Which statement by a nurse to a patient newly diagnosed with type 2 diabetes is correct

Type 2 diabetes check-ups help to make sure your condition does not lead to other health problems.

Every 3 months

Blood sugar checks (HbA1C test)

Checks your average blood sugar levels and how close they are to normal.

You have these checks every 3 months when newly diagnosed, then every 6 months once you're stable.

This can be done by your GP or diabetes nurse.

Once a year

Feet

Checks if you've lost any feeling in your feet, and for ulcers and infections.

This can be done by your GP, diabetes nurse or podiatrist.

Speak to your GP immediately if you have cuts, bruises or numbness in your feet.

Eyes

Checks for damage to blood vessels in your eyes.

Speak to your GP immediately if you have blurred vision.

Blood pressure, cholesterol and kidneys

Checks for high blood pressure, heart and kidney disease.

This can be done by your GP or diabetes nurse.

Why it's important to have these check-ups

Page last reviewed: 18 August 2020
Next review due: 18 August 2023

Controlled Clinical Trial

. 2019 Apr;13(2):142-149.

doi: 10.1016/j.pcd.2018.11.001. Epub 2018 Nov 27.

Affiliations

  • PMID: 30497955
  • DOI: 10.1016/j.pcd.2018.11.001

Controlled Clinical Trial

Design and implementation of an Omaha System-based integrated nursing management model for patients with newly-diagnosed diabetes

Lili Wei et al. Prim Care Diabetes. 2019 Apr.

Abstract

Aims: The aim of the present paper was to establish and implement an integrated nursing management model for patients with newly-diagnosed type 2 diabetes mellitus (T2DM) based on the Omaha System and to explore its impact on blood glucose levels, quality of life, and diabetes knowledge in these patients.

Methods: A non-randomized concurrent controlled trial was designed and the study was conducted in a hospital on the east coast of China between September 2013 and November 2015. We screened for patients with newly-diagnosed T2DM in 12 clinics of 3 comprehensive hospitals. A total of 367 patients with newly-diagnosed T2DM were assigned into two groups. In the intervention group, patients received routine outpatient care plus integrated nursing management; in the control group, only routine outpatient care was given. Changes in blood glucose levels, quality of life, and diabetes knowledge in both groups before the intervention and 6 months after the intervention were observed and compared.

Results: At the 6months, blood glucose levels, quality of life, and diabetes knowledge in the intervention group were significantly superior to those in the control group (all P<0.01).

Conclusions: The integrated nursing management model was able to improve patients' glucose levels, quality of life, and diabetes knowledge.

Keywords: Continuing nursing; Integrated nursing management model; Omaha System; Type 2 diabetes mellitus.

Copyright © 2018 Primary Care Diabetes Europe. Published by Elsevier Ltd. All rights reserved.

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What advice would you give to a newly diagnosed type 2 diabetic patient?

Eat a variety of foods, including vegetables, whole grains, fruits, non-fat dairy foods, healthy fats, and lean meats or meat substitutes. Try not to eat too much food. Try not to eat too much of one type of food. Space your meals evenly throughout the day.

When treating type 2 diabetes What is the first line of treatment?

Metformin (Fortamet, Glumetza, others) is generally the first medication prescribed for type 2 diabetes. It works primarily by lowering glucose production in the liver and improving your body's sensitivity to insulin so that your body uses insulin more effectively.

What are two ways to manage type 2 diabetes?

Don't eat too much food at one sitting. This helps keep your blood sugar in a good range. Managing your weight and keeping a well-balanced diet are important. Some people with type 2 diabetes can stop taking medicines after losing weight (even though they still have diabetes).

What is the first recommendation for a recently diagnosed diabetic?

Many people who are newly diagnosed with type 2 diabetes are overweight. When that's the case, a doctor will usually recommend weight loss as one aspect of an overall treatment plan. For many people who are living with type 2 diabetes, losing 5 to 10 percent of bodyweight may help lower blood sugar levels.

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