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CBG- Amount of Glucose in the Blood.

CAPILLARY MONITORING-HOW OFTEN.

Tables to check the CBG’s

1.Done By Glucometer or lab tests.

2.It gives a good picture of how well the diabetes is being managed.

3,Blood Glucose need to be tested at different times-Fasting ,random or post prandial.

Steps to Ensure CBG monitoring and Managing

STEPS TO ENSURE THE BG’S ARE ENTERED IN THE INDIVIDUAL BG SHEETS

Type 1- At least 3 times a day.

Type 2 -taking insulin more than 1X/day - At least 3 times a day.

Type 2-taking insulin 1x a day and oral diabetic medications-once daily

Type 2-taking oral medications and lifestyle management-Individualized plans

according to the Glycemic control.

Pattern management

Suppose this person is taking insulin twice daily

1,Check biweekly to make sure staff are entering blood sugars in the individual

sheets.

2, Look in the PCC to fill out the missing CBG.

1.Check individual MARS to ensure there are orders for CBG checking and is

correctly entered in the EMAR

2.Check monthly to ensure glucometers are checked by control solution.

3.Check individual CBG sheets once a month.

4.Look for pattern.

5.Suggest changes for pattern management( adjusting medications or insulin ).

6.Notify physicians and make changes as necessary.

BENEFITS OF CBG MONITORING

1.To Improve A1C levels.

2.Avoiding or managing hyperglycemia in a timely manner.

3.Early recognition and treatment of hypoglycemia.

4.Increase Flexibility in day to day activities.

5.An indication of whether the diabetic management plan is working.

IMPLEMENTATION OF CBG MONITORING

By

RAINA VARGHESE

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