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Lecture notes for Diabetes, Lecture notes of Nursing

Jefferson Community CollegeNursing

Lecture notes for Diabetes and instructions

Typology: Lecture notes

2023/2024

Uploaded on 02/26/2026

lameshia-hunt
lameshia-hunt 🇺🇸

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bg1
Carbohydrate Counting
Pay attn to the serving size
Carbs are sugars
15g = 1 serving
Pancakes
Two 4’ pancakes
Total carb = 28g *we had 2 so it’s 56g
Jimmy Dean Sausage
Issa protein
No carbs
Syrup
Serving size is 1/4 cup = 8g
Eggs
Issa protein
No carbs
Milk *reduced fat
Serv size 1 cup= 6g
Coffee – Black
No carbs
Creamer for coffee _ French vanilla
Serv size 1 Tbsp (15 mL)
1 Tbsp = 5g
Using 8 Tbsp=40g
Total g of carb for entire breakfast is 110g
Taco Bell
Nacho supreme
Total carbs 41g
INSULIN to Carbohydrates ratio
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Carbohydrate Counting Pay attn to the serving size Carbs are sugars 15g = 1 serving Pancakes Two 4’ pancakes Total carb = 28g *we had 2 so it’s 56g Jimmy Dean Sausage Issa protein No carbs Syrup Serving size is 1/4 cup = 8g Eggs Issa protein No carbs Milk *reduced fat Serv size 1 cup= 6g Coffee – Black No carbs Creamer for coffee _ French vanilla Serv size 1 Tbsp (15 mL) 1 Tbsp = 5g Using 8 Tbsp=40g Total g of carb for entire breakfast is 110g Taco Bell Nacho supreme Total carbs 41g INSULIN to Carbohydrates ratio

  • Allows more flexibility.
  • DO NOT have to know the background of how they come up with the ratio
  • KNOW how to do the math Insulin: Carb ratio ALWAYS rapid acting – Novolog, Humalog, Apidra 1 unit of Humalog for every 20g carb Breakfast 110g carb
  • 110/20= 5.5  5 units of Humalog
  • THE ONLY THING TO ROUND DOWN – keep them from gttn to much and becoming hypoglycemic Administer Novalog 1 unit per 12g carbs w/ breakfast Breakfast = 110g 110/12= 9.1  9 units of Novalog Chik-Fil-A 8 ct nugget 11g CookieNCreme milkshake 90g Polynesian sauce 14g x 2 Chik-Fil-A 7g x 2 Total lunch = 188g Administer Novalog 1 unit: 8g carb 188/8= 23.5  23 units Correction factor ALWAYS for HYPERGLYCEMIA *ONLY can use for Rapid acting
  • Allows them to get better glycemic ctrl
  • DO NOT have to know the background of how they come up with the ratio
  • KNOW how to do the math
  • Numbers always decided by Dr/NP/ sometimes Diabetes educator (don’t write order but makes recommendations) Blood glucose – target blood glucose (decided by DR.) / insulin sensitivity (wht dr believe will lower your blood sugar by 1 unit) So equation is Blood glucose – target bg/ insulin sensitivity