Diabetes

What Is Non-insulin Dependent Diabetes?

Non-insulin dependent diabetes or Type II Diabetes is the most common type of diabetes. With Type II diabetes, your body can not use the insulin it makes. For proper metabolism of food, insulin is essential. Low insulin levels lead to increased blood sugars. To lower the levels of blood sugar, some people may need insulin injections or oral medications.

Signs And Symptoms Of Diabetes:

Type II symptoms can be easily neglected. They may include fatigue, increased appetite, skin infections, very tired, slow healing wounds, frequent urination, dry, itchy skin, unexplained weight loss, and recurrent vaginitis.

Report And Escalate To Care Teams

• For blood sugar levels greater than 300 or less than 60 notify a physician unless otherwise specified.
• If blood sugar is low, eat some form of glucose or carbohydrate and contact your physician if symptoms persist.
• Report a variation on the biometrics and general condition of the patient to care teams
• Escalate any new symptoms or concerns of the patients to care team for Care Plan Modification

Management Of Diabetes

• Follow prescribed/sensible diet
• Monitor blood sugars
• Maintain ideal weight
• Exercise regularly per doctors order
• Treat infections promptly
• Avoid nicotine
• Diabetics should carry sugar or alternates source at all times

Patient Education

• Teach the patient about the hypoglycemic agent, including action and dosage.
• Teach the patient signs & symptoms of hypo, hyperglycaemia, and report to the physician.
• Teach the patient about the disease process of Diabetes
• Teach the patient to manage illness

GOAL

Our care delievery goal is to help patients achieve and maintain their maximum level of independence and wellbeing. Patient education coupled with skilled services, enable patients to be safe in their homes when no home care is required.

Which Patients Benefit?

• Recent hospitalization
• Recent initiation of insulin therapy or oral therapy
• Diagnosis or recent onset of disease
• Recent initiation of glucose monitoring device
• Diabetic requiring adjusted dietary management
• Diabetic requiring medication adjustments
• Significant glycosuria
• Recent hospitalization
• Labs HgbA,C
• Wound Care
• Frequent Emergency Room visits (three or more over six months) indicate the need for a skilled nurse to educate the patient about the disease process and management
• Diabetic indicators are symptoms like polyuria, weight loss, drowsiness, visual disturbance, skin infections, pruritus, UTI.

How Home Care Assists Patients With Diabetes?

• Observation and assessment
• Weight monitoring
• Management and evaluation
• Safety education
• Energy conservation
• Compensatory techniques
• Medication education
• Assistance with ADL’s
• Fluid intake education
• Transfer techniques
• Diuretic therapy
• Ambulation techniques
• Electrolyte replacement
• Physical therapy
• Disease process education
• Occupational therapy
• Cardiac assessment
• Speech therapy