What is the nurse discussing with the client diagnosed with diabetes?
The nurse is discussing the importance of exercising with a client diagnosed with type 2 diabetes whose diabetes is well controlled with diet and exercise. Which information should the nurse include in the teaching about diabetes?
What is prediabetes and how is it diagnosed?
The NIDDK has developed criteria that identify people with prediabetes, which can lead to type 2 diabetes, heart disease, and stroke. A client with diabetes mellitus has a blood glucose level of 40 mg/dL.
Can prediabetes be prevented or delayed?
You can prevent or delay prediabetes from developing into type 2 diabetes with simple, proven lifestyle changes. Amazing but true: approximately 88 million American adults—1 in 3—have prediabetes. What’s more, more than 84% of people with prediabetes don’t know they have it.
What does the NIDDK consider prediabetes?
R:The NIDDK has developed criteria that identify people with prediabetes, which can lead to type 2 diabetes, heart disease, and stroke. A client with diabetes is receiving an oral anti diabetic agent that acts to help the tissues use available insulin more efficiently.
What is the first line of treatment for prediabetes?
It is vital to effectively manage prediabetes in order to prevent and delay its progression to T2DM. The aim of therapy is to preserve insulin sensitivity and delay or prevent beta-cell failure. Lifestyle modifications including physical activity, dietary changes, and weight loss are recommended as first-line therapy.
What is the best way to treat prediabetes?
TreatmentEat healthy foods. A diet high in fruits, vegetables, nuts, whole grains and olive oil is associated with a lower risk of prediabetes. ... Be more active. ... Lose excess weight. ... Stop smoking. ... Take medications as needed.
What should prediabetic patients do?
The primary treatment for prediabetes is the same as what you do to prevent diabetes: lose weight, exercise, and eat a healthy diet. These 3 things can help control your blood sugar levels and keep them from getting higher. In some cases, your blood sugar levels might decrease.
What is prediabetes and how is it managed?
Prediabetes is a serious health condition where blood sugar levels are higher than normal, but not high enough yet to be diagnosed as type 2 diabetes. Approximately 96 million American adults—more than 1 in 3—have prediabetes. Of those with prediabetes, more than 80% don't know they have it.
How is prediabetes diagnosed?
There are three recommended blood testing methods to identify or diagnose prediabetes: A1C, fasting plasma glucose, and 2-hour post 75 g oral glucose challenge. These are the same tests currently recommended to identify undiagnosed type 2 diabetes.
What should you eat if you are prediabetic?
Eating more fiber-rich foodsbeans and legumes.fruits and vegetables that have an edible skin.whole grain breads.whole grains, such as quinoa or barley.whole grain cereals.whole wheat pasta.
Does prediabetes need medication?
While lifestyle changes can work wonders, some people with prediabetes also need medication. Your doctor may prescribe metformin if you have certain risk factors, such as low levels of HDL ("good") cholesterol, high triglycerides (a type of blood fat), a parent or sibling with diabetes, or are overweight.
Which of the following is common indicator of prediabetes?
The primary indicator of prediabetes is a hemoglobin A1C level of 5.7% or greater. Other risk factors include being overweight, being 45 years or older, smoking, physical inactivity, or having a family history of prediabetes.
What causes prediabetes?
The exact cause of prediabetes is unknown. But family history and genetics appear to play an important role. What is clear is that people with prediabetes don't process sugar (glucose) properly anymore. Most of the glucose in your body comes from the food you eat.
How often should a child be tested for diabetes?
Children who have prediabetes should be tested annually for type 2 diabetes — or more often if the child experiences a change in weight or develops signs or symptoms of diabetes, such as increased thirst, increased urination, fatigue or blurred vision.
What is the blood sugar level of a diabetic?
This is sometimes referred to as impaired glucose tolerance. A blood sugar level of 200 mg/dL (11.1 mmol/L) or higher indicates type 2 diabetes. If you have prediabetes, your doctor will typically check your blood sugar levels at least once a year.
Why is type 2 diabetes more common in children?
Type 2 diabetes is becoming more common in children and adolescents, likely due to the rise in childhood obesity. The ADA recommends prediabetes testing for children who are overweight or obese and who have one or more other risk factors for type 2 diabetes.
What does A1C mean in blood test?
The test measures the percentage of blood sugar attached to the oxygen-carrying protein in red blood cells called hemoglobin. The higher your blood sugar levels, the more hemoglobin you'll have with sugar attached. An A1C level between 5.7% and 6.4% is considered prediabetes. An A1C level of 6.5% or higher on two separate tests indicates type 2 ...
How to bring blood sugar level back to normal?
To prevent prediabetes from progressing to type 2 diabetes, try to: Eat healthy foods. Choose foods low in fat and calories and high in fiber.
What are some alternative treatments for diabetes?
Therapies that have been said to be helpful in type 2 diabetes and are also likely to be safe, include: Cassia cinnamon. Flaxseed.
Is A1C level above 5.7% normal?
An A1C level below 5.7% is considered normal. An A1C level between 5.7% and 6.4% is considered prediabetes. An A1C level of 6.5% or higher on two separate tests indicates type 2 diabetes. Certain conditions can make the A1C test inaccurate — such as if you're pregnant or have an uncommon form of hemoglobin.
What should a nurse check for a client with type 2 diabetes?
To determine the effectiveness of the client's efforts, the nurse should check: glycosylated hemoglobin level.
How often should a nurse educator exercise for diabetes mellitus?
To meet the goals of planned exercise, the nurse educator should advise the client to exercise: A. at least three times per week.
How long does NPH insulin last?
The duration of NPH insulin is 12 to 16 hours. The duration of Lantus insulin is 24 hours. During a follow-up visit 3 months after a new diagnosis of type 2 diabetes, a client reports exercising and following a reduced-calorie diet.
Why should a nurse recheck the fingerstick glucose level?
R: The nurse should recheck the fingerstick glucose level to verify the original result because the client isn't exhibiting signs of hypoglycemia. The nurse should give the client milk and a graham cracker with peanut butter or a glass of orange juice after confirming the low glucose level.
How many units of insulin do you need for diabetes mellitus?
A client with diabetes mellitus must learn how to self-administer insulin. The physician has ordered 10 units of U-100 regular insulin and 35 units of U-100 isophane insulin suspension (NPH) to be taken before breakfast. When teaching the client how to select and rotate insulin injection sites, the nurse should provide which instruction?
What is the difference between type 2 diabetes and type 1 diabetes?
R:Type 2 diabetes is characterized by no islet cell antibodies or a decrease in endogenous insulin or increase with insulin resistance. Type 1 diabetes is characterized by production of little or no insulin; the patient is ketosis-prone when insulin is absent and often has islet cell antibodies.
What is the normal calcium level for hyperglycemia?
Hyperglycemia, in which serum glucose level is above 180 mg/dl, causes such early manifestations as fatigue, malaise, drowsiness, polyuria, and polydipsia. A serum calcium level of 8.9 mg/dl or 10.2 mg/dl is within normal range and wouldn't cause the client's symptoms. Click again to see term 👆.
What is the nurse's response to a child who has diabetes?
The nurse's best response is: "I'm going to give your son some insulin.
How often does a nurse check for diabetes?
After the client's condition stabilizes, the nurse evaluates the diabetes management regimen. The nurse learns that the client sees the physician every 4 weeks, injects insulin after breakfast and dinner, and measures blood glucose before breakfast and at bedtime.
How many units of insulin for diabetes mellitus?
The physician has ordered 10 units of U-100 regular insulin and 35 units of U-100 isophane insulin suspension (NPH) to be taken before breakfast.
What is the role of a nurse in a patient with hypoglycemia?
To control hypoglycemic episodes, the nurse should recommend: consuming a low-carbohydrate, high-protein diet and avoiding fasting. A group of students are reviewing the various types of drugs that are used to treat diabetes mellitus.
What carbohydrate should a nurse give a diabetic patient?
The client is conscious. The nurse should first administer: 15 to 20 g of a fast-acting carbohydrate such as orange juice.
What is ketoacidosis in ED?
ketoacidosis. A 60-year-old client comes to the ED reporting weakness, vision problems, increased thirst, increased urination, and frequent infections that do not seem to heal easily. The physician suspects that the client has diabetes.
How many people have prediabetes?
And most importantly, it’s reversible. You can prevent or delay prediabetes from developing into type 2 diabetes with simple, proven lifestyle changes. Amazing but true: approximately 88 million American adults—1 in 3—have prediabetes.
What is the National Diabetes Prevention Program?
The CDC-led National Diabetes Prevention Program (National DPP) has been proven to help people make the lifestyle changes needed to prevent or delay type 2 diabetes. Through the program, participants: Work with a trained coach to make lasting lifestyle changes.
What are the factors that affect the risk of diabetes?
Race and ethnicity are also a factor: African Americans, Hispanic/Latino Americans, American Indians, Pacific Islanders, and some Asian Americans are at higher risk.
How old do you have to be to get your blood sugar tested?
Being 45 years or older. Having a parent, brother, or sister with type 2 diabetes. Being physically active less than 3 times a week.
Can diabetes cause depression?
Some studies suggest that diabetes doubles the risk of depression, and that risk increases as more diabetes-related health problems develop.
Is prediabetes a big deal?
Prediabetes Is a Big Deal. Don’t let the “pre” fool you—prediabetes is a serious health condition where blood sugar levels are higher than normal, but not high enough yet to be diagnosed as diabetes. Prediabetes puts you at increased risk of developing type 2 diabetes, heart disease, and stroke.
Is it harder to live with diabetes than prediabetes?
Though people with prediabetes are already at a higher risk of heart disease and stroke, they don’t yet have to manage the serious health problems that come with diabetes. Diabetes affects every major organ in the body.
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- Healthy lifestyle choices can help you bring your blood sugar level back to normal, or at least keep it from rising toward the levels seen in type 2 diabetes. To prevent prediabetes from progressing to type 2 diabetes, try to: 1. Eat healthy foods.A diet high in fruits, vegetables, nuts, whole grains and olive oil is associated with a lower risk of...
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