Week 7

Question 1

What are the precursors and risk factors for type 1 diabetes?

Answer 1

• genetic susceptibility
• environmental factors
• idiopathic
• acquired factors such as autoimmune reactions

Question 2

BGLs are erratic due to?

Answer 2

• hormones
• growth and development variations
• stress
• varied activity

Question 3

When it comes to diabetes education what should we be teaching the pt?

Answer 3

• increasing the pt’s knowledge and understanding
• increasing the individuals self-determination
• increasing the pt’s ability to self-manage the condition
• increasing their ability to make psychological adjustments

Question 4

List at least 4 indications of hypoglycaemia

Answer 4

• nervous or irritable
• hungry
• headache
• shaky
• confused
• weak/dizzy
• skin becomes clammy
• tired and withdrawn
• drowsy, disorientated, unconscious

Question 5

When educating a pt about s/c insulin what should we be doing?

Answer 5

• encouraging to have family members present
• teach how to undertake BGL reading and record it
• record injection sites and rotating sites
• demonstrate use of insulin injection technique
• have pt demonstrate technique
• teach how to undertake BGL reading and recording it
• discuss disposal of sharps and storage on insulin
• discuss sick days
• discuss understanding of hyper and hypoglycaemia symptoms and treatment

Question 6

List at least 4 barriers to optimal care

Answer 6

• health care system
• self-management education
• low level of health literacy
• inadequate education
• pt education is undervalued by the health care system
• time to see provider is limited
• lack of research skills among practicing nurses
• lack of evidence or knowledge to support self-management education
• the lack of coordination between researchers and clinicians