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Hyperglycemia Teaching 729

Patient was instructed on Hyperglycemia. The way diabetes is managed changes with age. Insulin production decrease because of age-related impairment of pancreatic beta cells. Additionally insulin resistance increase because of the loss of lean tissue and the accumulation of fat, particularly intra-abdominal fat, and the decreased tissue sensitivity to insulin.

Hyperglycemia Teaching 730

Patient was instructed on Hyperglycemia. Glucose tolerance progressively declines with age, leading to a high prevalence of type 2 diabetes and post challenge hyperglycemia in the older population. Age-related glucose intolerance in humans is often accompanied by insulin.

Injection Teaching 731

Caregiver was instructed that blood sugar may be check at different times of the day to get an idea of how well your treatment program is working for you. Typical times to check are before breakfast, before lunch, before dinner, and before bedtime. Sometimes it is helpful to check blood glucose one or two hours after a meal to see the effect of food on your glucose levels. There are certain times when should check the blood sugar more often than usual: During periods of illness or stress, when is suspect that blood glucose is low or high. When there are changes made in the treatment program - such as a change in medication doses, meal plan or activity, when taking new medications.

Injection Teaching 732

Caregiver was instructed on injecting at the proper depth is an important part of good injection technique. Insulin be injected in the subcutaneous fat, which is the layer of fat just below the skin. If injected too deep, the insulin could go into muscle, where it's absorbed faster but might not last so long.

Injection Teaching 733

Caregiver was instructed that most people pinch up a fold of skin and insert the needle at aangle to the skin fold. To pinch the skin properly, follow these steps: Squeeze a couple of inches of skin between the thumb and two fingers, pulling the skin and fat away from the underlying muscle. (If use a 5 millimeter mini-pen needle to inject, you don't have to pinch up the skin when injecting at aangle; with this shorter needle, you don't have to worry about injecting into muscle.)" Insert the needle, Hold the pinch so the needle doesn't go into the muscle, Push the plunger, "release the grip on the skin fold. Remove the needle from the skin.

Injection Teaching 734

Caregiver was instructed that insulin is absorbed at different speeds depending on where are inject, so it's best to consistently use the same part of the body for each of the daily injections. For example, do not inject the lunch bolus dose in the abdomen on Monday and in the thigh on Tuesday. If you have picked the thigh for your evening injection, then continue to use the thigh for all of the evening injections.

Injection Teaching 735

Caregiver was instructed that most insulin enters the blood,

Insulin Teaching 736

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.

Insulin Teaching 737

Patient was instructed on Insulin. There are few types of insulin. The main difference between them is how quickly they work. A fast insulin is used before meals to work in the body for a few hours as digesting. Longer acting insulin gives the body a base level of insulin that last longer time. This helps the body handle blood sugar all day long.

Insulin Teaching 738

Instructed patient on the importance to inject insulin not exactly in the same place each time, but move around in the same area so the insulin reaches the blood with the same speed with each shot.