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Managing newly diagnosed diabetes patients
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The diabetic educator for a local hospital has been asked to teach a group of adult patients newly diagnosed with type 1 and type 2 diabetes on “how to effectively manage diabetes.”
a. What would be a useful approach to this request?
b. How would you explain to this group of patients the potential complications of diabetes and the impact of those on their lives?
Chapter 45
a. Even though the causes for the diabetes are different in this group. Patients will benefit of certain recommendations in common. The best approach is to prepare a presentation that cover interventions that benefits all diabetics and then address the recommendations that are specific to type 2 and type 1 diabetics. This includes checking blood glucose, use of glucometer, normal glucose range, sliding scale, possible complications, including HHS, DKA and hypoglycemia, neuropathies, etc. All of these are common grounds to both types of diabetics with the exception of HHS that happens more commonly in type 2. Also important information about diet and hidden carbohydrates. (Ignatavicius, Workman, Blair, Rebar, & Winkelman, 2016)
b. Diabetes has complications that can be either acute or chronic. The group needs to understand that the acute complications like HHS, DKA and Hypoglycemia are considered medical emergencies and if not treated as such can easily become deadly. The long term complications come related to macrovascular and microvascular changes from the disease. Macrovascular includes damage to heart and blood vessels, increasing risk of cardiovascular disease and heart failure. Microvascular changes affects organ tissues, this is manifested in neuropathies, nephropathies and retinopathies. All of this complications can be reduced with thigh control of glucose levels. Therefore is important that patient understand how to manage the disease early on to avoid the development of these complications. (Ignatavicius, Workman, Blair, Rebar, & Winkelman, 2016)
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