Diabetes Mellitus . Fundamentals OF Disease and Interventions. Pathophysiology of Diabetes Mellitus. Diabetes mellitus (DM) is disorder of endocrine system Impaired glucose regulation leads to hyperglycemia
Fundamentals OF Disease and Interventions
S & S of all types are
Additional S&S for Type 2
All encourage use of food diaries, use of complex rather than simple carbohydrates, low fat foods, reduced sodium intake and calorie control.
Insulin Types and Actions
Call 911 if the patient becomes confused, very sleepy or unconscious (likely hypoglycemia) or has rapid breathing with fruity breath along with confusion and sleepiness.
Call UIM right away if blood glucose readings are over 300 (or another figure set by the PCP)
Call UIM if sick and having trouble controlling blood glucose or if nausea and vomiting or diarrhea is present greater than 6 hours. Also call for any skin breakdown that is not healing properly.
Tell your PCP or PCMH team member if having frequent problems with high or low readings, are asymptomatic during hypoglycemic episodes or have any other questions.
Old paradigm in health care was medical team told patient what to do, patient did it and that was that!
As we all know from experience patients do not necessarily follow “doctor’s orders”.
Our roles are changing away from directors of care to partners of care as the patient is the true team leader.