heart healthy
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 Hyperglycemia. Diabetes can be reduced making changes in diet and increasing physical activity. It is recommended to maintain an healthy
weight having a modest fat intake and eating sufficient fiber.
Patient was instructed on how to avoid hypoglycemia. Start off every day with a healthy
breakfast containing fruits, vegetables and high fiber foods such as oatmeal. Eat frequent small meals (rich in complex carbs, protein and fiber) throughout the day.
Patient was instructed on how stress can affect blood sugar. Stress can affect blood sugar in two ways: when under heavy stress, it is easy to abandon the usual routine, eating fewer healthy
foods, in that sense, stress indirectly causes the blood sugar to rise.
Taught that Folic Acid is a B-Complex vitamin needed to form healthy
cells, especially red blood cells.
The patient was instructed in bone marrow suppression that will be more susceptible to infection, bleeding, and anemia. The patient was encouraged in the prevention of the infection by eating healthy
meals, keep mouth, teeth and gums clean, avoid people who are sick. The patient was encouraged in the prevention of the bleeding avoiding physical activities that could cause injuries. The patient was encouraged in the prevention in the anemia by eating a high-protein diet, and multivitamin supplement with minerals.
SN instructed patient about rheumatoid arthritis and how it is a chronic disease that causes pain, stiffness, swelling, and loss of function in the joints. It occurs when your immune system mistakenly starts attacking healthy
tissue.
SN instructed that if you have diabetes, your body cannot make or properly use insulin. This leads to high blood glucose, or blood sugar, levels. Healthy
eating helps keep your blood sugar in your target range. It is a critical part of managing your diabetes, because controlling your blood sugar can prevent the complications of diabetes.
SN instructed patient that the no concentrated sweets (NCS) diet is designed to limit the total sugar in the diet to achieve and maintain near normal blood sugar levels. Foods that should be avoided includes sugar, regular syrup, molasses, and regular jam and jelly, candy, pie, cake, cookies, doughnuts, etc.
SN Instructed patient on diabetic dinner and snack example: Dinner- 3 ounces meat or protein, such as baked cod or salmon / 2 starches, such as 2/3 cup cooked brown rice, / 2 vegetables, such as 1 cup steamed asparagus and 1/2 cup cooked carrots / 1 fat, such as 1 tsp margarine or 1 tsp olive oil / 1 fruit, such as 3/4 cup fresh pineapple / 1 milk, such as 1 cup skim milk. Evening Snack - 1 bread, such as 3 cups air-popped popcorn / 1 meat or protein, such as 1/4 cup lowfat cottage cheese or 1 ounce turkey breast.