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Diabetes Self Care Plan

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Patients diagnosed with diabetes and associated comorbidities often feel overwhelmed in accomplishing the daily self-care task required to control their diabetes. When these care task include the added burden of family, work, comorbidities, and limited income, the sense of being overwhelmed becomes magnified. Mrs. J.M a 43 year old Hispanic woman, diagnosed with type two diabetes 10 years past while pregnant with her last child, faces the potential need for insulin to be added to her care regimen. Pertinent details for consideration in planning diabetes educations/goal include: married, 3 children still living in the home, spouse is unemployed and patients’ mother lives in the home. Strong daily influence from Hispanic traditions, fairly sedentary …show more content…

Incorporate dance in the family home and seek local low cost or free resources offering dance opportunities. Frequency of dancing twice weekly for 30 minutes at a medium tempo of at least 75 beats per minute. Walk two days weekly for 30 minutes-may be broken into three 10 minutes session throughout the day. May replace walking at an equivalent pace of 15 to 25 minute/mile with swimming, water aerobics, yoga or golf (American Association of Clinical Endocrinologist, 2015). Strength training for upper body twice weekly, with at least one day of rest between weight training days, start with two sets of 10 reps for biceps and …show more content…

May alter plan in consideration of pattern recognized foods that do not negatively impact glucose levels. Monitor glucose levels pre and post exercise at least for exercise activities that take patient away from the home. Strive for pre-meal glucose levels less than 130mg/dl and post meal glucose levels less than 180m/dl (AACE.2015). In addition monitor blood pressure at least weekly at local grocery store pharmacy, allow a period of at least 5 minutes of rest prior to taking blood pressure reading. Keep written record of glucose logs and blood pressure to share with provider at follow up

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