The Management Of Patients With Diabetes - 1303 Words

Diabetes mellitus MANAGEMENT The management of patients with diabetes is classified in the current review under the following categories: a) Non-Pharmacological, b) Pharmacological, c) Monitoring of glycemic control, d) Prevention, e) Clinic organization and f) Referral and admission. The psycho-social impact of the disease should not be underestimated. Doctors should learn the communication skills as well as the skills of breaking bad news to patients when informing them of the diagnosis for the first time. These skills will no doubt enhance their ability to detect and treat psychological disorders associated with diabetes. The patient may experience various degrees of anxiety and fear of complications, or may be affected socially as†¦show more content†¦Insulin therapy is a necessary part of management for the majority of people with type 2 diabetes who survive the disease for 5 to15 years. Therefore, it is important to prepare people with type 2 diabetes, well in advance, that insulin will almost certainly be required at some stage, due to the progressive nature of the disease. Insulin Glargine is a good choice for patients who suffer from frequent hypoglycemic attacks as it causes significantly less nocturnal hypoglycemia than NPH, thereby, reducing a leading barrier to initiating insulin. If fasting glucose is normal, while daytime glucose levels are above target levels, an intermediate-acting insulin, 6 to 10 units at breakfast time, should be added. Metformin should be continued when insulin is added. The combination therapy with Metformin and insulin improves glycemic control and reduces insulin requirements. c. Monitoring of Glycemic Control Ã'â€". Blood Glucose Targets HbA1c levels should be as close to physiological levels as possible, preferably less than 7%. Regular monitoring of HbA1c results in improvement of metabolic control, and fewer hospitalizations prompted by poorly controlled glucose levels.27 Lower HbA1c targets are particularly advisable for young people, in the first few years after diagnosis of diabetes, in the presence of complications of diabetes or multipleShow MoreRelatedImproved Management Of Diabetes Patients1609 Words   |  7 PagesImproved Management of Diabetes Patients in Rehabilitation Settings Finie M Hardie Capella University Orientation to Graduate Nursing Study Unit 3 Assignment Improved Management of Diabetes Patients in Rehabilitation Settings The purpose of this paper is to take a specific subset or population of patients and study the current interventions provided to them as diabetes patients in Rehabilitation Settings. Then, improvements will be proposed to improve patient outcomes in this same setting. 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