Instructional Objective

After a PowerPoint presentation, video and hands on

demonstration, the students will be able to demonstrate the use of One Touch Glucometer to test blood glucose without error

Objectives
Learners will demonstrate competency in using One

Touch Glucometer

Purpose of blood glucose Monitoring

Measuring blood glucose level for diabetes mellitus

care Test results direct on diet, amount and type off medication, exercise prescription Prevent diabetic emergencies by prompt detection and treatment of hypoglycemia and hypreglycemia

Generalization
Why should blood sugar be assessed before meals and

bedtime Know the normal values for blood glucose Notify MD of the values outside of range of normal ASAP

What is Diabetes?
Inability of the pancreas to either produce enough

insulin or the bodys ability to utilize the insulin it has Insulin converts glucose to a form that is usable by the body

Risk Factors
Family Hx of Diabetes
Ethnic ity Gender

Blood Glucose Goals

The America Diabetes Association (ADA)

recommends the following blood sugar goals for people with diabetes Before Meals: 70-130mg/dl After meals: less than 180mg/dl

Monitoring Blood Glucose

HbA1c, blood work that measures the percentage of

glycated hemoglobin in the blood. The test will measure the average control for the past 2-3 months Estimated Average Glucose is a new way to understand how well a patient is managing their diabetes

Hypoglycemia vs Hyperglycemia
Hypoglycemia
Low blood sugar Hyperinsulinemia Sweating Tachycardia Palpitation Nervousness

Hyperglycemia
Elevated blood sugar Inadequate insulin Nausea Polyuria Polyphagia Polydipsia

Tremors

Fatigue

Hypoglycemia vs Hyperglycemia
Hypoglycemia
Weakness Headache Mental Confusion Fatigue

Hyperglycemia
Headache Blurred vision Vomiting Abdominal cramping

Complications of Abnormal Glucose

Cardiovascular problems
Cerebro -vascular accident Renal complications

Blindness
Neurovascular problems

Blood Glucose Assessment Planning

The expected outcome focus on minimizing tissue

damage with fingerstick, achieving accurate results and maintaining glucose levels within goal range. Equipments: glucometer, gloves, alcohol swabs, lancets, paper towel, sharp box, and test strips, pen and log book

Blood Glucose Monitoring Implementation

Wash hands
Position site lower than heart Gather supplies and turn on meter

Apply strip into the meter

Select site and cleanse with alcohol. Position lancent firmly against the lateral aspect of the

finger and pierce

Blood Glucose Monitoring Implementation cont.

Allign strip with the finger to collect the sample
Read results, document results in the log book Disposed used supplies

Appropriate interventions for the value obtained

Blood Glucose Monitoring Evaluation

Observe site for bleeding and bruising
Ask undergraduates student nurses to discuss and

return procedure Observe students perform blood glucose monitoring

Review
I have been monitoring my blood glucose twice a day

before meals . My glucose range is usually between 100-400. but this morning my reading was 175. When is the best time to check the sugar. The best site to obtain blood sample

References

http://www.diabetes .org http://www.org/diabetes-basic/diabetes-statistics http://www.diabetes.niddk.nih.gov