High Blood Glucose Flow Chart High Blood Glucose Blood glucose greater than 20 mmol l Is the patient unwell Contact GP urgently Has the blood glucose been greater than 20mmol l over the last 24 hours Contact GP District Nurse at earliest opportunity for review Re test prior to next meal and monitor pre meal over the next 24 hours YES NO YES NO Is patient vomiting drowsy unconscious or
Flow Chart Hyperglycemia Protocol for Insulin Pumps If your blood glucose reading is above 14 mmol L follow these steps hour Blood glucose dose through the pump High Blood Glucose Level No Ketones Take correction dose with pump Check if site and pump OK Recheck blood glucose in 1 is decreasing Recheck blood glucose before next meal Take Hyperglycaemia flow chart Blood Sugar above 14mmol L on two occasions two hours apart Test for blood ketones Blood ketones 0 0 0 6mmol L Blood ketones greater than 0 6mmol L Give correction bolus with pump using usual correction factor Check pump and infusion set Double correction bolus and administer with pen or syringe Drink plenty Inform a friend Consider TBR
High Blood Glucose Flow Chart
High Blood Glucose Flow Chart
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Blood Glucose Level Chart
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High Blood Sugar Flow Chart
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Ensure management of hyperglycaemic emergencies is optimised to prevent serious adverse outcomes Provide action flow charts to inform management of hyperglycaemic emergencies before patients arrive at hospital Pre meal blood glucose CBG 12 mmol L review patient and CBG readings Check CBG pre meal and bedtime as minimum Check for ketones blood capillary ketone test in ANY patient known to have diabetes who is clinically unwell or in patients who are
Guideline for the Management of Hyperglycaemia in Adults with Diabetes Mellitus in Hospital Adapted from NHS Greater Glasgow Clyde Diabetes Inpatient Prescribing FAQs for Junior Doctors guideline Aim target capillary blood glucose The intention of this flow chart is to provide emergency clinicians in NSW with a standardised approach to the treatment required for adults in the management of diabetic ketoacidosis DKA and hyperosmolar hyperglycaemic state HHS particularly in situations where there is no access to endocrinology support and advice
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Blood Glucose Monitoring Guidelines 19 Lifestyle Guidelines for Patients with Diabetes and Poor Glycaemic Control 21 HbA1c 57 mmol mol or Blood Glucose Outside Individually Agreed Range For blood sugars over 250 please use the following hyperglycemia high blood sugar flow chart to manage the increased blood sugar level
Elevated blood glucose levels or HG increase aldose reductase activity that converts glucose to sorbitol Intracellular sorbitol accumula tion increases cellular osmotic injury and D2 High blood glucose levels Hyperglycaemia Why do I need to treat high blood glucose levels If you do not treat a high blood glucose level you may stay high for several hours This might make you feel unwell in the short term thirsty less able to concentrate irritable but if happens frequently can contribute to a rising HbA1c
Printable Blood Glucose Chart
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High Blood Glucose Blood glucose greater than 20 mmol l Is the patient unwell Contact GP urgently Has the blood glucose been greater than 20mmol l over the last 24 hours Contact GP District Nurse at earliest opportunity for review Re test prior to next meal and monitor pre meal over the next 24 hours YES NO YES NO Is patient vomiting drowsy unconscious or
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Flow Chart Hyperglycemia Protocol for Insulin Pumps If your blood glucose reading is above 14 mmol L follow these steps hour Blood glucose dose through the pump High Blood Glucose Level No Ketones Take correction dose with pump Check if site and pump OK Recheck blood glucose in 1 is decreasing Recheck blood glucose before next meal Take
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High Blood Glucose Flow Chart - Ensure management of hyperglycaemic emergencies is optimised to prevent serious adverse outcomes Provide action flow charts to inform management of hyperglycaemic emergencies before patients arrive at hospital