How confident are you that you know what to do if your blood glucose is too low? Not confident Confident

How confident are you that you know what to do if your blood glucose is too high? Not confident Confident

(NOTE: We recommend assessment of barriers to achieving goals in the area(s) in which patients are having difficulty)

Figure 6.6. (continued)

patient for willingness to work on diabetes self-care, or educating the patient about the importance of self-care if he/she is not initially interested). This is also an excellent opportunity to flag often neglected issues, such as depression, stress, smoking or foot care, for both patients and physicians.

Medical Office-based Interventions PHYSICIAN EXAMINATION

The physician should begin by asking the patient what he/she would most like to discuss at that visit14'30. The two most important messages from the physician have to do with the seriousness of diabetes and the importance of patient behaviour in managing the disease. Following-up on the self-management form, the physician should address the area of greatest concern to the patient. This is an opportunity to both reinforce the patient's intention to make behaviour changes and educate the patient on the importance of diabetes self-care (e.g. 'Mrs. Gonzales, I'm glad to see that you'd like to focus on your diet. Following a low saturated fat diet will help you to manage your diabetes better and will also reduce your risk of heart disease'). The physician can then let the patient know that the nurse, nutritionist or diabetes educator will meet with him/her briefly after the examination to help them develop a specific plan for addressing changes in the self-care area.

Supplements For Diabetics

Supplements For Diabetics

All you need is a proper diet of fresh fruits and vegetables and get plenty of exercise and you'll be fine. Ever heard those words from your doctor? If that's all heshe recommends then you're missing out an important ingredient for health that he's not telling you. Fact is that you can adhere to the strictest diet, watch everything you eat and get the exercise of amarathon runner and still come down with diabetic complications. Diet, exercise and standard drug treatments simply aren't enough to help keep your diabetes under control.

Get My Free Ebook

Post a comment