FOLLOWING INSTRUCTIONS FOR DIABETICS


Scenario: Above is Mr.R who works in a fast food joint. He loves to drink sodas.
He is now beginning to experience the early signs of diabetes. He will learn from
his doctor, he has diabetes.

Scenario:Rick has a history of Type 2 Diabetes Mellitus. His blood glucose is high and
he has Insulin ordered twice a day. It is midnight and Rick is requesting his wife bring
snacks from home. 

The Care Plan

The diabetic patient requires teaching. This should also include the family.
Patient and family teaching is reflected in the care plan.


Complications of diabetes mellitus

Diabetes mellitus, if not well managed, may be further 
complicated by conditions such as cardiovascular disease,
stroke, Retinopathy, Neuropathy and PVD. 

What is PVD?
Peripheral Vascular Disease (PVD) is caused by poor circulation.
The diabetic patient is at risk for this condition.

Gangrene resulting from poor circulation and may lead to surgical 
intervention such as amputation.


Diabetic complications

Scenario: Sara is a young adult who was diagnosed 
with Type 2 diabetes, about a year ago. She has now
been admitted for visual problems.

Diabetic Retinopathy

Sara's eye exam reveals Diabetic Retinopathy. This 
condition affects the blood vessels in the eye. Poor
vision and possible blindness may result from leaking
and weakening of the blood vessels.

Diabetic Nephropathy

This condition may further complicated diabetes.
Poor renal function and possibly renal failure may
result. Hemodialysis then becomes necessary.


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