Question

III. You are working as a nurse in an outpatient clinic as the diabetic educator. Your patient has recently been diagnosed with type 2 diabetes, and you will be developing a teaching plan. Your patient is a 50-year-old man with a history of hypertension. His vital signs are stable, hemoglobin Aic is 7.5%, and the patient has a body mass index (BMI) of 28. 1. What are the main goals of therapy for all patients with diabetes in terms of both symptom control and quantitative targets for fasting blood glucose levels and for the hemoglobin A1c? 2. You prepare a teaching plan to include glargine (Lantus) for your patient. What information will you include in your teaching plan?

Answer 1

1. As a diabetic educator, you should teaching plan for the patient should include

- Type 2 Diabetic can easily controllable with Diet and lifestyle changes.

- The consequences and complications of diabetes include neuropathy, nephropathy, retinopathy, cardiovascular disease, etc but you can easily avoid it by controlling your blood sugar.

- You should focus on very low-calorie low fat and high protein diet.

- Regular exercise also helps to control blood sugar.

- Your BMI is 28, it's in high range so try to reduce your weight by daily exercise.

- Check your blood sugar daily and inform to your physician.

- Do not skip a meal to avoid drug-induced hypoglycemia.

- Take medication regularly as advised

2.

Lantus is a long-acting insulin, you should take it at bedtime. It helps to manage your baseline glucose level throughout the day.

some serious side effects of Lantus includes rash, Difficulty in breathing, palpitations itching, and swelling skin. Immediately contact your physician if you notice these symptoms.

It can interact with some medication so, tell your doctor about your medication intake.

Do not skip a meal to avoid drug-induced hypoglycemia.