Practical management of patient with diabetes in critical care. From a diabetes educator's perspective.
The purpose of this article was to provide an overview of the management of the hospitalized patient with diabetes. Having a basic knowledge of their needs is essential to maintain blood glucose control and reduce the risk of long-term complications. It is also essential to reduce the risk of hypoglycemic reactions due to reduced carbohydrate intake with subsequent diabetes medication administration. The most frequent reason for hypoglycemia is insulin administration along with a reduction in the amount of carbohydrate consumed. Practical advice is included to aid the medical staff to help maintain consistency in the amount of carbohydrate in meals as well as increase the knowledge base of carbohydrate content of common foods.
Hess-Fischl
Amy
A
Evanston Northwestern Healthcare-Partners in Diabetes Care and Pediatric Endocrinology, (H) 1415 Leonard Place, Evanston, IL 60201. AmyFish12@aol.com
D001291:Attitude of Health Personnel; D003422:Critical Care / Q000458:organization & administration*; D048909:Diabetes Complications; D003920:Diabetes Mellitus / Q000378:metabolism / Q000628:therapy*; D003927:Diet, Diabetic / Q000379:methods / Q000451:nursing; D004040:Dietary Carbohydrates / Q000008:administration & dosage; D004630:Emergencies; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D007328:Insulin / Q000627:therapeutic use; D007332:Insulin Infusion Systems; D008612:Menu Planning; D009720:Nurse Clinicians / Q000458:organization & administration / Q000523:psychology; D009730:Nursing Assessment; D010351:Patient Discharge; D010353:Patient Education as Topic / Q000458:organization & administration*; D019990:Perioperative Care / Q000379:methods* / Q000451:nursing; D017410:Practice Guidelines as Topic
D004040:Dietary Carbohydrates; D007004:Hypoglycemic Agents; D007328:Insulin