The nurse is teaching a group of clients diagnosed with diabetes mellitus. which lesson

People diagnosed with diabetes must follow lifelong care plans to manage the disease. Nurses are at the forefront of educating and treating diabetic patients. While doctors may create a diabetes care plan, it usually falls to nurses to provide care and to educate patients about managing diabetes.

Diabetes is a complex disease that requires nurses to stay up to date on the latest approaches to managing the condition. RNs can gain expert knowledge and skills vital to improving diabetes care by completing an RN to BSN program. These programs offer additional training in evidence-based nursing care.

General Nursing Care

In the doctor’s office, nurses can assess patients before they see the doctor and then answer questions after the doctor’s visit. Nurses can also provide diabetic wound care. This care is important because diabetes slows the healing of wounds, especially on the feet.

In the hospital, nurses can look for signs that an undiagnosed person might have diabetes. Nurses know that diabetic patients are at higher risk for problems such as infections, disturbed sensory perception and nutritional imbalances. Nurses can identify these problems early and provide the needed care.

Nurses working with diabetic patients have five priorities, according to Nurselabs.com:

  1. Restore the balance of fluids, electrolytes and the acid-base balance
  2. Correct/reverse abnormal metabolic functions
  3. Help manage the underlying cause of diabetes and the disease process
  4. Prevent diabetic complications
  5. Educate patients about diabetes and how it affects the body, self-care and necessary treatments

Diabetes Educator

Beyond treating diabetic patients in a doctor’s office or hospital, nurses can take on the specialized role of diabetes educator. These educators teach people with diabetes to understand and manage the following:

  • How to change health habits, including making supportive food choices, exercising and quitting smoking, if applicable
  • How to use a blood glucose monitor to check blood sugar and track diabetes
  • How to use diabetes medications, including how to self-administer insulin shots
  • How to deal with an insulin reaction
  • How to recognize symptoms of low and high blood glucose and what to do if they occur
  • How to check feet for wounds that might require medical attention

Diabetes educators give diabetic patients the tools and ongoing support they need to follow their diabetic care plan in their daily lives. Nurses who choose to specialize in diabetes education can become a Certified Diabetes Educator through the National Certification Board for Diabetes Educators.

Beyond the BSN

Nurses who want to go further in treating diabetes patients can earn an advanced degree. Advanced practice registered nurses (nurse practitioners or clinical nurse specialists) can diagnose and prescribe medication and take on the added responsibilities of advanced diabetes management. They have the option of becoming board certified in Advanced Diabetes Management through the American Association of Diabetes Educators.

A nurse can work with diabetes patients on many levels, each of which is critical to helping the millions of people who must live with the disease. Ongoing education, be it an RN to BSN program or an advanced degree, is essential to providing the best possible care.

Learn about the Lamar University online RN to BSN program.

Approximately 29 million Americans live with diabetes, according to the Centers for Disease Control and Prevention (CDC). Type 2 diabetes is the most common, making up about 90 to 95 percent of all cases. So chances are, you know at least one person living with this disease.

Type 2 diabetes is very different from type 1 diabetes. A person diagnosed with type 1 doesn’t make any insulin, whereas people living with type 2 are insulin resistant, which can lead to a reduction in insulin production over time. In other words, their body doesn’t use insulin properly and also may not make enough insulin, so it’s harder for them to maintain a normal blood sugar level. Type 2 diabetes often has no symptoms, though some people experience symptoms such as including increased thirst, hunger, and urination, fatigue, blurry vision, and frequent infections. But the good news is that the disease is controllable.

If you know someone living with type 2 diabetes, you may be concerned about their health and well-being. This is a chronic illness requiring lifelong maintenance. You can’t remove the disease, but you can offer support, comfort, and kindness in a number of ways.

Needless to say, you want your loved one to stay healthy and avoid diabetes complications. The risk of type 2 diabetes complications increases when blood glucose levels aren’t properly managed over long periods of time. Complications can include heart attack, stroke, nerve damage, kidney damage, and eye damage.

It’s frustrating when a person with diabetes makes unhealthy choices, but there’s a thin line between providing ongoing support and nagging. If you start lecturing or acting like the diabetes police, your loved one may shut down and refuse your help.

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Some people living with type 2 diabetes manage their illness with insulin therapy or other diabetes medications, whereas others don’t need to take medications. Whether or not they take medication(s), it’s crucial to make healthy lifestyle choices, which includes adopting good eating habits.

For someone who is newly diagnosed, a change in eating habits can be a challenge, but it is critical to normalize blood sugar and avoid complications. Be a source of encouragement by first joining their education classes or meeting with their dietitian and learning the best diet strategies, and then helping them make better meal choices and doing it alongside them. If you eat unhealthy foods around them, this makes it harder for them to stick to a nutritious routine. Limit your intake of sugary drinks, as well as highly processed and prepared foods, in their presence. Instead, join them in experimenting with wholesome, diabetes-friendly recipes.

There’s no specific diabetes diet, but together you can plan meals including vegetables, whole grains, fruit, low-fat dairy, healthy fats, and lean protein sources. You’ll help your friend or relative manage their disease, plus improve your health. A healthy and balanced diet can help you shed excess pounds and reduce your risk of developing diabetes, heart disease, and other illnesses.

Whether your loved one is newly diagnosed or has lived with diabetes for years, the disease can be frustrating and overwhelming. Sometimes, people with diabetes need an outlet to express themselves and vent. Encourage the person to attend a diabetes support group, and offer to go along. Both of you can receive support and learn strategies to cope with your feelings and the disease.

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Be specific when making yourself available to help someone with diabetes. Statements such as “Let me know how I can help” are too broad and most people won’t take you up on the offer. But if you’re specific with the type of help you can offer, they may welcome the support.

For example, offer to drive them to their next doctor’s appointment, or offer to pick up their medication from the pharmacy. If you go to a doctor’s appointment, offer to take notes. This may help them recall important information later on. Also, don’t be afraid to ask the doctor questions. The more you understand about type 2 diabetes, the more quality support you can provide. Pick up a few pamphlets while in the office and educate yourself on how the disease affects people.

Sometimes, people with type 2 diabetes experience a drop in blood sugar. This can cause cloudy thinking, fatigue, and weakness. Find out if your loved one is at risk for low blood sugar, and then learn what the symptoms are and how to treat it if they are. Be mindful of these symptoms and speak up if you notice a change in their behavior. You may become aware of low blood sugar symptoms before they are.

If so, encourage them to check their blood sugar levels. It’s also helpful to discuss (in advance) what to do in the event of a blood sugar drop. Since low blood sugar can cause confusion, your loved one may be unable to articulate the steps to raise their blood sugar in the moment.

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Regular physical activity is just as important as a healthy diet for those managing type 2 diabetes. Being active and losing weight can lower blood glucose. And while sticking to a regular exercise routine can be challenging, it’s often easier to exercise when you’re accountable to someone. Offer to become workout buddies and get together a few times a week. The target for a week is 30 minutes of activity most days, though if you do vigorous activity, you can get away with three to four days a week. You can also break the 30 minutes down into 10 minute segments. You and your loved one can take three 10-minute walks after meals, or walk for 30 minutes in a row.

The most important thing is to pick something you both like to do. This way, you will stick with it, and it won’t feel like such a chore. Exercise options include aerobic activity like walking or biking, strength training, and flexibility exercises. This benefits both of you. You’ll have increased energy, less stress, and a lower risk of developing illnesses, including heart disease and cancer.

A diabetes diagnosis can be scary, especially since there’s always the risk of complications. Diabetes is the 7th leading cause of death in the United States, according to the Centers for Disease Control and Prevention. Although life-threatening complications can happen, you should keep conversations positive when speaking to someone living with type 2 diabetes. They are most likely aware of the possible complications, so they don’t need to hear about people who died from diabetes or had limbs amputated. Offer positive support, not negative stories.

You may feel helpless when a loved one is diagnosed with diabetes, but your strength and support can help this person get through the toughest times. Be positive, offer specific help, and learn as much about the disease as possible. These efforts may seem insignificant from your vantage point, but they can make a huge difference in someone’s life.

Valencia Higuera is a freelance writer who develops high-quality content for personal finance and health publications. She has more than a decade of professional writing experience, and has written for several reputable online outlets: GOBankingRates, Money Crashers, Investopedia, The Huffington Post, MSN.com, Healthline, and ZocDoc. Valencia has a B.A in English from Old Dominion University and currently resides in Chesapeake, Virginia. When she isn’t reading or writing, she enjoys volunteering, traveling, and spending time outdoors. You can follow her on Twitter: @vapahi

What will the nurse teach the client with diabetes regarding exercise?

Diabetes, exercise and ketoacidosis If you have type 1 diabetes and you are unwell, avoid exercise until you feel better. If your BGL is above 15 mmol/L and you have positive blood or urine ketones, you need to clear the ketones from your blood before beginning exercise. Extra insulin is needed to clear ketones.

What instructions does the nurse include in when teaching the diabetic client about proper foot care?

Diabetes Foot Care Guidelines.
Inspect your feet daily. ... .
Bathe feet in lukewarm, never hot, water. ... .
Be gentle when bathing your feet. ... .
Moisturize your feet but not between your toes. ... .
Cut nails carefully. ... .
Never treat corns or calluses yourself. ... .
Wear clean, dry socks..

What would be the best advice regarding physical activity for a person with diabetes?

The goal is to get at least 150 minutes per week of moderate-intensity physical activity. One way to do this is to try to fit in at least 20 to 25 minutes of activity every day. Also, on 2 or more days a week, include activities that work all major muscle groups (legs, hips, back, abdomen, chest, shoulders, and arms).

How do you cope with diabetes diagnosis?

Here are 10 tips that can help..
Pay attention to your feelings. ... .
Talk with your health care providers about your feelings. ... .
Talk to your health care providers about negative reactions other people may have about your diabetes. ... .
Ask if help is available for the costs of diabetes medicines and supplies..