Home Blood Glucose Monitoring Why, When & How Julie Freeland Hilary Yule.

Slides:



Advertisements
Similar presentations
Managing Sick Days and Hospital Stays Mike Heile MD Orlando, CWD July, 2011.
Advertisements

2003 CDA Clinical Practice Guidelines
Blood glucose monitoring
Diabetes and Self Monitoring
Slides current until 2008 Nutritional needs of people with type 1 diabetes and type 2 diabetes.
Emma Harris Medicines Management Pharmacist West Suffolk Clinical Commissioning Group Educational Event 28 th January 2014 West Suffolk Hospital Education.
Diabetes – sick day rules. Scenario Katie is a 15 year old girl with diabetes 3 day history of cough productive of green sputum, shortness of breath and.
Monitoring diabetes Diabetes Outreach (March 2011)
Diabetes Is…. What Happens When We Eat? Hyperglycemia Can Cause Serious Long-Term Problems.
DIABETES AND THE KIDNEYS
Understanding Diabetes. The Pancreas  No longer makes insulin with type 1 diabetes.
Paediatric Diabetes Nurses October 2013 Diabetes Update.
BHS Guidelines for the management of hypertension BHS IV, 2004 and Update of the NICE Hypertension Guideline, 2006 Guidelines for management of hypertension:
INPATIENT DIABETES GUIDE Ananda Nimalasuriya M.D..
Looking after your diabetes Dr Gill Hood North Thames Clinical Research Network
The Disease: Type 1 diabetes is an auto-immune condition in which the immune system is activated to destroy the cells in the pancreas which produce insulin.
Coping with Diabetes.
Diabetes and Planning Pregnancy Alison Leyland Diabetes Specialist Midwife Blackpool Teaching Hospitals NHS Foundation Trust June 2012.
Laura Grant 1, Julia Lawton 2, David Hopkins 3, Jackie Elliott 4, Suzanne Lucas 5, Marie Clark 6, Ian MacLellan 7, Mark Davies 8, Simon Heller 4 & Debbie.
Glucose Monitoring Ceri Jones March Benefits of Glucose Monitoring   Improve glycaemic control?   Empowerment  Hypoglycaemia?  Intercurrent.
 Type one diabetes is a disease that takes place within your body and what it means is your body does not produce insulin. This is a problem because.
Hba1c for diagnosis Dr Karen Adamson. β-chain α-chain Glucose bound to N-terminal valine of β-chain.
TEST/CHECK A1C O Fasting blood glucose check O Post-prandial blood glucose check O (1-2 hours after a meal) Blood pressure OBlood pressure O LDL cholesterol.
METABOLIC SYNDROME Dr Gerhard Coetzer. Complaint Thirsty all the time Urinating more than usual Blurred vision Tiredness.
Australian Commission on Safety and Quality in Health Care
Diagnosis of diabetes. Diabetic symptoms Diabetic symptoms + venous sample for : –Random venous ≥ 11.1 mmol/l ( ) –Fasting glucose > 7(
PAEDIATRIC DIABETES SCHOOL MANGEMENT Jan Reddick PDNS.
24 May How I Introduce Insulin in Type 2 Diabetes Mellitus Sheena Duffus Diabetes Specialist Nurse Norma Alexander Sister Diabetes Clinic.
DIABETES MELLITUS IN CHILDREN. Blood glucose Apart from transient illness-induced or stress-induced hyperglycemia, a random whole-blood glucose.
5/26/2016 8:44 AM Reviewing Carbohydrates. 5/26/2016 8:44 AM Functions of Carbohydrates Why do we need them? Provide Energy Spare Protein Promote Normal.
HEFT - Good Hope Gestational diabetes service. HEFT – Good Hope, Birmingham Heartlands and Solihull Hospitals Two very different patient populations >12000.
Nursing Management: Diabetes Mellitus
Naseem Sohpal Lead Diabetes Specialist Nurse
Patient-directed titration to achieve glycaemic goals in type 2 diabetes using once-daily basal insulin: results of the TITRATE randomized controlled trial.
Glucose Control and Monitoring
How can Information Technology Assist in looking after people with Diabetes? Dr Sam Philip & Leah McCauley Diabetes Centre Woolmanhill Aberdeen.
Insulin Initiation In Primary Care Dr Arla Ogilvie Endocrinologist Watford General Hospital West Herts Hospitals NHS Trust.
Type I Diabetes Mellitus
1 Empowerment Course Presenters: Melba Mensch Course Facilitator Dr Mary Ho CMO and Course Facilitator Dr. Tuan Quach Diabetes Specialist Rosalie Arnold.
© 2013 Eli Lilly and Company The Optimisation and Intensification of Insulin Therapy in Type 2 Diabetes Speaker name and affiliation Prescribing information.
Diabetes ABCs Diabetes Care Centers Henry Ford Health Systems.
Source:
Managing Blood Sugar. Discussion Topics Blood sugar (glucose) tests for people with diabetes. Signs, causes, and prevention of high blood sugar. Signs,
Managing Diabetes All About Blood Glucose. Topics What affects blood glucose levels? What blood glucose tests are important for people with diabetes?
Miss M Maitra Consultant O&G UHCW 29 April What is Diabetes Mellitus? Metabolic disorder Multiple aetiology Chronic hyperglycaemia Defects in insulin.
Diabetic Profile Measurement of Blood Glucose T.A. Bahiya Osrah.
Lecturer: Bahiya Osrah.  It is a chronic disease associated with hyperglycemia (increased blood glucose level) & glucourea (presence of glucose in urine)
Background notes Audience: diabetes professional (entry level), patients with diabetes First slide: ADD your name/institution ‘Sponge bob’ slide: hemoglobin.
Diabetic Emergencies Aaqid Akram MBChB 2013 Clinical Education Fellow.
DEVELOPED IN PART BY THE COMMUNITY WELLNESS TEAM Diabetes GETTING STARTED.
A two stage screening process – the pre-diabetes pathway.
Blood Glucose Monitoring Liz Gregory / Sue Russell October 2013.
School Training - MDI Diabetes Home Care. What are we going to cover? 1.What is Diabetes? 2.Role of insulin 3.Blood glucose monitoring 4.Blood Ketone.
Diabetes & Driving- DVLA rules
A few questions for you to think about……..
What can you do to help yourself?
HbA1c before Ramadan (%)
Estimation of blood glucose in diabetes mellitus
Emergency Care Part 3: Surgery in Children with Diabetes
HbA1c as a Marker of Glycaemic Control in Diabetes Care
Welcome to DAFNE Aileen Robertson and Razia Amin DAFNE Educators
Monitoring in Type 2 Diabetes
Goals. Achieving HbA1c Goals: Applying Guidelines to Intensify Therapy in Patients With Diabetes.
Hba1c for diagnosis Dr Karen Adamson.
Diabetes Specialist Nurses
Diabetes /care in Grampian
Hertfordshire Community Diabetes Service Diabetes Dietitians
Emergency Care Part 3: Surgery in Children with Diabetes
Fig. 3. (A) Least-squares (LS) mean difference in glycosylated hemoglobin (HbA1c) from baseline, and (B) LS mean difference in HbA1c from baseline over.
Nutrition Interventions to Improve Quality of Care
Presentation transcript:

Home Blood Glucose Monitoring Why, When & How Julie Freeland Hilary Yule

A few questions… Why? When? How?

Why? Type 1 Diabetes Mellitus -Strongly recommended -Improve control -Special circumstances Type 2 Diabetes Mellitus -Patient choice -Individual -Inform – food and exercise -Increase motivation

Why? Lifestyle change Record and understand results To involve Diabetes Team Patient empowerment

Why? HbA1c 8% Lower HbA1c - improvement Reference DCCT 1993

When? Individual patient choice Treatment changes HbA1c ↑ Lifestyle change Optimal control FOR PATIENT Record and Understand results

When? HBGM (Home Blood Glucose Monitoring) Meter Strips TIMING Different times -Pre-meals -Fasting -Before bed -2am

How? Using an appropriate meter suitable for individual needs. Diabetes Team are here to help

Special Circumstances Type 1 Diabetes Mellitus During illness or Ketonuria Before/After moderate Physical Activity Before Driving (any distance) Psychological/Emotional Stress Hypoglycaemia, alcohol Pregnancy or Pre-pregnancy planning

Special Circumstances Type 1 Diabetes Mellitus After a change of insulin/regimen DAFNE Change in lifestyle – job/shift work

Special Circumstances Type 2 Diabetes Mellitus During illness, steroids Before/After moderate Physical Activity Psychological/Emotional Stress Hypoglycaemia Pregnancy or Pre-pregnancy planning

Target? Individual basis Aim 4-9 mmol/l Discuss with the team 17 and above check for ketones Illness

HbA1c Average Mean plasma blood glucose(mmol/l) 12% % %15.5 9%13.5 8%11.5 7%9.5 6%7.5 5%5.5

Adjusting treatment Diabetes Team to educate and follow up on an individual basis

Ketone Testing Urine ketostix Blood ketones

Thank You Any Questions?