Patient was instructed on diabetes symptoms. People with diabetes also are at increased risk of cardiovascular disease caused by atherosclerosis (thickening and hardening of the artery). Atherosclerosis can involve the heart (coronary heart disease), with symptoms of chest pain or heart attack. Brain (cerebrovascular disease), causing stroke. Arteries supplying the legs (peripheral vascular disease), causing leg pain while walking or exercising that stops quickly with rest.
Instructed on some potential factors of hyperglycemia (high blood sugar), such as not using enough insulin or oral diabetes medication, not injecting insulin properly or using expired insulin, not following your diabetes eating plan, being inactive, having an illness or infection and using certain medications, such as steroids.
SN advised to patient / caregiver that blood glucose monitoring is the main tool you have to keep your diabetes under control. This check tells you your blood glucose level at any one time. Keeping a log of your results is vital. When you bring this record to your health care provider, he /she will have a good picture of your body's response to your diabetes care plan.
SN explained that the Diabetes can affect the small blood vessels of the body that supply the skin with blood. Changes to the blood vessels because of diabetes can cause a skin condition called diabetic dermopathy. This appears as scaly patches that are light brown or red, often on the front of the legs.
SN instructed patient on Diabetes. When you have diabetes, a meal plan is important. A meal plan tells you when to eat, how much to eat, and what kinds of food to eat for meals and snacks. You need to eat a variety of vegetables, fruits, and whole-grain foods. The meal plan can include sugar, salt, and saturated fats, but in a way that fits into the overall plan.
Instructed patient on the steps to follow to prevent a heart attack or stroke by: maintaining proper cholesterol and triglyceride levels, exercise regularly, proper diet, keeping all MD appointments.
Instructed patient on important procedures in management of DM such as: follow prescribed diabetic diet, see physician, dentist and eye doctor regularly, take medications as ordered, exercise regularly.
Instructed in complications of diabetes such as frequent infections. Instructed to manage frequent infections, to learn to spot the first signs of infections and what to do about them, bathe every day with mild soap and lukewarm water. Lotion may be applied to keep skin moist. Wear gloves when working outside. Always wear shoes and treat injuies promptly by cleansing with soap and water.
Instructed in complication of diabetes such as heart attacks stroke and instructed in measures prevent it such as monitor your cholesterol and triglyceride blood levels, to follow prescribe exercise and diets, keep MD appoiment.
Instructed in possible complications of diabetes such as kidney disease. The early kidney damage has no symptoms. However, a blood test is now available to detect diabetic kidney damage at an early stage when it is still reversible. This is called the microalbumin test.