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Instructed patient about lifestyle changes, including changing eating habits, quantity and quality of physical activity, level of stress to which patient is exposed, kind of work, and spare time/rest.
Patient was instructed that diabetes can damage many parts of the body, including the mouth and teeth. Diabetes increases the risk of gum disease, cavities and tooth loss, dry mouth and a variety of oral infections.
Patient was instructed on depression as a diabetes complication. It is often a vicious cycle. Depression can get worse as the complications of diabetes get worse, and being depressed can stop people from managing their diabetes as effectively as they need to, which can lead to increased incidence of long-term complications of diabetes as neuropathy or nephropathy.
Patient was instructed on diabetes complications, such as kidney disease. Diabetes can damage the kidneys which not only can cause them to fail, but can also make them loose their ability to filter out waste products. This is called nephropathy.
Patient was instructed on hypoglycemia. Hypoglycemia may result from a variety of causes, which include: Alimentary hypoglycemia. Hypoglycemia within 1 to 2 hours after a meal sometimes occurs when stomach contents empty into the intestines too rapidly. This causes the rapid absorption of glucose into the blood and an overproduction of insulin (hyperinsulinism) in response. This problem may develop after surgery for peptic ulcers, obesity, or other stomach problems.
Taught that hypertension and congenital heart defects are factors that may increase the risk of developing/exacerbating Congestive Heart Failure (CHF).
Instructed on some signs/symptoms of high blood sugar (hyperglycemia), such as: nausea and dry, flushed skin, among others.
PATIENT IS INSTRUCTED THAT Rather than avoiding vitamin K, PATIENT should maintain a consistent intake of vitamin K by maintaining a consistent diet. In other words, from week to week, you should eat the same types of foods. THERE ARE MANY FOOD RICH IN VITAMIN K SUCH AS green vegetables, especially leafy green vegetables, and certain oils have a high content of vitamin K. Most fruits, meats, dairy products, and grains are low in vitamin K.
Instructed patient gradually increase the fiber in your diet. This can help normalize bowel movements by reducing incidents of diarrhea or constipation. However, it can also make gas and cramping worse. The best approach is to slowly increase the amount of fiber in your diet over a period of weeks.
Instructed patient when you have a stoma that drains urine or loose stool you may want to consider using an extended wear skin barrier because it will give your skin added protection. Itching or burning under the skin barrier may indicate that you have leakage, a skin rash, or a skin infection. You need to remove your pouching system as soon as possible to check your skin for any irritation.