See contact numbers for Diabetes Specialist Nurses Arrange to review results with patient.Increase the frequency of blood glucose monitoring to at least 4 hourly.Ensure that glucose monitoring technique and equipment is accurate and available.Hospital admission is indicated if unable to swallow or keep fluids down (view below).Instruct to reconstitute as directed and to take an egg-cupful every 10 minutes. If vomiting, consider an anti-emetic injection.At mealtimes, if unable to eat, but tolerating fluids, take carbohydrate in the form of 200mL of the following: pure fruit juice, ribena, milk, milk with drinking chocolate or ovaltine, (flat) Coca Cola or Lemonade (sugary).Maintain a regular intake of carbohydrate, regardless of glucose to facilitate insulin administration insulin is required to correct ketosis.Maintain an adequate fluid intake (sugar free) of 100-200mL (approximately 1 glass) every hour.dehydration, abdominal pain, intractable vomiting, rapid or laboured respirations When ketoacidosis is clinically obvious i.e. ![]() Strongly positive ketonuria/ ketonaemia with or without hyperglycaemia.Inability to swallow or keep fluids dow.ALWAYS check for ketones to detect/exclude risk of DKA. The stress response to illness can lead to hyperglycaemia therefore during illness more monitoring, more fluid and generally more insulin is required. Integrated sensor-augmented pump therapy systems for managing blood glucose levels in type 1 diabetes (the MiniMed paradigm Veo system and the VibE and G4 platinum CGM system), 2016.THE GOLDEN RULE: Insulin should NEVER be omitted due to the risk of Diabetic Ketoacidosis (DKA) National Institute of Health and Care Excellence. Systematic review and meta-analysis of the effectiveness of continuous glucose monitoring (CGM) on glucose control in diabetes. Practical guidance for using the FreeStyle Libre flash continuous glucose monitoring in primary care. Glycaemic control and control of risk factors in diabetes patients in an ophthalmology clinic: what lessons have we learned from the UKPDS and DCCT studies? Acta Ophthalmol Scand 2007 85:772–6. Severe hypoglycaemia and glycaemic control in type 1 diabetes: meta-analysis of multiple daily insulin injections compared with continuous subcutaneous insulin infusion. Increased uptake of the FreeStyle Libre system in the T1DM population marginally increases the cost to UK health economies and offers many system benefits.īlood glucose self-monitoring costs and cost analysis health policy. In an average-sized UK local health economy, increasing FreeStyle Libre system uptake from 30% to 50% increased costs by 3.4% (£1 787 345-£1 847 618) and when increased to 70% increased by a further 3.3%. Total costs were £1116 PPPY with FreeStyle Libre system compared with £948 PPPY with SMBG. ![]() The cost analysis found that higher acquisition costs are offset by healthcare costs avoided (difference £168 per patient per year (PPPY)). The ABCD audit demonstrates FreeStyle Libre system use reduces diabetes-related resource utilization. Costs of diabetes glucose monitoring in a T1DM population (n=1790) using self-monitoring of blood glucose (SMBG) or the FreeStyle Libre system were compared with a scenario with increased use of the FreeStyle Libre system. This study aims to estimate the budget impact of increased uptake of the FreeStyle Libre Flash Glucose Monitoring system in people with type 1 diabetes mellitus (T1DM) in the UK.Ī budget impact model was developed, applying real-world data collected in the Association of British Clinical Diabetologists (ABCD) FreeStyle Libre Nationwide Audit.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |