- With Mayo Clinic diabetes educators
Nancy Klobassa Davidson, R.N., and Peggy Moreland, R.N.
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Nancy Klobassa Davidson, R.N., and Peggy Moreland, R.N.
Nancy Klobassa Davidson and Peggy Moreland
Nancy Klobassa Davidson, R.N., B.S.N, C.D.E
Nancy Klobassa Davidson is a registered nurse who has worked in diabetes education for 17 years. She is a certified diabetes educator (C.D.E.) and is currently in graduate school working on a Master of Science in nursing (M.S.N.) and health care education.Nancy works with adults who have type 1, type 2 and other forms of diabetes. Nancy is coordinator of the Diabetes Unit's intensive insulin therapy program within the Division of Endocrinology, Diabetes, Metabolism, & Nutrition at Mayo Clinic in Rochester, Minn. Nancy has worked extensively with insulin pump therapy and continuous interstitial glucose sensing.
Peggy Moreland, R.N., M.S.N.
Peggy Moreland is a certified diabetes educator (C.D.E.) in the Division of Endocrinology, Diabetes, Metabolism, & Nutrition at Mayo Clinic in Rochester, Minn.Peggy graduated with a Master of Science in Nursing and Health Care Education from the University of Phoenix and is a member of the American Association of Diabetes Educators and the American Diabetes Association. A certified diabetes educator (C.D.E.), Peggy enjoys working with patients to set and achieve diabetes self-management goals.
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Living with diabetes blog
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Sept. 7, 2012
Be ready to treat hypoglycemia
By Nancy Klobassa Davidson, R.N., and Peggy Moreland, R.N.
In the United States — maybe elsewhere, too — there is a popular saying: "Do as I say, not as I do" — meaning, "Don't imitate my behavior, obey my instructions."
Tonight, I went for a walk with my husband, who uses insulin. Every day, I educate people on how to treat low blood glucose (hypoglycemia). You know the recommendation: Always carry carbohydrates to treat hypoglycemia. Well we did that, but we left them in the car, which doesn't do much good if you're a mile down the trail and you experience hypoglycemia.
Indeed, we'd walked a mile when I noticed that my husband was breathing a little heavy and looking pale and sweaty. I had to run back to the car, grab the fruit snacks and run back to him. The fruit snacks did the trick and he is just fine, but I sure felt sheepish.
Here's a quick review of the American Diabetes Association's "rule of 15" for treating hypoglycemia.
If your blood glucose is less than 70 mg/dL (3.9 mmol/L):
- Treat with 15 grams of carbohydrate.
- Check blood glucose in 15 minutes.
- Repeat treatment every 15 minutes until blood glucose is in your goal range.
- If you've treated for hypoglycemia three times, seek medical attention.
Some easy-to-carry items that contain 15 grams of carbohydrate are:
- Glucose tablets (three 5-gram tablets or four 4-gram tablets)
- Five pieces of hard candy
- A tube of glucose gel or frosting gel
And, most of all, do as I say, not as I did! Carry a carbohydrate with you at all times to treat potential hypoglycemia. We certainly experienced a scary situation and learned that lesson the hard way.
Have a great week!
Peggy
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