet, and teaching.
Glucose monitoring
Fasting, pre-meals, bedtime. CGM increasingly standard.
Insulin
Basal-bolus or pump. Carb counting in T1DM. Sliding scale as adjunct.
Sick day rules
Don't stop insulin. Check glucose q2-4h. Check ketones. Hydrate. Call provider for persistent hyperglycemia or ketones.
Hypoglycemia
15-15 rule. Glucagon for unconscious.
Foot care
Daily inspection. Properly fitted shoes. Don't go barefoot. Annual podiatry.
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