diabetic diet
Diseases Process
Patient was instructed on Hyperglycemia. The classic symptom of being frequently hungry stems from the fact that the diabetic can not utilize glucose well as an energy source within cells. The sugar is circulating but the cells can
The patient was instructed in diabetes mellitus ketoacidosis discussing blood sugar monitoring, when the test will take place, the technique, the necessary blood sugar range, how to read test results, what to do for abnormal results, the cleaning of equipment. The patient was taught when she or he is sick monitoring is increased to every 4 hours because illness or injury increases glucose demand. The patient was advised to maintain meticulous dental hygiene to prevent infection, wear shoes all the time to prevent foot injury. The patient was advised to monitor for vaginal infections. The patient was instructed the need to carry fast-acting sugar livesavers, sugar packets for treatment of hypoglycemia. The patient was advised to obtain appropriate items, equipment, and assistive devices for various diabetic needs, glucose monitor, medialert bracelet.
Instructed the patient/caregiver on important foot care: inspect feet daily, report any foot problems to MD or Podiatrist, wash feet daily with warm soap and water and pat dry especially between toes, clip nails straight across and gently file with an emery board, wear shoes that support and fit properly, wear socks that are clean and fit properly, avoid going barefooted, avoid exposure to extreme temperatures, and avoid tobacco
SN instructed patient on diabetes and kidney problem, that diabetes mellitus ( DM ) is one of the leading cause of kidney failure in the United States. Approximately one-half of people who need dialysis have kidney disease from diabetes.With that, tight control of blood sugar must be done by avoiding concentrated sweets and high-carbohydrate content foods.Diabetic patients with hypertension have a special lower blood pressure target of less than 130 / 80 mmHg to reduce cardiovascular risk and delay progression of kidney disease.
Sn instructed patient on diabetes management. Aim for your A1c level to be between 6-7%. For every 1% you decrease your A1c levels you decrease your risk of Diabetic complications. Physical activity helps to decrease blood sugar levels and monitor your food intake such as carbohydrates and fats. Patient verbalized understanding.
SN explained that the Diabetes can affect the small blood vessels of the body that supply the skin with blood. Changes to the blood vessels because of diabetes can cause a skin condition called diabetic dermopathy. This appears as scaly patches that are light brown or red, often on the front of the legs.
SN instructed early signs and symptoms of diabetic hypoglycemia include shakiness, dizziness, sweating, hunger, irritability or moodiness, anxiety or nervousness, headache.Patient is drinking her water and healthy choices.Explained early signs of hyperglycemia include increased thirst, headaches, trouble concentrating, blurred vision, frequent peeing, fatigue (weak, tired feeling), weight loss. Patient verbalized understanding.
Instructed patient about diabetic ulcer keep your blood sugar under control. In addition to reducing your risk of ulcers, tight blood sugar control helps your body heal existing ulcers
Instructed in management and control such as diet as prescribed by MD, adequate hydration 1000-2000cc 24 hours if not contraindicated, importance of high protein (meat, legumes, eggs, daily), iron and vitamin supplements if indicated.
Instructed in measures to decrease risk of angina pectoris: exercise regularly, take regular rest periods, eat small frequent meals, dress warmly in cold weather, take medications as prescribed, eat diet high in fiber and others.