SN instructed that if you have diabetes, your body cannot make or properly use insulin. This leads to high blood
glucose, or blood
sugar, levels. Healthy eating helps keep your blood
sugar in your target range. It is a critical part of managing your diabetes, because controlling your blood
sugar can prevent the complications of diabetes.
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 taught patient on diabetes. To control your blood
glucose level, you must have healthy eating habits. A healthy diet has other benefits too. Healthy eating can lead to weight loss. Losing small amounts of weight can often make a big difference in your health. Healthy eating can improve your blood
glucose, blood
pressure, and cholesterol levels.
Instructed patient to contact doctor if any of the following occur: an illness lasting one or two days without improvement; vomiting/diarrhea that continue longer than 6 hours, blood
tests that continue to run higher that 240 after taking medications, S/S of high blood
sugar.
Patient was instructed on type II diabetes. Some people with type II diabetes can get blood
sugar control through diabetes pills. These people do produce some insulin. But it is not enough to keep their blood
sugar under control. Type II diabetes can often be controlled by weight loss, sensitive eating, and pills that improve the insulin supply or help it work better.
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.
SN instructed patient on diabetic diet:it is commonly thought that people with diabetes should avoid all forms of sugar. Most people with diabetes can eat foods containing sugar as long as the total amount of carbohydrates (carbs) for that meal or snack is consistent.Many research studies have shown that meals which contain sugar do not make the blood
sugar rise higher than meals of equal carbohydrate levels which do not contain sugar. However, if the sugar-containing meal contains more carbs, the blood
sugar levels will go up.
SN advised to patient / caregiver that blood
glucose monitoring is the main tool you have to keep your diabetes under control. This check tells you your blood
glucose level at any one time. Keeping a log of your results is vital. When you bring this record to your health care provider, he /she will have a good picture of your body's response to your diabetes care plan.
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.
Instructed in complication of diabetes such as heart attacks stroke and instructed in measures prevent it such as monitor your cholesterol and triglyceride blood
levels, to follow prescribe exercise and diets, keep MD appoiment.