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Chapte r 2
Describing blood glucose levels Completing a personal diabetes care plan
Learning Objectives
After studying this chapter, student should be able to: Describe and explain about blood glucose levels Mention different result about blood glucose test Make a diabetes care plan for a patients

Reading 1
Look at the following blood glucose chart and complete the information about blood glucose results below.

Normal blood glucose results are between (1) ____________ and (2) ______________ mmol/L. (3) ____________, blood glucose level should be between 4 and 7 mmol/L. Ninety minutes after meals, blood glucose level should be less than (4) __________. When going to bed for the night, blood glucose level should be about (5) ______________. (6) ______________ blood glucose or hypoglyceaemia, is less than 4 mmol/L. Hyperglycaemia or (7) __________ blood glucose, is greater than (8) ___________________.

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Speaking 1
Nurses write the blood glucose levels (bgl) for diabetis patients on a scrap of paper before they chart them. Look at the hospital mealtimes and result below and tell about the patients blood glucose results. Say wheter the patients blood glucose was to low, normal or too high using the chart in Reading 1.
Patients name : Mr. Albert Notosuryo Date/Time 28/02/2013 01/03/2013 02/03/2013 03/03/2013 07.30 4,3 7,2 2,1 4,5 12.00 10.4 9,3 12,5 7,5 17.00 6 3,2 6,4 6,2 21.00 12,2 8,4 8 7,4 Breakfast Lunch Dinner 18.30 07.00 08.30 12.00 13.15 17.30

Reading 2
Look at the personal Diabetes Care Plan below answers the following question. 1. Is Mr. Bhaskar taking insulin ? 2. How often does Ms. Bhaskar test her own blood glucose level ? 3. How often does Ms. Bhaskar visit the diabetes clinic ? Personal diabetes care plan Insulin management Blood glucose testing : Ms. Rita Bhaskar : Lantus daily : Before breakfast and in the evening TEST RESULT EVERY THREE MONTHS Normal Your Your results results results Date : Date : 11/12/200 12/03/200 8 9 Glycated <7% 7% 7% haemoglobin Weight 92 kg 93 kg Height 162 cm 162 cm Blood pressure <140/80 142/83 145/85 Total cholesterol <5,0 5,1 mmo/L 5,3 mmol/L mmol/L DOB : 15/09/1963

Your results Date : 18/06/200 9 8% 90 kg 162 cm 130/70 6,2 mmol/L

Your results Date : 14/09/200 9

162 cm

Listening
Joan, the Diabetes Nurse is discussing lab results with Ms. Bhaskar. Listen to the conversation and complete Ms. Bhaskars results for 14 September in her personal diabetes care plan. Complete the extracts from the conversation. Listen and checks your answer. 1. How are the results ? Overall, _________________ than last time 2. Is that good ?

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3. 4. 5. 6. 7. 8.

Mm, it should be _____________7% What about my cholesterol ? Its, 5,0 which is ______________ last time Whats normal ? It should be ________________ five What was it last time ? A hundred and thirty over seventy, so its _____________________ Do you thinknIve lost weight ? Well see. Thats ________________. Your weight 85 kg, so youve___________ 5 kg What have you been doing to lose weight ? Ive been exercising ___________. I swim three times aweek now. How do you find the new diet ? Im certainly eating _____________

Speaking 2
Practice discussing results at the Diabetic clinic with your instructure. Use the personal diabetes care plan below and the words and phrases from this section to help you. Personal diabetes care plan Insulin management Blood glucose testing : Mr. Mark Subroto : Lantus daily : Before breakfast and in the evening TEST RESULT EVERY THREE MONTHS Normal Your results Your results results Date : Date : 11/12/2008 12/03/2009 Glycated <7% 5% 6% haemoglobin Weight 76 kg 80 kg Height 170 cm 170 cm Blood pressure <140/80 125/70 130/75 Total cholesterol <5,0 5,4 mmo/L 5,3 mmol/L mmol/L DOB : 27/08/1964

Your results Date : 18/06/2009 6,8% 78 kg 170 cm 120/68 6,2 mmol/L

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