NATA SCS Diabetes
how often should type 1 diabetes patients have a HbA1c checked - ANS-every 3-4 months
mild to sever hypogylcemia - ANS-Hypoglycemia is defined as mild if the athlete is conscious
and able to swallow and follow directions or severe if the athlete is unable to swallow, follow
directions, or eat as directed or is unconscious.
tx of severe hypoglycemia required what - ANS-glucagon injection
insulin injection should occur wear - ANS-The abdomen, upper thigh, and upper arms are
common sites for injection. Intramuscular injections of insulin should always be avoided as
muscle contractions may accelerate insulin absorption
heat and cold should be avoided for 1-3 and sometimes up to 4 hours after injection for fast
acting insulin.. why - ANS-Heat may increase insulin absorption rates. Thus, athletes with type 1
diabetes should avoid warm whirlpools, saunas, showers, hot tubs, and baths after injection.
Local heat-producing modalities such as moist hot packs, diathermy, and thermal ultrasound
should not be applied directly over an infusion or injection site. By contrast, cold may decrease
insulin absorption rates. Therefore, athletes with type 1 diabetes should avoid using ice and cold
sprays directly over the injection or infusion site after insulin administration. Similarly, c
when to check glucose - ANS-Athletes should measure blood glucose levels before, during, and
after exercise. Athletes who exercise in extreme heat or cold or at high altitude or experience
postexercise late-onset hypoglycemia, which may lead to nighttime hypoglycemia, require
additional monitoring.
how frequent to measure glucose during and prior to exercise - ANS-, require additional
monitoring. 1. Measure blood glucose levels 2 to 3 times before exercise at 30-min intervals to
determine directional glucose movement. 2. Measure glucose levels every 30 min during
exercise if possible. 3. Athletes who experience postexercise late-onset hypoglycemia should
measure glucose levels every 2 h up to 4 h postexercise. Athletes who experience nighttime
hypoglycemia should measure blood glucose values before going to sleep, once during the
night, and immediately upon waking
if blood glucose <100 mg/dL prior to therapy what should happen - ANS-consumption of CHO
if exercise is > 60 min - ANS-CHO consumed, especially when preexercise insulin has not been
reduced by 50%
mild hypoglycemia tx - ANS-1. Administer 10 g to 15 g of fast-acting carbohydrate: eg, 4 to 8
glucose tablets, 2 T honey.
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