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General information Teaching 465

Instructed patient about how the body responds to the excess of calories and fat by creating an undesirable increase in blood sugar.

General information Teaching 475

Instructed to patient about eating well with diabetes: eating habits do not have to change if you have diabetes. Your dietitian will help you to develop a meal plan that suits your taste and lifestyle. This plan will help you to keep your blood sugar in your target range. The result will be an eating plan you can enjoy.

General information Teaching 484

Patient was instructed on the importance of an appropriate nutrition to keep blood sugar levels as near to normal as possible. Read Nutrition Facts on food labels and if the serving has too much carbohydrate, the size of serving will need to be adjusted.

Hypertension Teaching 493

Patient was instructed on hypertension. Decrease blood flow to certain organs in the body can cause damage leading to coronary artery disease, heart attack, and abnormal heartbeat, stroke, kidney (renal) failure, peripheral arterial disease, eye damage (retinopathy).

Exercises Teaching 555

Patient was instructed on passive exercises (ROM exercises), that are very important if patient is in bed or in wheelchair. ROM exercises help keep the joints and muscles as healthy as possible. Without this exercises, blood flow and flexibility (moving and bending) of the joints can decrease. Joints, such as the knees and elbows, could become stiff and locked without ROM exercises. Passive Rom helps keep joint areas flexible, but do not built muscles or make them stronger.

Leg edema Teaching 559

Patient was instructed on what cause leg edema. It can be caused by a serious condition of the kidney, heart, liver or blood vessels, but many other factors can contribute to its onset, including: abusing drugs, sodium retention, varicose veins and history of phlebitis, allergic reactions, neuromuscular disorders, trauma.

Mouth care Teaching 570

Patient was instructed on a healthy mouth. Poor oral mouth can make diabetes more difficult to control. Infections may cause the blood sugar to rise and require more insulin to keep it under control. In addition diabetes can diminish the ability to taste sweets influencing and changing food choices in favor of additional sweeter tasting foods, thereby affecting the dental health.

Nerves damages Teaching 605

Patient was instructed that neuropathy is a long term complication of diabetes, which means it typically takes many years for it to develop. To prevent and reduce the risk of diabetic neuropathy: blood glucose control, a balanced eating and exercises can help fend off neuropathy.

Pain Management Teaching 623

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.

Nerves damages Teaching 626

Patient was instructed on diabetes complications such as nerves damage (diabetic neuropathy). Nerve damage occurs because excess sugar injures the walls of the tiny blood vessels (capillaries) that nourish the nerves.