Obesity, hypertension, smoker and works at a computer all day & is 52 years old.
BMI>30, eats cardiac diet, trains for half marathons but exercising 6 days a week, 60+ minutes each time.
Hypertension, normal cholesterol panel, exercises 4 times a week, mid twenties and drinks/smokes socially.
Fasting blood sugar of 74 and HbA1C of 4.0
Blood sugar 2 hours after eating of 110 and HbA1C of 5.7
Fasting blood sugar of 145 and HbA1C of 7.8
Blood sugar before a meal of 89 and HbA1C of 5.0
I take my metformin before breakfast and dinner
I try to follow a low fat, salt and carbohydrate diet but I love to have sweets once in a while.
I check my blood sugars before every meal so I know how much novolog I need from my sliding scale.
I cannot give up my bread and pasta and since I don't like how lantus makes me feel, I only take it when I know I will be home for the night.
Numbness and tingling in feet, high energy and increase appetite
Polyuria, night sweats and insomnia
Blurred vision, open areas on foot that don't cause pain, & cotton mouth
Normal vision, muscle spasms at night and frequent urination.
Peripheral vascular disease
1. Go find a glucometer and monitor the patient’s blood sugar.
2. Perform a complete head to toe assessment on the patient.
3. Ask the nursing assistant to help the patient to the bathroom.
4. Get the patient orange juice, and then monitor the patient’s blood sugar while the patient is drinking the orange juice.
Recorded blood sugars that patient records at home
Diet that includes a daily journal of patient's food intake
Hemaglobin A1C, fasting serum blood sugar and complete lipid panel
1. The patient thought ¼ of the plate should be protein.
2. The patient thought ¼ of the plate should be starches.
3. The patient thought ½ of the plate should be vegetables.
4. The patient used a 12 inch plate.
1. Assist the patient with the trimming of the toenails.
2. Instruct the patient to stop, and then offer further instruction on diabetic management.
1. Instruct the patient to stop, and then offer further instruction on diabetic management.
4. Assist the patient to cleanse the toenails to prevent future infections of the feet.