DM Champion Meeting

What is the mechanism of action of SGLT2 inhibitor?

• Increase insulin secretion

• Decrease hepatic glucose production

• Inhibit glucose reabsorption in the kidneys

• Enhance glucose uptake in muscles

What need to be included in SGLT 2 inhibitor PFE EXCEPT?

• Sick Day management

• Perineum hygine

• Limit fluid intake to prevent excessive urination

• To hold during surgery

What is the most common side effect of sulfonylureas?

• Liver failure

• Hypoglycemia

• Lactic acidosis

• Pancreatitis

4. What the role(s) of nurses in optimising BSL control for patients on DM diet?

• Therapeutic diet order in EMOS upon admission

• Accurate Intake Chart – outside food/home food; pt’s meal consumed by family

• All of the above

• Serve nutritional supplement as per schedule by dietitian

5. 5. Which of the following oral nutrition supplements are suitable for patients with diabetes?

    

• 5. Diben

• 5. Glucerna

• 5. Pulmocare

• 5. All the above

6. Mr. John, 78-year-old gentleman

7. Admitted for polyuria, polydipsia, and unintentional loss of weight for the past 3 months.

8. T2DM for 8 years, non-adherence to Novomix and Metformin

   Random capillary BSL 23.8 mmol/L, HbA1c 13.7%

   Transferred to your ward for further diabetes management, and is allowed full diet

6. 6. Which diabetes bundle is most suitable for my patient?
   
   

• POCT blood glucose 4 hourly, supplemental insulin scale 4 hourly, resume Novomix and Metformin

• POCT blood glucose TDS and bedtime, supplemental insulin scale TDS pre meals and bedtime, resume Novomix and Metformin

• POCT blood glucose TDS and bedtime, supplemental insulin scale TDS pre meals, resume Novomix and Metformin

• POCT blood glucose 4 hourly, supplemental insulin scale 4 hourly, STOP Novomix and Metformin