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Which health care professions can nurses collaborate with in caring for patients with gestational diabetes in terms of glucose regulation.
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- You are a certified rehabilitation counselor (CRC) and licensed professional counselor (LPC) employed at Memphis Children’s Hospital Diabetes Specialty Unit. Ana is a 17yr. old African American female currently in the 12th grade. Ana was diagnosed with Type 1 diabetes at the age of 6 years. Despite an effort to control her nutritional intake and keep a strict log of her glucometer readings over the past 11 years, her A1C levels are uncontrolled. Essentially out of options her physician has recommended that she use Omnipod® 5 Automated Insulin Delivery System (insulin pump) to attempt to control her glucose levels. Ana and her family have decided to place her on the MiniMed during summer vacation after she graduates from high school. 1. Describe the Omnipod® 5 Automated Insulin Delivery System (i.e side effects and functionality) and how it will impact her ADL’s? 2. Which environmental factors might you consider when helping Ana with a rehabilitation plan? 3. What referral…what are the patient goals that nurses should aim for when caring for a patient with gestational diabetes?What factors should be considered when advising the diabetic athlete concerning safe participation in athletic conditioning? Include in your discussion suggestions concerning meal timing, injection sites for insulin, and the availability of glucose drinks during training sessions.
- what are some nursing interventions regarding glucose regulation for patients with gestational diabetes?Develop a nutritional education plan for a person with type 1 diabetes and a person with type 2 diabetes. In your educational plan, include the nutritional considerations and medication interactions for at least one oral medication and one type of insulin.CC: My blood sugars have not been very good lately. I’m doing everything I am supposed to be doing HPI: A 24-year-old male patient comes to your primary care clinic to establish care. He has type 1 diabetes mellitus diagnosed at age 11. He has not seen a provider in about 9 months. Currently, he is taking NPH insulin 30 units bid (8 a.m. and 6 p.m.) with 10 units Humalog before each meal. He does not take any other medications. He does not use tobacco products but does drink alcohol on the weekends. He reports checking blood glucose (BG) levels three to four times daily but did not bring his glucose log or meter. He reports his fasting blood sugar runs 150 to 190 and prandial glucose readings are 140- 250. He reports hypoglycemic episodes one to two times per week. He exercises intermittently but is not on a regular schedule. He does not eat on a regular schedule every day although he says he knows that he should. He works at a light-activity job 8 hours daily. Reports fatigue and…
- CC: My blood sugars have not been very good lately. I’m doing everything I am supposed to be doing HPI: A 24-year-old male patient comes to your primary care clinic to establish care. He has type 1 diabetes mellitus diagnosed at age 11. He has not seen a provider in about 9 months. Currently, he is taking NPH insulin 30 units bid (8 a.m. and 6 p.m.) with 10 units Humalog before each meal. He does not take any other medications. He does not use tobacco products but does drink alcohol on the weekends. He reports checking blood glucose (BG) levels three to four times daily but did not bring his glucose log or meter. He reports his fasting blood sugar runs 150 to 190 and prandial glucose readings are 140- 250. He reports hypoglycemic episodes one to two times per week. He exercises intermittently but is not on a regular schedule. He does not eat on a regular schedule every day although he says he knows that he should. He works at a light-activity job 8 hours daily. Reports fatigue and…CC: My blood sugars have not been very good lately. I’m doing everything I am supposed to be doing HPI: A 24-year-old male patient comes to your primary care clinic to establish care. He has type 1 diabetes mellitus diagnosed at age 11. He has not seen a provider in about 9 months. Currently, he is taking NPH insulin 30 units bid (8 a.m. and 6 p.m.) with 10 units Humalog before each meal. He does not take any other medications. He does not use tobacco products but does drink alcohol on the weekends. He reports checking blood glucose (BG) levels three to four times daily but did not bring his glucose log or meter. He reports his fasting blood sugar runs 150 to 190 and prandial glucose readings are 140- 250. He reports hypoglycemic episodes one to two times per week. He exercises intermittently but is not on a regular schedule. He does not eat on a regular schedule every day although he says he knows that he should. He works at a light-activity job 8 hours daily. Reports fatigue and…CC: My blood sugars have not been very good lately. I’m doing everything I am supposed to be doing HPI: A 24-year-old male patient comes to your primary care clinic to establish care. He has type 1 diabetes mellitus diagnosed at age 11. He has not seen a provider in about 9 months. Currently, he is taking NPH insulin 30 units bid (8 a.m. and 6 p.m.) with 10 units Humalog before each meal. He does not take any other medications. He does not use tobacco products but does drink alcohol on the weekends. He reports checking blood glucose (BG) levels three to four times daily but did not bring his glucose log or meter. He reports his fasting blood sugar runs 150 to 190 and prandial glucose readings are 140- 250. He reports hypoglycemic episodes one to two times per week. He exercises intermittently but is not on a regular schedule. He does not eat on a regular schedule every day although he says he knows that he should. He works at a light-activity job 8 hours daily. Reports fatigue and…
