Diabetes Care

My Top 3

Watched the severity of the conditions and have complications.

1. Whether the urinary tract, skin, lung infections such as female genital skin, whether Tongyang.
2. Whether anorexia, nausea, vomiting, lethargy, breathing accelerate and deepen, a rotten apple breath odor and dehydration and ketoacidosis performance.
3. Whether low blood sugar.
4. There limb numbness, and other peripheral neuritis performance.
5. Qualitative auxiliary urine sugar, fasting blood sugar screening and oral glucose tolerance test (GOTT) have to be accurate determination in accordance with the norms.

[Symptomatic care:]

1. Food care
(1) Make clear with the importance of diet control, thus consciously abide by the dietary requirements.
(2) should be strictly eating regularly, on the use of insulin-treated patients in particular should pay attention to.
(3) Inspect each meal, if residual, must calculate the actual food intake, for the treatment of reference for physicians.
(4) to control the total calories, when hunger flu patients to increase their non-staple foodstuffs such as vegetables and bean products.
(5) there are plans to replace the food, so patients are eating tedious.

2. Nursing insulin
(1) the preservation of insulin: The long-term effect of insulin and insulin stable than ordinary. 5 ��?in the same circumstances, the former two to three years and three months for the latter, use the period to preserve at room temperature below 20 degrees.
(2) application of the conversion attention to the insulin.
(3) The dose must be accurate, the aspiration to avoid oscillation.
(4) combination of two insulin, insulin after the first formal suction aspiration fish sperm protein insulin.
(5) insulin injection site selection and arrangement, commonly used in the subcutaneous injection of insulin, loose skin to the election site, a planned rotation of the order by injection. To change each location, to prevent the injection site sclerosis organizations, the effects of a shrinking fat absorption of insulin, the injection site should be strictly disinfected to prevent infection.
(6) low blood sugar reaction: performance for fatigue, strong hunger and even death, if hypoglycemia reaction, immediately check for blood glucose, or sugar intravenous and oral glucose 40 m 50%, then so be patient sober eating, in order to prevent further coma.

[General nursing]

1. Of life, physical conditions permit, which can carry out proper campaign to promote the use of carbohydrates and reduce insulin requirements.
2. Pay attention to personal hygiene, prevention of infection, diabetes due to dehydration and decreased resistance, dry itchy skin easily, but also easy with skin infections, Cashen or to be bathed regularly to keep the skin clean. In addition, should avoid tight socks, shoes hard, and the arch Kui vascular occlusion occurred or skin damage caused gangrene infection.
3. Measurement of body weight on time for the catering and observation of the effect of reference.
4. Water access records when necessary.
5. 3-4 hours a day to stay urine sugar of qualitative and, if necessary, quantitative measurement 24 h urine sugar.

[Health Guidance]

1. Help patients (or their families) to acquire the treatment of diabetes knowledge, confidence in conquering the disease.
2. Qualitative help patients learn urine sugar tests, including reagent test strip of law and related matters.
3. Control diet therapy of specific measures, in accordance with the regulations calorie eating, regular eating, and avoid partial eclipse, with a fresh hunger strike, using light food, the menu diversification, and more fresh vegetables.
4. Application of hypoglycemic drugs, drug effects observed in patients with guidance, side effects and control of their approach.
5. Help patients and their families learn insulin injection technology, drug control programmes to observe common reaction.
6. Prevention and identification of hypoglycemia and ketoacidosis reaction methods and the treatment of low blood sugar reaction.
7. Attention to the skin clean, in particular, on foot, oral, genital cleaning, prevention of infection, inflammation, carbuncle and trauma to timely treatment.
8. MPA and avoid over exertion.
9. Regular outpatient review, usually accompanied attention when they go out in diabetes treatment cards.