blood
Diabetes
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 assessment done on all body systems. Checked blood
sugar daily monitoring on patient's log book, hydration, dietary, and medication compliance. Instructed patient on keeping blood
glucose within normal range and preventing the development of long-term complication. Careful monitoring of diet, exercise and blood
sugar levels are as important as the use of oral medications in preventing complications of diabetes. Also taught infection control, safety/fall precautions and preventions, and to contact MD for any emergency and/or medical concerns and changes.
SN instructed patient about Glimepiride is an oral blood
sugar-lowering drug in a class of medicines for controlling diabetes. Glimepiride lowers the sugar level in the blood
by stimulating insulin to be secreted from the pancreas into the blood
. Nausea and upset stomach may occur.
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 complete assessment done on all body systems, checked vital signs, blood
sugar monitoring, hydration, nutrition intake, and medication compliance. SN refilled patient’s medication box for daily routine. Taught patient to carefully manage her blood
sugar with diet, physical activity, and medication to prevent diabetes complication and avoid hypo/hyperglycemia.