As some of you may know, I work as an RN in an intensive care unit. I am currently in the team leader/ charge nurse position. As part of this, I attend morning rounds on each of the patients in the ICU. My role during this is to act as a patient, family and nurse advocate. We do morning rounds outside the patient room huddled around the patient’s nurse. There is a big group of us including the internist (physician, or our “rural” form of intensivist), pharmacist, dietician, nurse specialists, nurse manager etc. Recently, during patient rounds, we started with an older lady admitted with respiratory (breathing) issues. Diabetes happened to be part of her medical history, and her blood glucose during her admission had been a bit of a rollercoaster act: 2.3mmol/L one morning, 27.3 the next and so on. So, the physician adjusts the insulin order set accordingly, and we hit the patient with insulin or Dextrose IV as required.
Have you ever been annoyed with the term brittle diabetes?
-I'm so pumped I know how to make paragraphs now
-I hope you all don't mind I described blood glucose in mmol/L form. Many of you probably convert to mg/dL in your head, otherwise I know there are nice little conversion calculators all over the web.
Tuesday, January 17, 2012
Monday, December 19, 2011
So, I figured it's about time I start blogging (again). I was a pretty dedicated blogger a few years back while in university but have since been on hiatus. I'm not sure which direction I want to take with this either; maybe a mish-mash of everything. A little diabetes here, a little nursing there, a little wedding business here, a little... I could go on. A few things about me: I have been a T1 diabetic for 12ish years now. I'm 24. I'm a registered nurse working in a medical-surgical ICU. One of my medium to long-term goals (depending on how long I want to stay in ICU) is to be a Certified Diabetes Educator. My fiancée and I bought a home about a year ago now (there will likely be posts pertaining to this). My fiancée and I are getting married in July 2012 (there will also be posts about this). I'm Canadian. I'm a bit of a techie nerd and have a semi-love affair with my iPhone. I'm into fitness and healthy eating (will likely post about my trails and tribulations with the same, just because I say I'm "into it" doesn't mean I'm good at it :)) So far I'm impressed with my control over the ol' bg (blood glucose) levels this holiday season. Despite the drinks, yummy snacks and family meals I've been able to maintain fairly "tight" control. Usually when eating different foods I'm higher when I wake up in the morning but I woke to a lovely 6.7 this am. Usually at times like this I'm always wearing my CGM sensor (continuous glucose monitoring). However, after my work Xmas party, my sensor fell out while prepping for bed and my cat ran off with it. I found it a few days later and haven't felt compelled to re-insert yet. Soon though, I'm sure.