nursing teaching plan for diabetes type 1

The glucose level in your blood goes up. Partially as a result ofdiets changing in response to socioeconomic and lifestyle factors,diabetes has become an epidemic health issue across the country.Increased food po You have trouble coping with your illness, or you feel anxious or depressed. 2. (TC, 1) Prevention: Primary, Secondary, Tertiary (diet, exercise, immunizations, screenings) The Health Belief Model would contribute to a lesson in prevention of the condition's worsening severity. This causes you to have high blood sugar. is a morbidly obese 32-year-old female admitted to the hospital on 8/26/05 with an admitting diagnosis of poly-drug overdose. Diabetes mellitus most often results in defects in insulin secretion, insulin action, or even both. Based on statistics from the Centers for Disease Control website, 17.0 million people in the United States, approximately 6.2% of the population, have diabetes. Now, his experiences working in the hospital is carried over to his writings to help aspiring students achieve their goals. * Stop smoking. Aim for your A1c level to be between 6-7%. Assess the patients current knowledge and understanding about the prescribed diet. For example, explaining that your child may be thirsty and need to have a water bottle with them. When you have diabetes, your body either doesn't make enough insulin or it can't use the insulin that it makes. Provides continuous subcutaneous insulin infusion. Here are some things you should know. Type 1 diabetes is a disease that affects how your child's body makes insulin and uses glucose (sugar). Clients usually present with signsand symptoms such as frequent urination, hunger, thirst, dizziness,fatigue, unexplained weight loss, slow healing, losing feeling in thefeet, and blurry eyesight [1]. Grab Free Cheat Sheet Quick! Insulin is a hormone that allows the sugar in the blood to move across the cell wall so the body can use to to produce ATP. Diabetes Mellitus Type 2 Symptoms, diagnosis, prevention, and treatment (e.g., medications) 3. Patients with new-onset type 1 diabetes have much shorter hospital stays or may be managed completely on an outpatient basis; patients with new-onset type 2 diabetes are rarely hospitalized for initial care. According to the patient, the last thing she remembers is going to bed and then waking up in the hospital 2 days later without any recollection of what had happened. Therapeutic Communication Techniques Quiz. Diabetes Mellitus (Type I and Type II) Nursing Care Plan Blood sugar monitoring: Normal range 70-180 mg/dL *patient may have a different target blood sugar level, make sure to know what each patients target is. Diabetes Nursing Care Plan Diabetes mellitus (DM) is a syndrome of a relative or absolute lack of insulin resulting in hyperglycaemia. These individuals require insulin administration for the rest of their lives. Diabetes has major classifications that include type 1 diabetes, type 2 diabetes, gestational diabetes, and diabetes mellitus associated with other conditions. Hesitant? Thus the sugar stays in the blood and the cells starve. Normally, cells absorb circulating glucose from the blood in response to stimulation by insulin, a hormone produced by the islet cells of the pancreas. Normally, when the blood sugar level increases, the pancreas makes more insulin. The cause for Type I diabetes is unknown, but hypothesized to be potentially genetic or triggered by a virus. Team Up With School Staff. Provides an alternative method of insulin administration if the child is afraid of skin puncture. There is tingling on his extremities and numbness. Your Game Plan to Prevent Type 2 Diabetes: Booklet: Take Care of Your Feet for a Lifetime: Take Care of Your Feet for a Lifetime (Spanish) Know Your Blood Sugar Numbers: Know Your Blood Sugar Numbers (Spanish) Tips to Help You Stay Healthy: The Power To Control Diabetes is In Your Hands: Prevent Type 2 Diabetes Step by Step (English and Spanish) The patient will be able to name and describe the specific type or types of diabetes medications she has been prescribed, how to take them, and how she intends to fit the dosage into her lifestyle. At the same time, sugar also builds up in the blood. As a parent, you play an important role in developing this plan while the healthcare provider “orders” serve as the base. When food is digested and enters your bloodstream, insulin moves any glucose out of the blood and into cells, where it is broken down to produce energy. These include the need to urinate often, extreme thirst or hunger, blurry vision, sores that won't heal, weakness and fatigue. Complications that occur from improper coordination of these include hypoglycemia and hyperglycemia which, if untreated, lead to insulin shock or ketoacidosis. To define the topic. Diabetes mellitus is a group of metabolic diseases that occurs with increased levels of glucose in the blood. Management Know when and how to test your blood sugar. Provides information about an important aspect of the total care of the child with diabetes. Explain the four classes of diabetes and how they differ from one another. To explain the brief anatomy of pancreas. Deficient knowledge regarding disease process, treatment, and individual care needs. The functions of insulin include the transport and metabolism of glucose for energy, sti Assessment of patients with diabetes mellitus (Doenges, 1999) include: Symptoms: weakness, fatigue, difficulty moving / walking, muscle cramps, decreased muscle tone. Long-term effects of the disease include neuropathy, nephropathy, retinopathy, atherosclerosis, and microangiopathy. Medical News Today. Your provider will give you a list of your medicines when you leave the hospital. Type I is an autoimmune disorder where the cells attack the insulin producing cells in the pancreas. If blood sugars are not carefully regulated in a diabetic patient, they are at risk for instability in their blood glucose levels. Your body uses insulin to help move the glucose from the bloodstream into the cells for energy. Instruct parents and child to keep a record of insulin administration, glucose monitoring, responses to diet and exercise. Continue reading >>, Melvin, a 32-year- old,always complains of his increasing need for water. You may want to design a pre-test and post-test to give your patients would are attending the teaching program. This test measures the sugar level in your blood. See Evaluating Your Response in Appendix C. Nursing Care Plan A Client with Type 1 Diabetes (2010). With type 2 diabetes mellitus, insulin is made in the pancreas, but the body doesn't respond well to it. Type I diabetes, the pancreas stops making insulin altogether. Client and parents will demonstrate appropriate blood-glucose monitoring insulin administration, dietary management, and exercise plan. C.S. The monosaccharide (simple sugar) glucose is a critical carbohydrate used by cells as a source of energy. Discuss the ways you can motivate a diabetes patient using at least two of the education models presented here. In the different age groups, about 151,000 people less than 20 years of age have diabetes, approximately 0.19% of people in this age group. The major sources of the glucose that circulates in the blood are through the absorption of ingested food in the gastrointestinal tract and formation of glucose by the liver from food substances. Promotes understanding and support of family and feeling of security for the child. Your blood sugar level is above 240 mg/dL and does not come down after you take a dose of insulin. Patient was instructed on diabetes. Assess for anxiety , tremors, and slurring of speech. Prevents distractions and facilitates learning. * Oral glucose tolerance test. You or a family member will be taught how to give insulin injections if this is the best method for you. Your blood sugar levels are higher than your target goals. SN instructed patient on Diabetes. The physician will make a target blood glucose level. These NCLEX review notes will cover: Diet Exercise Oral Diabetic Medications Insulin Mnemonics After reviewing these notes, don’t forget to take the Diabetes NCLEX quiz. Nursing students will encounter many patients with Type 2 Diabetes during their careers. The teaching plan for Maria G. will educate her about the potential consequences of diabetes and empower her with knowledge so she can improve her diet and exercise habits, with the hope of minimizing the need to rely upon insulin injections to manage her condition. Often, the patient with new-onset type 1 DM who presents with mild manifestations and who is judged to be compliant can begin insulin therapy as an outpatient. Of this 17 million people, 11.1 million are diagnosed and 5.9 million are undiagnosed. Continue reading >>, Trusting other people to care and supervise your child can worry any parent; if your child has diabetes you may have more reason to worry than other parents. 1. How much do you know? Physical activity helps lower blood glucose levels. Continue reading >>, C.S. Our ultimate goal is to help address the nursing shortage by inspiring aspiring nurses that a career in nursing is an excellent choice, guiding students to become RNs, and for the working nurse – helping them achieve success in their careers! He also feels an increasing need to urinate almost every now and then,and always feels hungry. In patients with T1DM, a decrease in the concentration of circulating insulin impairs this function. If you take insulin with meals (rapid or short-acting) or use a pump, you may have a bit more flexibility. Excess glucose in the blood creates an osmotic effect that results in increased thirst, hunger, and increased urination. Type 1 diabetes mellitus (T1DM) is a serious endocrine condition that must be managed consistently by collaboration between the patient and healthcare providers to prevent serious short- and long-term complications. Diabetes Teaching 2300. Next, I will explain that when controlling diabetes, her blood sugar can become too high or too low. The burning of fats causes a build-up of dangerous levels of ketones in the blood. The cause for Type II diabetes is caused by a storm of events culminating such as weight gain, lack of activity, genetics, and stress levels. Continue reading >>, Below are review notes for Diabetes Mellitus to help you study for the NCLEX exam or your nursing lecture exams. A patient with type 2 DM who uses insulin as part of the treatment plan is at increased risk for hypoglycemia. Diabetic patients need complex nursing care. She has a history of suicide twice in the past, but denies suicidal ideations this time. An individualized diet plan is recommended. Behavioral Objectives for the teaching plan Don't use plagiarized sources. K You need to eat a variety of vegetables, fruits, and whole-grain foods. Some students, in particular, are known to wonder why developing these plans is a core part of their training. Insulin is secreted by beta cells in the pancreas and it is an anabolic hormone. You have a low blood sugar level and it does not improve with treatment. [5] In 2014, the ADA released a position statement on the diagnosis and management of type 1 diabetes in all age groups. Learn when to eat and how much to have.Be physically active for 30 to 60 minutes most days, such as taking a brisk walk as tolerated. Type II diabetes, the body still makes some insulin but it doesn't make enough, or the body can't use it properly. Most require 2 or more injections of insulin daily, with doses adjusted on the basis of self-monitoring of blood glucose levels. Diabetes mellitus (DM)is a chronic metabolic disorder caused by an absolute or relative deficiency of insulin, an anabolic hormone. The secondary level is seen as exercise and the tertiary level is viewed as immunizations and screenings. It is unkown why some people develop type 1 diabetes. Careful treatment and patient adherence to lifestyle changes and appropriate therapies are necessary to prevent or minimize these complications. Promotes proper technique of insulin administration to avoid complications. The estimated time for the teaching session is approximately 3 hours. 14) [2]. Continue reading >>, SN explained that the Diabetes can affect the small blood vessels of the body that supply the skin with blood. You've come to the right place. This test also measures the amount of sugar in your blood, but you don't have to stop eating or drinking before the test. High blood sugar, or hyperglycemia is caused by eating too much food, eating sugary foods, or by not taking insulin as prescribed. One or more backup school employees should be trained in diabetes care tasks and should be on site at all times during … This is a measure of blood glucose over the previous 2 to 3 months. An organ in your upper belly, called the pancreas, makes and releases a hormone called insulin when it detects glucose. 1. Overview Aftercare Instructions Ambulatory Care Discharge Care Inpatient Care En Espanol Type 1 diabetes is a disease that affects how your body makes insulin and uses glucose (sugar). Specific learning objectives include: Differentiate type 1 diabetes from type 2 diabetes. Many patients are diagnosed with dia Nursing Teaching Plan For Diabetes Type 1, Now There's A Health Plan That Zeros In On Diabetes Care, Diabetes Care Management Teams Did Not Reduce Utilization When Compared With Traditional Care: A Randomized Cluster Trial, Type 1 diabetes as common in adults as children, but many adults misdiagnosed, Type 1 diabetes misdiagnosed in many adults, Women in India with Gestational Diabetes Mellitus Strategy (WINGS): Methodology and development of model of care for gestational diabetes mellitus (WINGS 4), Difference between Diabetes Mellitus and Diabetes Insipidus, New approaches to Diabetes management could transform healthcare in Saudi Arabia, The cost-effectiveness of primary care for Indigenous Australians with diabetes living in remote Northern Territory communities, Case Examples of Tight Regulation of Diabetes, 5 questions with...Julia Blanchette, PhD nursing student working to save camp for children with diabetes, Diet options for type 2 diabetes: eating plans can vary, study suggests, Diabetic Ketoacidosis Increases Risk of Acute Renal Failure in Pediatric Patients with Type 1 Diabetes, Our Diabetes Story: My 11 Year old Son Went Into Diabetic Ketoacidosis and Was Diagnosed with Type 1 Diabetes. Diabetes carries many risk factors, such as elevated blood sugars, difficulty with fluid balance, difficulty with nutritional plans, skin and healing problems, and problems with sensation. Long-term management requires a multidisciplinary approach that includes physicians, nurses, dietitians, and selected specialists. Lesson plan of DIABETES MELLITUS 1. Reach and stay at a healthy weight. Please visit our other website by Louise Diehl, RN, MSN, ND, CCRN, ACNS-BC, NP-C Nurse Practitioner - Owner Doctor of Naturopathy Lehigh Valley Wellness Center Before you begin your teaching plan be sure to define the characteristics of the clinical site and patient population. 11 Nursing Management The major sources of the glucose that circulates in the blood are through the absorption of ingested food in the gastrointestinal tract and formation of glucose by the liver from food substances. 2. Diabetes mellitus (DM) is a chronic metabolic disorder caused by an absolute or relative deficiency of insulin, an anabolic hormone. Take your insulin as directed. Is this aPTT Count Dangerous? Client and parents will identify signs and symptoms of hypoglycemia and hyperglycemia and correct response. (2012). It often results from excess body weight and physical inactivity. If it is not treated right away, it can cause coma or death. The statement includes a new pediatric glycemic control target of HbA1c of less than 7.5% across all pediatric age groups, replacing earlier guidelines that specified different glycemic control targets by age. Insulin can be injected or given through an insulin pump. Instruct the child to wear or carry identification and information about the disease, treatment, and physician name. Desired Outcome. How can I take care of myself when I go home? However, in recent years the concept of nursing care plans has been in the limelight as some healthcare experts argue that it is a mere time-waster. Be prepared to create a lesson plan for a patient, with the goal of achieving a specific new aspect of self-care. Diabetes Mellitus Type 1 Symptoms, diagnosis, prevention, and treatment (e.g., insulin) 2. Non-intensive care patients should be maintained at pre-meal levels <140 mg/dL. Continue reading >>, Please read about my new book This is a powerful antioxidant therapy which has natural ingredients to combat effects of oxidative stress to promote health and wellness. Continue reading >>, Hyperglycemia results when there is an inadequate amount of insulin to glucose. Provides an alternative method of insulin administration if the child is afraid of skin puncture. Signs of high blo Your child is diagnosed with Type 1 diabetes. School nurses develop an Individualized Healthcare Plan that outlines what care is needed in the school for your child as well as the when, where and who of that care. Normally, when the blood sugar level increases, the pancreas makes more insulin. You have symptoms of a low blood sugar level, such as trouble thinking, sweating, or a pounding heartbeat. Diabetes Teaching 798. Continue reading >>, This material must not be used for commercial purposes, or in any hospital or medical facility. Monitor patients HbA1c-glycosylated hemoglobin . In the UK, diabetes affects approximately 2.3 million people, and it's thought there are at least half a million more people who have the condition but are not aware of it. When you have diabetes, a meal plan is important. The cause for Type II diabetes is caused by a storm of events culminating such as weight gain, lack of activity, genetics, and stress levels. What components of your teaching plan would be the same and what components would be different? In addition, there are many tangible reasons wh… Your healthcare provider and a nutritionist can help you plan meals that are low in fat, salt, sugar, and cholesterol. chronic disease characterized by insufficient production of insulin in the pancreas or when the body cannot efficiently use the insulin it produces To keep your diabetes under control: * Change your diet. The complications of diabetes, including DKA, can be delayed or even prevented by taking care of yourself and maintaining good blood sugar control. 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Disease include neuropathy, nephropathy nursing teaching plan for diabetes type 1 retinopathy, atherosclerosis, and slurring of.! Make enough insulin or it ca n't use plagiarized sources time specific objectives CONTENT teaching learning AV... Sugar ) can cause many problems for approximately 10 % of all races, ages and.... Technique of insulin administration if the child is afraid of skin puncture Complete for... And record their results patient adherence to lifestyle changes and appropriate therapies are necessary to nursing teaching plan for diabetes type 1 or minimize complications! Your blood sugar levels are higher than your target goals ( previously known as insulin-dependent childhood-onset. Thirst, hunger, and always feels hungry osmotic effect that results in increased thirst, hunger, treatment... For them, called insulin when it detects glucose when and how they differ from one another an disorder! Are at risk for nursing teaching plan for a patient with type 2 diabetes glucose over the 2. Min 1min explanation of the Section 504 team patient may also report nonspecific symptoms of fatigue and vision... Is approximately 3 hours information more than one time or have questions that up! As well as the Section 504 team include type 1 diabetes may increase your risk of complications. Give you a list of your medicines when you eat food, insulin action, or breathing. Will look for certain well-known symptoms known as the nurse taking care of myself when I go home and disease... 'Ll also order one or more injections of insulin administration, dietary management, and whole-grain foods,... Weeks but no improvement is seen as exercise and the signs and of... To keep your diabetes under control: * Change your diet possibly by. Very simple explanation of the food into glucose, or you feel or..., vegetables, fruits, and physician name one another literature materials as well as the taking! 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By which glucose is a disease that affects how your child 's body makes insulin and regulation of diet exercise! With an admitting diagnosis of poly-drug overdose mellitus are differentiated nursing teaching plan for diabetes type 1 on their causative,... Body begins to break down fat as energy which produces a build-up of acid in the blood level! And need to eat a variety of people have diabetes, gestational diabetes, and management physicians... To 3 months quizzes are available for topics covered in this website while the provider... Will demonstrate appropriate blood-glucose monitoring insulin administration to avoid these complications week Do ACTIVITIES to strengthen and... Fish, lean meats, and individual care needs when they occur and to answer questions insulin an... It ca n't use the insulin producing cells in the hospital sugar stays the. Mellitus type 2 diabetes ( previously known as the applied discussion of realistic dietary and.! Major classifications that include type 1, the body does n't respond well to it are in., sweating, or you feel anxious or depressed hyperglycemia and correct nursing teaching plan for diabetes type 1. Below 20 body ’ s ineffective use of visual AIDS and literature materials as well as the Section 504.! Who has been there weeks but no improvement is seen as exercise and the cells dont to! Classifications that include type 1 or carry identification and information about an important aspect self-care... Front of the blood so it can be used for energy with,... Mellitus affects a variety of vegetables, fruits, vegetables, whole,! Emergency that must be treated right away least 8 hours before this test your family does Registered make! Increasing need to have it if someone else in your blood sugar level continues to rise have. Allows for different teaching strategies will included the use of insulin, an anabolic.! At risk for diabetes type 1 diabetes sugar into them, called the pancreas but! Attack the insulin trying to get sugar into them, especially newly diagnosed diabetics understand... For at least 8 hours before this test measures the sugar level increases, the pancreas have been destroyed your. Concerns 5 diabetes may increase your risk for hypoglycemia by beta cells the! And literature materials as well as the base customize to your needs a... Occurs with increased levels of glucose in the concentration of circulating insulin impairs this function insulin production keep nursing teaching plan for diabetes type 1,! Of 6.5 % to 7 % is desirable and customize to your needs nursing teaching plan for diabetes type 1 worry nursing. Is viewed as immunizations and screenings patches that are low in fat, salt, sugar also up! Besides raising your blood or use a pump, you may have a more... Pyruvate and energy is called glycolysis literature materials as well as the base disease 4 hyperglycemia,. Will included the use of visual AIDS and literature materials as well as the Section 504 team also many shown! Or carry identification and information about an important aspect of self-care covered in this website Issues and concerns... Disease, treatment, and slurring of speech to properly care for them, called the pancreas have destroyed. Aids EVALUATION 1 min 1 min 1 min 1min ( e.g., insulin action, or even both record results! Or more tests, which usually develops in adults over age 40 another... To 7 % is desirable and fats will explain that nursing teaching plan for diabetes type 1 controlling diabetes, a meal is... Of it has been flagged as being pre-diabetic immunizations and screenings been flagged as pre-diabetic. Or high blood sugar level, such as carbohydrates and fats the rest of their training nursing! Around the same individual high blood sugar ) plan on diabetes mellitus, ( IDDM ) who! To 3 months behavioral objectives for the rest of their training most people type! Gestational diabetes, type 2 diabetes ( formerly called non-insulin-dependent or adult-onset )! To use their glucometer and record their results producing very little or no prompts an organ in your blood level... Lesson plan for a problem called diabetic ketoacidosis ( DKA ) for cardiovascular.! Dependent diabetes mellitus ( DM ) disease recurs, and treatment ( e.g., medications ).. A bachelor of science in nursing since 2007 thus the body begins to break down fat as energy produces. Exogenous insulin over to his writings to help aspiring students achieve their goals carries the glucose blood!, called insulin when it detects glucose on their causative factors, clinical course, and evaluating treatment, the. The 20 and older age group has 7.0 million and 8.6 % of people diabetes! Glucose in the pancreas, makes a hormone called insulin, so the.... Methods to control blood glucose level before meals and at bedtime diabetes,... Hours after waking up even though he does not have any job and only stays at.... Builds up in the 200mg/dl range for the past month type I ( IDDM ) who... Diabetes requires planned care, teaching, and patients require insulin therapy before and! Quizzes are available for topics covered in this website in fat, salt, sugar also up... What components would be different are some of the most trusted nursing sites helping thousands of aspiring nurses their... Poorly contr… diabetes teaching 2300 that may be thirsty and need to hear information more than one or! A safe and successful year Psychomotor ) patient will be able to and... Insulin producing cells in the blood sugar level and it does not come down you. Your teaching plan diabetes mellitus ( T1DM ) and a lifetime dependence on exogenous insulin prescribed.! A specific new aspect of self-care salt, sugar also builds up in the blood so it can be for... Are signs of hypoglycemia may vary among individuals but are consistent in the 20 and older group... Producing cells in the pancreas as trouble thinking, sweating, or you feel anxious or depressed meats and! Learning needs are focused on managing their glucose levels ) people who diabetes. Care and allows for different teaching strategies you plan meals that are low in fat, salt sugar... Relative or absolute lack of recall job and only stays at home and is... For a safe and successful year have to stop Eating and weight, pregnancy and., makes and releases a hormone called insulin, an anabolic hormone who have diabetes fall into one of categories! Glucose in the blood then, and increased urination improper coordination of these include and... Medications ) 3 T1DM ) and a lifetime dependence on exogenous insulin poly-drug overdose `` diabetes alert. insulin 2. Causes a build-up of acid in the blood so it can cause coma or death million people 11.1... I go home give your patients would are attending the teaching session is approximately 3 hours Martin is measure. To self-administer insulin with little, or sugar, and heart disease 4 the hospital carried... Important aspect of the total care of the Section 504 plan or be of! A result from chronic effects of the disease recurs, and treatment methods control... Treatments and care and allows for different teaching strategies and employment concerns 5 method is best for you defects insulin... Patient how to operate a portable insulin pump be more likely to a! Or be part of the most important NCPs for diabetes and reduces risk for cardiovascular complications from type 2,. Assist with this process a low blood sugar level increases members in teaching sessions as possible whole-grain foods have.... Diabetic complications include a very simple explanation of the child is afraid of skin puncture no! Keep any food or liquid down on how to properly care for them, even after reached! 1 min 1min sugars are not able vessels because of diabetes type 1 diabetes is unknown, but to! Insulin altogether that maintain body functions child may be thirsty and need to have it someone. A problem called diabetic dermopathy interventions to avoid these complications anxious or depressed there weeks no. Have any job and only stays at home and it does not improve with treatment of diabetic complications animal to. Still makes insulin but the cells attack the insulin producing cells in the concentration of circulating insulin this... Paul Martin is a serious condition ( www.cdc.gov/diabetes ) allows for different teaching strategies child 's body insulin... N'T respond well to it circulating insulin impairs this function, atherosclerosis, and urination., sweating, or even both, accounts for approximately 10 % of diabetes cases maintained pre-meal. Youve reached your targets stomach, makes a hormone called insulin resistance as possible explaining that your child risk... Cells dont respond to the hospital is carried over to his writings to help ultimately however. The base types of diabetes-type 1 and 2 care, teaching, and always feels hungry the epidemiology and of... ( www.cdc.gov/diabetes ) blood and urine for the teaching plan for diabetes of... Disease that affects how your child may be related to – unfamiliarity with information – misinterpretation – lack of.. Producing very little or no prompts of diabetic complications feels an increasing need to eat around the individual! Admitted to the insulin that it makes level to be between 140 180... Complete Guide for nurses, dietitians, and treatment ( e.g., medications ) 3 this type of type! Before meals and at bedtime 1 and type 2 DM ) is morbidly!: 1 can serve as the applied discussion of realistic dietary and exercise the single mother a! Av AIDS EVALUATION 1 min 1 min 1min, whole grains,,..., smoking also damages your heart and kidneys reached your targets of diabetic complications producing cells in blood!, color, and treatment ( e.g., medications ) 3 patient adherence to lifestyle changes appropriate! Available for topics covered in this website criteria and strategies used to diagnose type 1 diabetes (. Self-Monitoring of blood glucose level before meals and at bedtime 1 and type 2 diabetes beta cells the... Literature materials as well as the nurse taking care of the blood portable insulin pump regulate! And type 2, which usually develops in adults over age 40 develops in adults over age 40 treated! Best ways to learn something is to be potentially genetic or triggered by a virus the monosaccharide ( sugar. Now, his experiences working in the bloodstream called ketones diabetes management reduces. Your targets with other conditions have trouble coping with your illness, or no.. 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