Diabetes Case Study

Question 1

Borderline Diabetes

Answer 1

1. Pre-diabetes is reversible w/ a much higher risk of getting diabetes.
2. Can be reversed with diet and exercise / lifestyle changes

Question 2

Random Glucose

Answer 2

140-199 = Pre-diabetes

Over 200 = diabetes

Question 3

Minimize risks from getting Diabetes from Pre-diabetes

Answer 3

1. Diet – less saturated fats
2. Lose weight -exercise
3. Follow up with Doc

Question 4

Diabetic Medical Nutrition Therapy

-Teaching

Answer 4

1. No fast food - come up w/ meal plan
2. Dietitian / Diabetic Educator to help w/ meal plan
3. Purpose is to maintain glucose in target range
   Control HTN and Lipids // HEART DISEASE is #1 killer

Question 5

Diabetes and Exercise

-education

Answer 5

1. Wear medic alert bracelet
2. Teach signs and symptoms of hypoglycemia
3. Carry glucose source during exercise
4. It will help control cholesterol and other risk factors

Question 6

Glucose Monitoring

-Teaching

Answer 6

1. Keep a record

2. Demonstrate use of meter and drawing up insulin

Question 7

Diabetic Pharmacological Therapy

-Teaching

Answer 7

1. Know the names/Actions/storage/adverse reactions of oral hypoglycemics
2. Take med as prescribed

Question 8

Neuropathy & Diabetes

Answer 8

1. Inspect feet daily especially between toes
2. Proper fitted shoes
3. Treatment is aimed at symptom relief / prevention of progression
4. Check bathwater temp
5. moisturize w/ nonalcoholic lotion daily

Question 9

Diabetic risk of complications

Answer 9

Macro-vascular Disease

1. CAD
2. CVD, PVD, Renalopathy Retinopathy

Question 10

3 Interventions to reduce risk for macro-vascular disease

Answer 10

1. Weight-loss from diet and exercise
2. Stop Smoking
3. Monitor and treat HTN
4. Lower cholesterol and control BS

Question 11

Pregnancy and Diabetes

Answer 11

1. Women should have normal BS and HbAlc for 3-6 months prior to pregnancy and should be maintained during pregnancy
2. Women should move from oral hypoglycemics to insulin when pregnant