Self-monitoring and management of diabetics
November 14 is United Nations Diabetes Day, and the theme of the 2013 event is “Diabetes Education and Prevention. Diabetes is a lifestyle disease, and the control of blood glucose is not only related to medication, but also to the patient’s diet, sleep, activity, and emotions, so patient education is especially important. The main content of diabetes patient education is self-monitoring and management of diabetic patients. Wei Jing, endocrinologist, Jinan Hospital of Traditional Chinese Medicine
Self-monitoring and management of diabetic patients is the observation and monitoring of the changes of the disease and the effect of treatment by the patients and their families, which is one of the important contents of the comprehensive treatment of diabetes. Diabetes is a chronic lifelong disease, patients should take the initiative to control diabetes in their own hands, in the long treatment process, diabetic patients and medical staff contact time is limited after all, in more time need to face the patient themselves, self-management.
This requires diabetics to be able to: 1. Proper understanding of diabetes. Diabetes is not scary, what is scary is a series of complications caused by poor control of diabetes; but as long as the diabetes can be controlled, and the complications can be detected and treated early, the complications can be prevented and treated. 2. learn to monitor the disease in the usual time and when there are changes in the disease, record the disease, so as to provide the correct reference for the doctor’s treatment. 3. correctly grasp the relationship between diet, exercise, drugs and disease control. The relationship between diet, exercise, medication and disease control, regular diet, reasonable diet, appropriate exercise, rest and regular medication. 4. learn to live peacefully with diabetes in daily life, and improve the quality of life by keeping diabetes company during travel, outings and other recreational activities.
The monitoring of diabetes includes: 1. Clinical symptoms: whether there is excessive drinking, eating and urinating; changes in body weight; changes in heart rhythm; lower limbs (whether there is edema, weakness, weakness, etc.); eye symptoms (blurred vision, bleeding under the eyes); whether there are skin ulcers, etc. 2. Laboratory tests: mainly refers to the monitoring of blood sugar (fasting blood sugar, 2-hour postprandial blood sugar), urine sugar, ketone bodies, glycated The changes of blood glucose (fasting blood glucose, 2-hour postprandial blood glucose), urine glucose, ketone body, glycated hemoglobin, blood lipid, blood pressure, blood viscosity, urine protein, kidney function and other indicators.
The management of diabetes includes diet management, exercise management, foot care, skin care, dental care, etc.