Diagnostic procedures-
1) Monitoring lab values: fasting glucose, A1C, lipid & metabolic panel (i.e. renal function), analysis of urine for ketones, other diagnostic procedures based on symptoms. 2) Monitoring weight, 3) frequent physical assessment (examining feet);4) frequent eye exams, looking at acuity, assessment of degenerative changes and complications related to DM.
Treatment goals
1) lose weight 2) engage in physical activity 3) A1C: 7%; 4) Monitor blood glucose every am, and before a meal (preprandial plasma glucose): 80–130 mg/dl or 2 hours after beginning of the meal (postprandial plasma glucose):< 180 mg/dl; 5) eat balanced nutrition, portion controlled, limiting simple carbs.,etc.; 6) manage stress, as stress increases cortisol level, which increases glucose. 7) if blood sugar not controlled with diet and exercise add oral medication or insulin. …show more content…
2) teaching related to blood glucose monitoring, urine ketone monitoring when sick or sugar >300
3) teaching related hypo/hyperglycemia 4) teaching related to need for eye exams, physical exams, inspection of feet, care with use of heat/cold 5) teaching related to symptomatology 6) small child-will need to teach parents, and deal with fears, modification to school 7) teaching related to insulin
1) Monitoring lab values: fasting glucose, A1C, lipid & metabolic panel (i.e. renal function), analysis of urine for ketones, other diagnostic procedures based on symptoms. 2) Monitoring weight, 3) frequent physical assessment (examining feet);4) frequent eye exams, looking at acuity, assessment of degenerative changes and complications related to DM.
Treatment goals
1) lose weight 2) engage in physical activity 3) A1C: 7%; 4) Monitor blood glucose every am, and before a meal (preprandial plasma glucose): 80–130 mg/dl or 2 hours after beginning of the meal (postprandial plasma glucose):< 180 mg/dl; 5) eat balanced nutrition, portion controlled, limiting simple carbs.,etc.; 6) manage stress, as stress increases cortisol level, which increases glucose. 7) if blood sugar not controlled with diet and exercise add oral medication or insulin. …show more content…
2) teaching related to blood glucose monitoring, urine ketone monitoring when sick or sugar >300
3) teaching related hypo/hyperglycemia 4) teaching related to need for eye exams, physical exams, inspection of feet, care with use of heat/cold 5) teaching related to symptomatology 6) small child-will need to teach parents, and deal with fears, modification to school 7) teaching related to insulin