Using The Personal Health Manager ( Pdm )

Diabetes is a chronic illness that requires continuous medical care and patient self-management education to prevent acute complications and to reduce the risk of long-term complications[ ].

There were three things that I learned from the Diabetes Vendor Fair. The first thing that i found interesting to know was about the clinical glucose assessment tool. This tool is very small like an iPod. It is a single used devices to scan and reports glucose pattern. The doctors and nurses use this sensor applied to the back of the upper arm and activated. Then the patients will wear it home for 14 days. After that, the healthcare professional can connect the reader device to computer and get the report very easy and detail. This sensor is water resistance. Patients can do any daily activities and patients also can swim for up to 30 minutes without any damaged to the sensor. This sensor is about $60 for each patient.

Both type 1 and type 2 diabetes will require a management plan that your healthcare provider will work with you to create. A diabetes management plan will include daily routines such as a healthy diet, exercise, and controlling your blood glucose levels through the use of insulin administration. At one time, the only method of administering insulin was through injections with the use of needles. Now, technology offers the use of an insulin pump with smartphone styling, which allows individuals with diabetes to lead active

I have New Onset Diabetes, but depending on your type there’s a lot of steps you have to follow. So, I’m a type 2 and with this you have to get three meals in a day. When you get up in the morning you have to check your blood sugars. Now you have to grab your glucose meter, and then get an alcohol pad

Since doctors have not figured out a cure for this disease yet, the only way to treat it is to manage it (Joslin Diabetes Center). Some ways to do that is by eating healthy, exercising, losing extra weight, and medications. Common medications include metformin, glucophage, and glumetza (Mayo Clinic). In addition, some patients use insulin therapy to manage their diabetes. This is a once or twice a day injection of insulin (American Diabetes Association etal.). Given these points, diabetes can achieve the common goal of an A1C less than 7% and overall keeping their blood glucose levels between 80 to 130 mg/dl. before a meal and less than 180 mg/dl. after a meal. The way patients with diabetes know their blood glucose levels when not at the doctor’s office is by using a meter. The way this machine works is by the patient pricking their finger in order to get a drop of blood, putting the blood on a test strip. They then stick the test strip with the blood in the meter and the meter gives them their current blood glucose level (American Diabetes

This project has the potential to improve patient satisfaction, staff satisfaction, and 30-day readmission rates. In addition, increasing patient readiness for discharge will decrease adverse outcomes for patients with diabetes.

Besides monitoring blood sugar and possible medication routes, most treatment options are better explained as lifestyle and habit changes. The treatment options are blood sugar monitoring; change in diet to a healthier alternative; exercising on a day-to-day basis, and in some cases, diabetes medication or insulin therapy. (Mayo Clinic). By following this “round-the-clock commitment,” patients can decrease their possibility of complications, but will never completely rid themselves of this condition (Mayo Clinic). In some cases, individuals have done what they can to manage the condition—by losing the weight, establishing good exercise habits, and monitoring themselves. This may result in the need for diabetes medication to disappear. However, the individuals must maintain that lifestyle, in order to help prevent them from needed medications (The Telegraph). This being said with treatment the outcome for Diabetes Mellitus Type II is rarely a complete cure, but this condition is manageable and sometimes

If a client is resistance to the idea of keeping logs, I will respect their decision, and encourage them to use when they’re ready. Additionally, I will render my experience with using daily logs and share success stories. The idea of counseling/treatment is engaging the client at their level of recovery and help them progress beyond their state of being at that time. Being understanding and having empathy for clients aids trust with the practitioner. Lastly, I plan to continue to eat healthy and track my blood sugars regular. I will continue to stay away from high amounts of carbs and exercise 3 days a week. In closing, by using these logs I gained more information about diabetes regarding how it affects the body and I plan continue to use the tool to motivate a healthy

On my last week visit with the client, I was glad and satisfied with the outcome of my teaching with the client about her self-administration of degludec insulin and other medications. The patient reported of remembering to administer subcutaneous insulin in the morning and feel so much better and have more energy when she gets up in the morning and had better result of daily glucose monitoring instead of being so low which causing her to be weak and shaky. The patient reported that she does not feel any shaky or weakness upon waking up in the morning and have more energy playing with her dog and more energy throughout the day. The patient also included in her weekly schedule of going to the community swimming pool 3 times per week and

Living with diabetes poses many challenges for patients in areas like nutrition, glycemic monitoring and medication adherence. In fact, patients with diabetes

If my client has no one to inject insulin for her or ran out of insulin her nurse can book a house visit to her and inject insulin for her. It’s very helpful for her because it prevents her from leaving her home and has time to look after her child which also is diabetic.

Costa created a folder with a reminder sheet to bring meter for every endocrinology appointment, Smoking cessation program information, Endocrinology Clinic contact numbers, Blood sugar log sheet, Diabetic foot care information, Dining out with diabetes information, High Blood Sugar symptoms information, Low Blood sugar symptoms information and Self-Care Skills for the Person with Diabetes booklet. This folder is distributed to every patient on his/her appointment to reinforce discussed information and promote ongoing education process. Additionally for patients with insulin pump Ms. Costa implemented the education session with a full explanation of what DKA is and how to treat it , how to monitor it using ketone strips along with instructions how to treat emergent hypoglycemia with glucagon kit. Distribution and review of these information prevents life threatening conditions such as DKA and hypoglycemia ultimately preventing hospitalizations or even death, for example patients state : " when I had a low blood sugar I did what you told me " . Ms. Costa has received much positive feedback from her patients regarding this practice because it has empowered patients in their care of diabetes, improving blood sugar values consequently helping to achieve A1c

Learning objective #3: (Psychomotor) patient will demonstrate ability to self-administer Insulin with little, or no prompts.

The purpose of this letter is to inform you of some clinical services we are now offering to our patients. We provide Medication Therapy Management (MTM), diabetic education, and diabetic supplies. Our goal is to supplement what you do with the patients and be a resource for you and them regarding drug therapy issues. Many of these services are reimbursed by Medicare Part D and some state Medicaid programs. If patients not enrolled in these plans request these services, we will provide them for an additional fee.

On November 15, 2017, I attended a professional meeting called “Think Like A Pancreas: A Practical Guide to Managing Diabetes with Insulin.” The sponsors for this meeting were SNDA and CVD. The speaker who presented at the meeting was Gary Scheiner Ms, CDE. He is an author of the book “Think Like A Pancreas: A Practical Guide to Managing Diabetes with Insulin.” The general objective for this meeting helped people gain more knowledge about diabetes, and learned more from author personal experiences with type I diabetes. After I attended this meeting, I become more knowledgeable about diabetes. I have a chance to learn more about diabetes nutrition, different type of medications, and many tools that are available for diabetes patients to keep track on the blood glucose.