diabetic diet/1000
Instructed patient to maintain a diabetic
record of blood sugars and any adverse reactions. Records should include date, time, and any other pertinent information.
Instructed patient on oral diabetic
agents. When properly used, these agents stimulate insulin release from the pancreas to help control glucose levels.
Instructed patient on possible adverse reactions to oral diabetic
agents, which include: nausea, vomiting, epigastric fullness, heartburn, hypoglycemia, rash, itching and facial flushing.
Instructed patient on important measures regarding diabetic
's foot care such as: feet inspection daily, report any foot problems to podiatrist or physician, wash feet daily with warm soap and water and pat dry, especially between toes.
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.
Instructed patient that insulin/oral diabetic
agents are used to relief the symptoms and not to cure the disease.
Patient was instructed on diabetes complications such as nerves damage (diabetic
neuropathy). Damage to the nerve that control the bladder, digestive tract and reproductive organ is called autonomic neuropathy and it can cause problems with nausea, vomiting, diarrhea and constipation.
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.
Patient was instructed on foot care: a podiatrist can also fit patient with shoe inserts called orthotics to support the feet if have diabetic
nerve pain or the muscles have become weak from nerve damage. If pain or weakness is so severe that it's too painful or even impossible to walk, a foot brace or orthopedic shoes might help. Further teaching is needed.
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.