The Diabetes Care requires the efforts of a team composed of patient, doctor, nurse, health educator, nutritionist, pharmacist and others, and undoubtedly the patient is the focus of this team. The patient should learn what to do to take good care of diabetes.
There are three main bases for diabetes care:
- Things to do daily for diabetes care.
- Things to be examined by the doctor at each visit.
- Common things between the patient and the doctor are conducted once or twice a year.
A daily log of blood glucose tests should be maintained as this information will help to determine the best way to achieve the patient’s care goals.
What should a diabetic do every day?
- Follow a healthy diet plan developed by a doctor which is strictly adhering to diet, and eat meals and snacks at the same time almost every day.
- Exercise a total of 30 minutes a day, and consult your doctor to see the best activities for the patient.
- Take sugar medicine at the same time daily.
- Check blood sugar daily and record the result on the patient’s diabetes record, and contact your doctor if the values are too high or too low for 2-3 days.
- Examine the feet daily for wounds, blisters, ulcers, swellings, redness and nail damage.
- Cleaning the teeth with the thread with care of the gums daily.
- Refrain from smoking and alcohol because smoking slows the flow of blood to the feet and legs and makes ulcers and infections difficult to heal, in addition to of course known risks on the heart and blood vessels.
It should be noted that a diabetic should always carry a card, a bracelet or a special identity that shows that he has diabetes, as well as information that helps to help him in cases of fainting.
What should a doctor check on each visit for diabetes care?
- Review the blood glucose analysis log.
- Patient weight.
- Measuring blood pressure.
- Review the diabetes medication plan.
- Examination of the feet especially with regard to examination of the nerves and arteries of the feet.
- Plan of physical activity and exercise.
- Plan the food.
- Psychological Intensity: The patient should be taught the best way to deal with stress, stress and daily stresses.
- Smoking: Help the patient stop smoking if he is a smoker.
What should the doctor and patient do once or twice a year?
- Hemoglobin A1C:
And is conducted at least twice a year, and is necessary to know the rate of control of blood sugar in the middle of the past three months.
- Blood lipids:
Cholesterol: The target is less than 100 mg / dl.
Low-density lipoproteins LDL: Target less than 130 mg / dl.
High-density lipoprotein (HDL): The target in men is more than 35 mg / dL and in women over 45 mg / dl.
Triple glycerides: Target less than 150 mg / dl.
The results of these analyzes will help develop a plan to prevent heart attacks and strokes.
- Kidney function analyzes:
Examine urine for protein, blood test (creatinine, urine, uric acid) in search of protein breakdown products. The results of these analyzes will help maintain the college and its work well.
- Examination of the eye after enlargement:
It uses an extended drop of the eye (black central area of the eye) and examines the bottom of the eye each year to look for retinal problems and detect them before the symptoms occur in the patient.
- Examination of teeth twice a year when the dentist.
- Give the flu vaccine annually:
Because the flu infection in a diabetic may be very serious.