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Instructed in possible adverse reactions to insulin, which include hypoglycemia, hyperglycemia, skin rash and local reaction at injection site.
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 about how to get a balanced diet: choose a variety of nutrient-dense foods and beverages among the basic food groups, balance calories from foods and beverages with physical activity to manage body weight, choose fiber-rich fruits, vegetables, and whole grains often, eat 2 cups of fruit and 2 1/2 cups of vegetables daily (for someone eating 2,000 calories) and other way to get the goals will be explained in next teaching. Further teaching is needed.
Patient was instructed on supplies that will use for blood glucose meter - reads blood sugar Test strip - collects blood sample. Lancet or small needle -fits into lancing device, pricks finger, and provides small drop of blood for glucose strip. Lancing device - pricks finger when button is pressed. Most devices have dials to select how deep the needle goes into the skin. Start with middle depth. If get more blood than needed, dial the number down so the lancet does not go as deep. If get less blood, dial the number up so lancet goes deeper. Alcohol wipes or soap and water - to clean fingers or other testing site.
Patient was instructed on Hyperglycemia. High blood sugar develops when there is too little insulin or when the body fails to respond properly to the insulin in the blood. High blood sugar emergencies often develop because of some underlying condition that may not be obvious, such as a heart attack, infection, or surgery.
Taught that Lamictal is an anticonvulsant that is thought to work by restoring the balance of certain substances (neurotransmitters) in the brain.
Instructed on the importance of taking Folic Acid regularly and at the same time each day, as directed by MD, in order to get the most benefit from it.
Patient/caregiver was educated about potassium 20 meq 1 tab po daily and it's side effects such as: confusion, restless, weakness, arrhythmias, electrocardiogram changes, diarrhea, vomiting, if any of this appear it is very important to notify nurse/ agency/ md/ 911.
SN instructed that Janumet is used with a proper diet and exercise program and possibly with other medications to control high blood sugar. It is used in patients with type 2 diabetes. Instructed that common side effects include, nausea, vomiting, stomach upset, diarrhea, headache, weakness, or a metallic taste in the mouth may occur.
Sn instructed that reducing sodium intake lowers blood pressure and prevent the collection of fluid in the lower legs or abdomen. People with chronic kidney disease must control sodium intake to prevent volume overload, which increases blood pressure and causes swelling. Food to eat any fresh or frozen beef, lamb, pork, poultry and fish. Eggs and egg substitutes. Low-sodium peanut butter. Dry peas and beans (not canned) drained, water or oil packed canned fish or poultry foods to avoid canned food canned vegetables processed meats salted snacks such as, salted peanuts, salted almonds etc.