At 2:00 AM, the CNA reports that a patient with type 1 diabetes is extremely wet with perspira-tion, is cool to the touch, and is complaining of hunger. The nurse should:
a. give insulin by sliding scale based on glucometer reading.
b. notify the night supervisor of the patient's deteriorating condition.
c. give 6 ounces of orange juice.
d. ambulate the patient in the hall to use up excess glucose with exercise.
C
Hypoglycemia is a common complication of type 1 diabetes mellitus. Most often it is a response to either too large a dose of insulin or too much exercise in relation to the amount of food eaten. Symptoms of hypoglycemia include tremulousness, hunger, headache, pallor, sweating, palpita-tions, blurred vision, and weakness. Management includes providing a source of quick-acting carbohydrate/glucose. Insulin is used to manage hyperglycemia, not hypoglycemia. The patient's condition is likely easily managed by the interventions noted and will not warrant notification of the supervisor. The patient will not benefit from exercise as he has limited serum glucose.
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