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Patient was instructed on wound healing. Healing time depends on a variety of factors, such as wound size and location, pressure on the wound from walking or standing, swelling, circulation, blood glucose levels, wound care, and what is being applied to the wound. Healing may occur within weeks or require several months.
The best treatment for nerve pain, ultimately, is to manage your diabetes well. In fact, a major study by the American Diabetes Association in 2006 showed that strict blood glucose control with intensive insulin therapy lowered the chances of having symptoms of peripheral neuropathy - tingling, burning, and pain - by 64%. While you can't control whether or not you get diabetic nerve pain, you can help control your glucose levels with diet, exercise, and mediations if you need them.
Patient was instructed about the skin damage: the skin may be dry and cracked because of high glucose levels, and cracked skin means it's easier for bacteria to get under the skin and harder for infections to heal. Use a small amount of skin lotion daily, to be sure the feet feel dry - not damp or sticky - afterwards. Try not to get the lotion in between the toes. Keep the toenails trimmed and filed smooth to avoid ingrown toenails. Further teaching is needed.
Patient was instructed on how daily routine can affect the blood sugar levels. Consistency: consistency from day to day in the time and amount of food eaten. By controlling these factors, it is possible to better control when the sugar rises and even how high it rises.
Patient was instructed on how lifestyle and daily routine can affect blood sugar levels Type of food: food is made up of carbohydrates, protein and fat. Although all three can increase blood sugar, carbohydrates have the biggest impact.
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).
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.
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.
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.