DIABETES
Diseases Process
People with long-standing diabetes develop a condition known as hypoglycemia unawareness or hypoglycemia without warning, in which they no longer develop the usual symptoms that herald the onset of hypoglycemia. This condition can be reversed by maintaining higher blood sugar levels for a short period of time (about two weeks) and scrupulously avoiding low blood sugar.
Patient was instructed on prevention to avoid hyperglycemia: take the medication as directed. Eat less. Sometimes it helps to eat less and avoid sugary beverages. Responding in changes in blood sugar can help in the prevention of long-term complications of diabetes.
Instructed in possible causes of hypoglicemia such as too much insulin, not enough food, overexertion or GI disturbance.
Patient was instructed on stress. When stress occurs the body prepares to take action. In people who have diabetes this response does not work well. Insulin is not always able to let the extra energy into cells, so glucose piles up in the blood.
Taught that history of diabetes, cardiac disease and renal disease are potential factors of cerebrovascular accident (stroke).
Instructed on the importance of having her nails clipped straight across and gently filed with an emery board.
Taught that during times of stress, such as fever, infection, injury or surgery, it may be more difficult to control the blood sugar levels.
Taught that effectively controlling high blood sugar levels help prevent circulation problems and blindness, among others.
Taught that effectively controlling high blood sugar levels help prevent heart disease, kidney disease and strokes, among others.
Instructed on the need/importance of wearing shoes that are clean and fit properly.
