A 38 year-old male patient, thought to be in good health, presents to a primary care clinic. On routine exam the patient's fasting blood sugar is 242
... [Show More] mg/dl. A repeat value after eating is 288 mg/dL. Which of the following is least helpful in the initial evaluation of this patient? - answerNon-fasting lipids
riglycerides are especially sensitive to non-fasting states and will give an abnormally elevated value if performed in a non-fasting patient. Since triglycerides are frequently elevated in patients with elevated glucose levels, a fasting level should be performed. Initially, a blood pressure, fasting lipids, and microalbuminuria are critical to assessing this patient's diabetic status.
Initial labs on diabetic newly
ex new patient
fasting 242 repeat after eating 288
perform - answerblood pressure
AIC
fasting lipids microalbuminuria
microalbuminuria - answerHeavy exercise, elevated glucose levels, infection, and others can produce false positive microalbuminuria. The ideal time for microalbuminuria to be repeated is 3-6 months after the first abnormal measurement. This gives some time for glucose values to improve and can help rule out false positive results.
>300
initiation and adjustment of insulin therapy
If patient weights 127kg - answerintermediate or long-acting insulin should be started at bedtime or morning as a once daily dosage. A prudent starting dose is either 10 units insulin or 0.2 units per kilogram (approximately 25 units of insulin).
A patient presents with consistently elevated blood glucose before his evening meal. What choice below represents an insulin change that would improve his evening glucose? Current regimen: AM: 22u intermediate-acting insulin, 12u short-acting insulin PM: 10u intermediate-acting insulin, 8u short-acting insulin - answerincrease morning Intermediate Acting Insulin to 24 units
check before supper glucose for 3 days until at goal and asymptotic
An 80 year-old patient who is overweight and sedentary has developed elevated, fasting glucose levels (142, 153, and 147 mg/dL). She was diagnosed with diabetes today. Considering her age, how should the nurse practitioner proceed - answerStart metformin 500 mg daily
Type II diabetes is diagnosed after - answerrandom fasting glucose > 126 mg/dL and confirmed on a subsequent day.
random blood glucose > 200 mg/dL with [Show Less]