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Blood Sugar Teaching 684

Patient was instructed on how lifestyle and daily routine can affect blood sugar levels. Coordinating the meals with the medications can be a fine balance. Too little insulin in comparison to the medication may result in very low blood sugar (hypoglycemia). Too much food may cause the blood sugar to climb too high (hyperglycemia).

Stress Teaching 686

Patient was instructed on how stress can affect blood sugar. One way stress affect blood sugar and having a direct effect on it, is as with the stress of a physical illness, prolonged or excessive stress can cause the body to produce hormones that prevent insulin from working properly. That, in turn, increases the blood sugar levels.

Injection Teaching 708

Patient was instructed on how to inject. Injecting at the proper depth is an important part of good injection technique. If injected too deep, the insulin could go into muscle, where it

Injection Teaching 709

Patient was instructed on how to inject. To pinch the skin properly squeeze a couple of inches of skin between the thumb and two fingers. Insert the needle. Hold the pinch so the needle does not go into the muscle. Push the plunger to inject the insulin. Release the grip on the skin fold. Remove the needle from the skin.

Precautions for diabetes Teaching 726

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.

Hyperglycemia Teaching 728

Patient was instructed on Hyperglycemia. Careful control is needed to reduce the risk of long term complications. This is theoretically achievable with a combinations of diet, exercises, and weight loss, various diabetic drugs, and insulin use.

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 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 740

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.