Constant Management And Maintenance Therapy In A Chronic Diabetic Patient

Funom Makama By Funom Makama, 21st Mar 2014 | Follow this author | RSS Feed
Posted in Wikinut>Health>General Health>Diseases & Infections

In diabetics, constant monitoring, care and carefulness are necessities to keep the patient in shape and good health. The management and avoidance of the diabetic foot and hypoglycemia (low blood sugar) are the most essential manifestations which can generally be controlled not only by the doctor.

Diabetic Foot Care

Foot care education is recommended as part of a multidisciplinary approach in all patients with diabetes. All diabetics should
• Wash their feet daily
• Inspect their feet daily
• Use foot creams or lubricating oil
• Never cut calluses or conus
• Cut their nails correctly
• Avoid self medication
• Avoid extreme of temperature
• Wear appropriate shoes eg, lace-up with plenty of room for the toes and either flat or low heeled.
• Avoid high heeled shoes
• Do not wear slippers even at home (wear canvas)
• Inspect the inside of the shoes daily
• Seek medical care for all skin lesions

On entering the doctor’s office, the patient can remove their shoes and socks as a reminder, their feet should be checked. Danger signs include: swelling, colour change or a nail toe or part of a foot, pain, blisters or sores.

Hypoglycemia (Low Blood Sugar)

People living with diabetes should learn how to cope with hypoglycemia which happens from time to time to everyone who has diabetes. Causes of hypoglycemia include the following:
• Irregular eating habits
• Content of the diet
• Excessive alcohol intake
• Variation for injection site for insulin
• Problems with blood glucose monitoring due to visual impairment
• Hypoglycemia unawareness
• Delayed gastric emptying time (gastroparesis)
• Excessive dose of insulin or sulphonylurea
• Recent changes in antidiabetic therapy
• Effect of concurrent use of complementary medicine

Care should be taken to avoid hypoglycemia while traveling. Symptoms (stages) of hypoglycemia include the following:
Mild: Adrenergic symptoms- anxiety, sweating, tremor, palpitation, feeling of hunger.

Moderate: Defective nervous symptoms such as blurring of vision, confusion, intense hunger, inability to take advice, sudden moodiness or behaviour changes, clumsy or jerky movement, tingling sensation around the mouth and aggressive behaviour.

Severe: Coma or convulsion.

Treatment of Hypoglycemia

The quickest way of raising the blood glucose is to take 3 glucose tablets, ½ cup of fruit juice or mineral drink. Be sure to always have at least one type of sugar with you. It is important to treat hypoglycemia quickly because it can get worse and can cause a passing out or coma. If the patient passes out, immediate treatment such as an injection of glucagon or emergency treatment in the hospital is needed.

Diabetic Audit Protocols For Health Care Settings
• Initial assessment and care of people presenting with diabetes
• The continuing care of people with diabetes
• The identification and follow up of non-attendance
• The provision of appropriate support for people who are housebound or who are living in residential or custodian settings to ensure they are receiving structural diabetic care
• Ensuring that all laboratories are participating in approved quality assessment schemes and using analytical methods. Which meet the recommended minimum criteria for consistency and quality.

There is the need to ensure that all health professionals involved in the diagnosis and care of people with diabetes received continuing training to ensure that they are appropriately skilled in the diagnosis and management of diabetes.

For more interesting and very important health related and medical articles, click on the links below
1. General Considerations, Clinical And Medical Classifications Of Anemia
2. Heart Failure: Definition, Detailed Causes And Precipitating Factors Of Cardiac Failure
3. Special Investigations In Cardiology II: The Significance Of Echocardiography
4. Clinical Significance And Health Importance On The Actions Of Adrenocorticotropic Hormone (ACTH) On The Adrenal Cortex

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Comments

author avatar Songbird B
22nd Mar 2014 (#)

I certainly live and learn with you dear Funom..This made intriguing reading..Packed full of good advice too..\0/x

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author avatar Funom Makama
22nd Mar 2014 (#)

Thank you so much Songbird B.

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author avatar Lambasted
25th Mar 2014 (#)

As usual, one of your excellent stuff you have shown to us.. Keep it up Dr. Funom

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author avatar bronnamdi
9th Apr 2014 (#)

Thanks for the information.

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紅蜘蛛:http://www.newtrendsshop.com/p35.html
紅蜘蛛:http://www.newtrendsshop.com/p35.html
紅蜘蛛:http://www.newtrendsshop.com/p35.html
紅蜘蛛:http://www.newtrendsshop.com/p35.html
紅蜘蛛:http://www.newtrendsshop.com/p35.html
紅蜘蛛:http://www.newtrendsshop.com/p35.html
紅蜘蛛:http://www.newtrendsshop.com/p35.html
紅蜘蛛:http://www.newtrendsshop.com/p35.html
絶對高潮:http://www.newtrendsshop.com/p1.html
絶對高潮:http://www.newtrendsshop.com/p1.html
絶對高潮:http://www.newtrendsshop.com/p1.html
絶對高潮:http://www.newtrendsshop.com/p1.html
絶對高潮:http://www.newtrendsshop.com/p1.html
絶對高潮:http://www.newtrendsshop.com/p1.html
三便宝:http://www.newtrendsshop.com/p288.html
三便宝:http://www.newtrendsshop.com/p288.html
三便宝:http://www.newtrendsshop.com/p288.html
三便宝:http://www.newtrendsshop.com/p288.html
三便宝:http://www.newtrendsshop.com/p288.html
三便宝:http://www.newtrendsshop.com/p288.html

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