DIABETES
Diseases Process
Patient was instructed on stress. In people with diabetes stress can alter blood glucose levels. To prevent stress form getting the best of the blood sugar get the stress under control by eating a healthy diet, getting adequate sleep, taking part in regular activity and learning relaxation techniques.
Patient was instructed on cardiovascular complications. Hyperglycemia (high blood glucose levels) can cause arteries to narrow and/or lose elasticity causing Atherosclerosis (CAD) where blockage occurs in the arteries that go to the heart.
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 thatafter taking medications, S/S of high blood sugar.
Instructed patient to follow a healthy eating plan that includes his/her favorites foods, but with the proper number of calories and sugars that they should eat daily.
Instructed patient about the importance of remaining seated for at least minutes after each meal in order to prevent aspiration and accelerate gastric emptying.
Patient was instructed on the importance to have a good blood sugar control to avoid future diabetes complications: Monitoring: keep track of the blood sugar every day, Meals: Plan healthy and enjoyable meals to help keep the blood sugar near goal, Moves (exercise): moving the body help lower the blood sugar by burning it for energy, Medicine: when Meals and Move are not enough.
Patient was instructed on the importance of not miss any meals during the day. It is better to eat at regular intervals, having 3 meals per day and 3 snacks and to avoid consuming sweet / high carbohydrate foods content.
Patient was instructed on the importance to take frequent rest periods elevating feet to promote circulation and do not cross the legs when sitting.
Patient was instructed on the importance of rotate the site of insulin injection to prevent future complications in that skin area. Injecting in the same place much of the time can cause hard lumps or extra fat deposits to develop.
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.
