Teaching: store unopened insulin vials in refrigerator or room temp
for 28 days
Draw regular insulin into syringe first when mixing insulins
Exercise decreases blood sugar levels
Sick Days: keep taking insulin
monitor glucose more frequently
watch for signs of hyperglycemia
**If in doubt if hyper / hypo glycemic, treat for hypoglycemia
Hypoglycemia - Glucose <70, rapid decline
Excess Insulin, wrong time / type
Manif: #1 early -Neurogenic (Cholinergic / Adrenergic)
#2 Central Neuroglycopenic: confusion, seizure, coma
Interv: Mild - admin carbs / protein
Severe -admin Glucagon
Teach: avoid exercise / alcohol
New bottle Insulin / more potent
Change injection site
Med Alert Bracelet / Carry carb snack
Drink alcohol with food / after meal
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