including damage eyes retinopathy which can lead blindness damage nerves neuropathy
Insulin
Patient instructed on the importance of alternating insulin injection sites, reviewed alternative injection sites. Instructed injecting into the same spot can cause lipohypertrophy, the buildup of fat under the skin, whichcan slow the absorption of insulin, or lipoatrophy, the wasting of fat under the skin, whichcan be unsightly.
SN instructed pt on high risk med Basaglar KwikPen Subcutaneous Do not take Basaglar during episodes of low blood sugar or if you are allergic to insulin glargine or any of the ingredients in Basaglar. Do NOT reuse needles or share insulin pens, even if the needle has been changed.The most common side effect of insulin, including Basaglar, is low blood sugar (hypoglycemia), which may be serious and life threatening. Signs and symptoms may include dizziness or light-headedness, sweating, confusion, headache, blurred vision, slurred speech, shakiness, fast heartbeat, anxiety, irritability, mood change, or hunger.
SN instructed patient on proper use of insulin such as keeping currently in use vials in refrigerator not in freezer, take insulin exactly as prescribed and never to adjust dose without orders from physician ( MD ), and to never use insulin that has changed color or consistency. SN educated patient on sites of body that insulin can be administered including abdomen, upper arms, thighs or buttocks. Patient verbalized understanding.
Patient was instructed on diabetes with injury. People who have diabetes are vulnerable to nerve and vascular damage that can result in loss of protective sensation in the feet, poor circulation, and poor healing of foot ulcers. Careful attention needs to be paid to any abrasion or wound to ensure the quickest healing possible. It is important for people with diabetes to routinely inspect feet, in particular, to check for any issues.
Patient was instructed on diabetes with illness. Managing diabetes on a daily basis can be a challenge, but experiencing illness or an injury can add additional stress to the maintenance. When people with diabetes are sick with a cold, flu, or other infection, it can cause blood glucose levels to climb.
Patient was instructed about another reason to get your blood sugar levels under control and keep them that way doing so can help you avoid many diabetes skin problems, still, skin conditions related to this disease are common. As many as 1 out of 3 people with diabetes will have one. Fortunately, most can be or successfully treated before they turn into a serious problem.
Patient was instructed on taking insulin on sick day. There's a good chance blood glucose (sugar) levels will rise when sick or getting sick. That's because the body is sending out hormones to fight whatever bug has invaded the body. Those hormones also make it difficult for the body to use insulin. That's bad, and it can be dangerous.
Patient was instructed on Insulin. Insulin is a hormone released from the pancreas. A hormone is a chemical messenger secreted by a gland that then travels in the blood to act on other parts of the body. Insulin is the primary substance responsible for maintaining appropriate blood sugar levels. Insulin allows sugar to be transported into cells so that they can produce energy or store the glucose until it is needed.
SN Instructed patient that should avoid alcohol while on insulin or in any diabetes medications that stimulate the pancreas to produce more insulin, drinking alcohol can cause a dangerous low blood sugar because your liver has to work to remove the alcohol from your blood instead of its main job to regulate your blood sugar.