including damage eyes retinopathy which can lead blindness damage nerves neuropathy
Diabetes
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.
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 diabetic patient about the possible complications of kidney disease. Even though early kidney damage has no symptoms; there is a blood test called Microalbumin now available to detect early diabetic kidney damage while still reversible.
Taught that infection, stress and/or fever may lead to high blood sugar levels (hyperglycemia).
Taught that insufficient insulin may lead to high blood sugar levels (hyperglycemia).
Taught that excess insulin and unusual exercise may lead to low blood sugar levels (hypoglycemia).
Instructed patients on important routines regarding diabetic foot care, such as: always wear shoes which offer good foot support and fit properly, wear clean socks which also fit properly and avoid going barefooted.
Patient was instructed on foot complications. People with diabetes can develop many different foot problems. Foot problems most often happen when there is nerve damage in the feet or when blood flow is poor. The protection of the feet is very important.
Instructed in S/S of hypoglycemia, including cold sweat, shaking, blurred vision, faintness, hunger, headache, confused thinking and impatience. Instructed if these S/S occur to take fast acting sugar, such as orange juice with sugar or glucose tablets.
Instructed in possible adverse reactions of oral diabetic agents, which include nausea, vomiting, epigastric fullness, heartburn, hypoglycemia, rash, itching and facial flushing.