Instructed in visiting an ophthalmologist, an MD who specializes in eye care inmediately if there are any of these symptoms of eye damage: blurred or double vision, narrowed field of vision, seeing dark spots, feeling of pressure or pain in the eyes and difficulty seeing in dim light.
Patient was instructed on type II diabetes. Some people with type II diabetes can get blood sugar control through diabetes pills. These people do produce some insulin. But it is not enough to keep their blood sugar under control. Type II diabetes can often be controlled by weight loss, sensitive eating, and pills that improve the insulin supply or help it work better.
The patient was instructed in diabetes mellitus ketoacidosis discussing blood sugar monitoring, when the test will take place, the technique, the necessary blood sugar range, how to read test results, what to do for abnormal results, the cleaning of equipment. The patient was taught when she or he is sick monitoring is increased to every 4 hours because illness or injury increases glucose demand. The patient was advised to maintain meticulous dental hygiene to prevent infection, wear shoes all the time to prevent foot injury. The patient was advised to monitor for vaginal infections. The patient was instructed the need to carry fast-acting sugar livesavers, sugar packets for treatment of hypoglycemia. The patient was advised to obtain appropriate items, equipment, and assistive devices for various diabetic needs, glucose monitor, medialert bracelet.
SN instructed patient on diabetic diet:it is commonly thought that people with diabetes should avoid all forms of sugar. Most people with diabetes can eat foods containing sugar as long as the total amount of carbohydrates (carbs) for that meal or snack is consistent.Many research studies have shown that meals which contain sugar do not make the blood sugar rise higher than meals of equal carbohydrate levels which do not contain sugar. However, if the sugar-containing meal contains more carbs, the blood sugar levels will go up.
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.
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.
Instructed in knowing what to do if symptoms of low blood sugar occur: eat some form of glucose or carbohydrate, notify physician or go to emergency room if symptoms persist.
Instructed in how to recognize signs and symptoms of low blood sugar such as fatigue, headache, drowsiness, tremors, pale, moist skin, hunger anxiety, impared vision, etc.
Instructed in insulin.This is used to decrease blood glucose levels, by replacing insulin not produced by the pancreas.