What is the normal blood glucose range?
80-100
What glucose levels indicate hypoglycemia?
< 65
What glucose levels indicate hyperglycemia?
> 145
What is included in PT examination with DM?
Skin integrity, sensation, balance
What are the benefits of physical activity with DM?
- Improve glucose uptake
- Stabilize glucose levels
- Increase circulation
- Maintain tissue integrity
- Weight loss
What are guidelines to exercise with DM based on?
Pre-exercise glucose levels
What should you do in the outpatient setting if glucose is < 65?
- Quick sugar
- Wait 15 minutes
- Re-check, exercise if levels improve
What is a good level of sugar to introduce prior to exercise if blood sugar is low?
4-6 oz of juice or two graham crackers
What should you do in the outpatient setting if glucose is between 145-300?
Light workout intensity, follow up with MD
What should you do in the outpatient setting if glucose is > 300?
- Ask about meds
- Ask about food intake today
- Ask about yesterdays glucose levels
- Call MD
What can happen to blood glucose levels in response to metabolic stress?
Increase significantly
What blood glucose levels is considered a relative contraindication for PT?
300-440
What is metformin?
Decreases the amount of insulin produced in the liver
What is bromocriptine?
Prevents insulin resistance
What is tradjenta/januvia?
Destroy enzyme that helps your body know when to produce more insulin - liver does not produce insulin unless it is needed
What is glipizide?
Stimulates the pancreas to produce more insulin
What type of DM indicates an insulin pump?
Type I
