|
|
What is non-insulin dependent
diabetes?
Non-insulin dependent diabetes is the most common
form of diabetes. With Type II diabetes, your body
makes insulin but cannot use the insulin it makes,
Insulin is necessary for proper metabolism of
digested food. This leads to elevated blood sugars.
Some people may need insulin injections or oral
medications to lower their blood sugar.
Signs and Symptoms of Diabetes:
Type II symptoms can be easily overlooked. They may
include: fatigue, very tired, increased appetite,
skin infections, slow healing wounds, unexplained
weight loss, frequent urination, dry itchy skin and
recurrent vaginitis.
| |
|
| High Blood Sugar |
Low Blood sugar |
- Frequent urination
- Excessive thirst
- Headache
- Weakness
- Fatigue
- Dizziness
- Dry, flushed skin
- Nausea/vomiting
- Abdominal cramps
|
- Fatigue
- Headache
- Drowsiness
- Tremors
- Pale, moist skin
- Hunger
- Impaired vision
|
REPORT
For blood sugar greater than 300 or less than 60
notify physician unless otherwise specified.
For low blood sugar, eat some form of glucose or
carbohydrate and notify physician if symptoms
persist.
Management of Diabetes
- Follow prescribed/sensible diet
- Monitor blood sugars
- Maintain ideal weight
- Exercise regularly per doctors order
- Treat infections promptly
- Avoid nicotine
- Carry source of sugar at all times
TEACH
- Teach patient/caregiver about hypoglycemic
agent, including action and dosage.
- Teach patient/caregiver signs & symptoms of
hypo, hyperglycemia and report to physician.
- Teach patient/caregiver about disease
process of Diabetes
- Teach patient/caregiver to manage illness
Our goal is to help patients
achieve and maintain their maximum level of
independence and wellbeing. By providing the
appropriate education and skilled services, patients
are able to safely remain in their homes once home
health is no longer required.
Home care is appropriate for:
- Recent hospitalization
- Diagnosis or recent onset of disease
- Recent initiation of insulin therapy or oral
therapy
- Recent initiation of glucose monitoring
device
- Diabetic requiring adjusted dietary
management
- Manifestations of symptomatology indicative
of complications: polyuria, weight loss,
drowsiness, visual disturbance, skin infections,
pruritus, UTI.
- Diabetic requiring medication adjustments.
- Significant glycosuria.
- Recent hospitalization
- Frequent trips to the emergency room (three
or more per six months), indicates a need for
skilled nursing to educate the patient about
disease process and management.
- Labs HgbA,C
- Wound Care
What can home health care do to assist patients with Diabetes:
- Observation and assessment
- Weight monitoring
- Management and evaluation
- Safety education
- Energy conservation
- Compensatory techniques
- Medication education
- Assistance with ADL’s
- Fluid intake education
|
- Transfer techniques
- Diuretic therapy
- Ambulation techniques
- Electrolyte replacement
- Physical therapy
- Disease process education
- Occupational therapy
- Cardiac assessment
- Speech therapy
|
|
|
