Instructed on some signs/symptoms of low
blood
sugar (hypoglycemia), such as: hunger, anxiety and impaired vision, among others.
Instructed on some potential factors of hypoglycemia (low
blood
sugar), such as: lack of food and excess insulin, among others.
Instructed on some potential factors of hypoglycemia (low
blood
sugar), such as: excess insulin and unusual exercise, among others.
SN instructed patient on diabetes and kidney problem, that diabetes mellitus ( DM ) is one of the leading cause of kidney failure in the United States. Approximately one-half of people who need dialysis have kidney disease from diabetes.With that, tight control of blood
sugar must be done by avoiding concentrated sweets and high-carbohydrate content foods.Diabetic patients with hypertension have a special low
er blood
pressure target of less than 130 / 80 mmHg to reduce cardiovascular risk and delay progression of kidney disease.
SN instructed that if you have diabetes, your body cannot make or properly use insulin. This leads to high blood
glucose, or blood
sugar, levels. Healthy eating helps keep your blood
sugar in your target range. It is a critical part of managing your diabetes, because controlling your blood
sugar can prevent the complications of diabetes.
Patient is unable to performed insulin injection by herself due to low
vision and hand tremors. No caregiver able/willing to do that procedure due to ALF's policies. Nurse will continue search a c/g able and willing to administer insulin to patient.
Patient was instructed on the signs and symptoms of hypotension that may happen in a few seconds or minutes of standing up after been sitting or lying down. It feel like fainting. Signs include: dizziness, blurry vision, confusion, weakness and nausea. Those symptoms go away if sitting or lying down for few minutes until the blood
pressure adjusts to normal.
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.
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.
Instructed patient to contact doctor if any of the follow
ing occur: an illness lasting one or two days without improvement; vomiting/diarrhea that continue longer than 6 hours, blood
tests that continue to run higher that 240 after taking medications, S/S of high blood
sugar.