Transcript Carbohydrates Non-Licenced

NLO
 Define
diabetes
 Discuss dietary basics
 Identify carbohydrate containing foods
and servings
 Review documentation of carbohydrates
consumed
 Review signs/symptoms of hypoglycemia


Diabetes is a metabolic disease resulting in elevated
blood glucose levels caused by the body’s complete
lack of insulin production, or the cell’s resistance to the
circulating insulin. Insulin is needed to transport
glucose into the cells for energy.
Three main types of diabetes:
• Type 1- body does not produce insulin
• Type 2- body’s cells are resistance to insulin
• Gestational- high blood glucose during pregnancy
 The three main nutrients= macronutrients
• Carbohydrates
• Fats
• Proteins
 Why count carbs?
• 100% of carbohydrates convert to glucose
• Protein and fat have very little effect on glucose
levels
 What foods contain carbs?
• Fruits, starchy vegetables, grains, legumes, dairy,
and sweets
 15
grams is the standard unit of
measurement for carbs
 What does 15 grams of carbs look like?
• 1 slice bread
• ½ cup grain, beans, or starchy vegetables
• 1/3 cup cooked rice or pasta
• 1 small piece fruit
• 4 oz. fruit juice
• 8 oz milk
• 2 small cookies
 No
such thing as a diabetic diet
 No
such thing as a sugar free liquid diet
 Simply
limiting sugar does not improve
glycemic control
 The
nurse will administer insulin based on
how many carbs the patient consumes, so
we need to be as accurate as possible : )

Carb documentation is very important!
(documentation responsibilities are unit
specific)
 Can
document as a “task” or as a “ad hoc”
charting
 If
you are not sure how many carbs certain food
items are worth, you can go to the Inside page,
Clinical Hotspots, then the nutritional table
for your facility
https://insideintegris.corp.integrishealth.com/Pages/Default.aspx
Breakfast Tues
Grey Diet Kit (4g carb)
1 each
Syrup (13 g carb)
Margarine (0g carb)
1 serv
1 serv
Low Chol Eggs (1g carb)
Turkey Sausage (0g carb)
Pancakes (27 g carb)
1 serv
1 each
2 each
Coffee
Cheeri
Apple J
2% Mil
1 cup
1 ind
1 each
1 serv
Smudge
Name: _________________________
DOB:
Room:
Diet: Regular with Diabetic Features
Hypoglycemia is defined as a blood sugar
less than 70.
Symptoms include:
 Hunger
 Nervousness and shakiness
 Sweating
 Light-headedness
 Sleepiness
 Confusion
 Anxiety

Notify your nurse for any blood sugar
less than 70 or a patient with
symptoms!
 The
patient should be treated and have their
blood sugar rechecked every 15 minutes
until the patients blood sugar is
greater than 70.
 It
is a good idea to notify your nurse with all
blood sugar reading you take.
 Remember
to dock/upload the meter for all
results as soon as possible.
It is the nurse’s responsibility
to determine treatment of
hypoglycemia!!!
 Taking
care of patients with diabetes is a
team effort! : )
American Diabetes Association and American College of Cardiology
(2011). Choose to live: your diabetes survival guide.
American Diabetes Association (2009). Life with Diabetes: A series of
teaching outlines by the Michigan Diabetes Research and Training
Center. 4th edition.