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Hypoglycemia (Low Blood Glucose) Causes: Too little food or skipping a meal; too much insulin Some or diabetes pills; more active than usual. Symptoms: Onset: Often sudden. SHAKY FAST SWEATING HEARTBEAT DIZZY ANXIOUS HUNGRY BLURRY VISION WEAKNESS OR FATIGUE HEADACHE IRRITABLE IF LOW BLOOD GLUCOSE IS LEFT UNTREATED, YOU MAY PASS OUT AND NEED MEDICAL HELP. What Can You CHECK your blood TREAT by eating 3 to 4 glucose tablets or 3 CHECK your blood glucose again glucose, right away. If you to 5 hard candies you can chew quickly (such after 15 minutes. If it is still low, can’t check, treat anyway. as peppermints), or by drinking 4-ounces of treat again. If symptoms don't fruit juice, or 1/2 can of regular soda pop. stop, call your healthcare provider. For more information, call the Novo Nordisk Tip Line at 1-800-260-3730 or visit us online at ChangingDiabetes-us.com. Novo Nordisk Inc. grants permission to reproduce this piece for non-profit educational purposes only on condition that the piece is maintained in its original format and that the copyright notice is displayed. Novo Nordisk Inc. reserves the right to revoke this permission at any time. Concept developed by Rhonda Rogers, RN, BSN, CDE © Novo Nordisk Inc. 126379R ChangingDiabetes-us.com 6/2006 Hyperglycemia (High Blood Glucose) Causes: Too much food, too little insulin or diabetes pills, illness, or stress. Onset: Often starts slowly. Some Symptoms: EXTREME THIRST NEED TO URINATE OFTEN DRY SKIN HUNGRY BLURRY VISION DROWSY SLOW HEALING WOUNDS HIGH BLOOD GLUCOSE MAY LEAD TO A MEDICAL EMERGENCY IF NOT TREATED. What Can You Do? If your blood glucose levels are higher than your goal for three days and you don’t know why, CALL YOUR CHECK BLOOD GLUCOSE HEALTHCARE PROVIDER For more information, call the Novo Nordisk Tip Line at 1-800-260-3730 or visit us online at ChangingDiabetes-us.com. Novo Nordisk Inc. grants permission to reproduce this piece for non-profit educational purposes only on condition that the piece is maintained in its original format and that the copyright notice is displayed. Novo Nordisk Inc. reserves the right to revoke this permission at any time. Concept developed by Rhonda Rogers, RN, BSN, CDE © Novo Nordisk Inc. 126379R ChangingDiabetes-us.com 6/2006 Printed in U.S.A. .

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MEDICAL DIRECTIVE Point of Care Glucose Meter Testing And
MEDICAL DIRECTIVE Point of Care Glucose Meter Testing and Treatment for Out-Patients with Suspected Hypoglycemia in the Diabetes Education Program Approved by/Date: Medical Advisory Comm. – June 25, 2013 Authorizing physician(s) Dr. Rachel Chong Dr. Angeline Chong Dr. Theodore Monchesky Authorized to whom Nurses and dietitians working in the diabetes education program at LH who have received education and validation of glucose meter testing according to Ontario Laboratory Accreditation Standards (OLA). Patient Description / Population Any outpatient 18 years of age or older at LH exhibiting signs or symptoms of hypoglycemia. Any outpatient 18 years of age or older suspected of having hypoglycemia. Medical Directive Description/Physician’s Order The nurse/dietitian will obtain a capillary blood sample from a patient’s finger upon suspecting hypoglycemia. The nurse/dietitian will perform a blood glucose meter test, and treat hypoglycemia as per protocol outlined below. Patient/Population Description: All LH Patients 18 years and over registered with the LH Diabetes Education Program. Contraindications to implementing the Protocol: • Patients unwilling or unable to provide blood sample. • Patient less than 18 years of age • Refusal of patient/family consent for testing and/or treatment; call code blue and 911 immediately Originating Committee: RNS Program Council – Feb 26, 2013 Medical Advisory Committee: June 25, 2013 This material has been prepared solely for the use at Lakeridge Health. Lakeridge Health accepts no responsibility for use of this material by any person or organization not associated with Lakeridge Health. No part of this document may be reproduced in any form for publication without the permission of Lakeridge Health.
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