Hyperglycemia Management (Ambulatory)
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Untreated hyperglycemia can lead to diabetic coma caused by ketoacidosis, a life-threatening condition that requires immediate treatment. Signs and symptoms of impending diabetic coma include dyspnea, a fruity odor to the breath, nausea and vomiting, dry mouth, and changes in level of mentation.undefined#ref1">1
Hyperglycemia is abnormally high blood glucose that represents a risk of harm to the patient. Because glycemic thresholds for symptoms often shift, a single number value for hyperglycemia cannot be determined. However, a blood glucose reading of 249 mg/dl or higher functions as an alert for hyperglycemia.1
Hyperglycemia is associated with diabetes and may be further complicated by certain medications or infectious processes. Successful management of hyperglycemia begins with comprehensive education about the disease process, potential complications, and methods to control blood glucose levels. Pharmacologic management for reduction of glucose levels is done under a health care practitioner’s direction.
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Rationale: Depending on the manufacturer, the monitor may read LLL or LOW (rather than a number) if the patient’s blood glucose level is below a certain level.
Glycohemoglobin (A1C) levels should be less than 7%.3
ElSayed, N.A. (2023). Summary of revisions: Standards of medical care in diabetes—2023. Diabetes Care, 46(Suppl. 1), S5-S9. doi:10.2337/dc23-Srev Retrieved February 22, 2023, from https://diabetesjournals.org/care/article/46/Supplement_1/S5/148048/Summary-of-Revisions-Standards-of-Care-in-Diabetes (Level VII)
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