LT, a 59-year old with type 2 diabetes presents to the hospital in a hyperglycemic crisis. LT has a history of hypertension, peripheral vascular disease and smokes a pack per day. LT states they have been taking 1000mg metformin BID and 10 units basaglar every night as usual. LT tells you they are stressed out and concerned about a foot sore that doesn’t seem to be getting better. LT is trying to stay home and avoid other people, to prevent getting COVID. LT’s A1C is 8.8%.
What is the most likely cause of this sudden hyperglycemia?
- Stress eating due to isolation
- Untreated infection
- Rationing medications due to financial hardship
- Insulin resistance secondary to cigarette smoking
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The New Art and Science of Diabetes Care and Education Desk Reference – 5th Edition| $249
We are so excited that the 5th edition The Art and Science of Diabetes Care and Education is finally here!
This specialist’s one-volume, go-to resource for the core knowledge and skills for providing person-centered care and education to persons with diabetes and related chronic conditions. This is a core resource for those who are studying for the Certified Diabetes Care and Education Specialist® (CDCES) exam.
Updates:
- Two new chapters addressing multiple daily injections (MDI), continuous subcutaneous insulin infusion (CSII), pump therapy, continuous glucose monitoring (CGM) and intensifying therapy, pattern management, and data analysis.
- Revised AADE7 Self-Care Behaviors®, with its recognition of the impact the emotional burden of diabetes on metabolic and quality of life outcomes.
- Highlights obesity management, including the 3-step algorithm for care of overweight and obese people with diabetes.
- Expanded coverage of motivational interviewing (MI).
- Major rewrites of the kidney disease and diabetic neuropathies chapters.
2020 Boot Camp Live Stream Webinar Schedule with Coach Beverly
All courses air at 11:30 a.m. (PST)
- Diabetes – Not Just Hyperglycemia | Recorded & Ready for Viewing.
- ADA Standards of Care | Recorded & Ready for Viewing.
- Insulin Therapy – From Basal/Bolus to Pattern Management | Sept 30
- Insulin Intensive – Monitoring, Sick Days, Lower Extremities | Oct 7
- Meds for Type 2 | Oct 14
- Exercise and Preventing Microvascular Complications | Oct 21
- Coping & Behavior Change | Oct 28
- “The Big Finish” Test Taking Boot Camp | Nov 4
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The use of DES products does not guarantee the successful passage of the CDCES exam. CBDCE does not endorse any preparatory or review materials for the CDCES exam, except for those published by CBDCE.
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