Diabetes mellitus NCLEX pharmacology medication review of the nursing care management for the diabetic patient. This will include the diabetic diet (carbs, fats, proteins), exercise regime (how to monitor glucose prior to exercise, types of exercises for the diabetic), and pharmacological management (oral medications for type 2 diabetes, insulin therapy for type 1 diabetes, and medications that cause hyperglycemia/hypoglycemia). In addition, I will cover the NCLEX highlights for oral medications, such as Sulfonylureas, Meglitinides, Biguanides, Alpha-glucoside inhibitors, and Thiazolidinedione, Insulin mnemonics for short-acting, rapid-acting, intermediate-acting, and long-acting insulin (which will include onset, peak, and duration times with a clever mnemonic). Don’t forget to watch PART 1 of this series on the patho, causes, types, complications, and nursing assessment of diabetes.

Quiz on DM Pharmacology & Nursing Management: http://www.registerednursern.com/diabetes-mellitus-pharmacology-nursing-management-nclex-quiz/

Part 1 of this NCLEX Diabetes Series: https://www.youtube.com/watch?v=Ek6hnu1zaog

Lecture Notes for this video: http://www.registerednursern.com/diabetes-mellitus-nclex-review-notes-medications-nursing-management/

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Topics covered include: basic pathophysiology of diabetes mellitus type 1 & type 2, hyperglycemia, hypoglycemia, insulin production, pancreatic beta & alpha cells, glycogen, glucagon, glucose function. Mechanism of action of antidiabetic drugs; rapid, short, intermediate, long -acting insulin analogs, synthetic amylin, incretin mimetics, DPP-4 inhibitors, sulfonylureas, glinides, biguanides, thiazolidinediones, sodium-glucose cotransporter-2 inhibitors, and alpha-glucosidase inhibitors. Drugs mentioned include insulins Lispro, Aspart, Glulisine, Regular, NPH (isophane), Detemir, Glargine, Degludec; Pramlintide; Exenatide, Liraglutide; Alogliptin, Linagliptin, Saxagliptin, Sitagliptin; Glimepiride, Glyburide, Glipizide; Nateglinide, Repaglinide; Metformin; Pioglitazone, Rosiglitazone; Canagliflozin, Dapagliflozin; Acarbose, Miglitol.
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Diabetics can eat any foods in the right portions, as including small portions of dried fruit with a higher quantity of greens, nuts and protein is a healthy, balanced meal. Find out how to eat anything on a diabetic diet with health advice from a registered dietitian and licensed nutritionist in this free video on nutrition.

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Raising awareness about raising blood sugar. Diet concerns are one of the first topics a diabetes educator will address.

“Look at how many foods we have you know, look down the aisles at the grocery store. It’s overwhelming the number of food items,” says Sharon Tilbe, a certified diabetes coordinator with Lee Memorial Health System.

To help patients with diabetes make good choices, Lee Heal Solutions offers medical nutrition therapy. It consists of one-on-one time with a dietician.

“We teach a little bit of carbohydrate counting whether its real specific carbohydrate counting or generalities of carbohydrate counting. Making sure that people get adequate whole grains, adequate fruit and dairy in their diet, but not too much to raise their blood sugar,” says Sharon.

Common everyday foods, even ones we don’t suspect, can cause a jump in blood sugar.

“Fruit as an example, would be considered a carbohydrate or a high carbohydrate food in that it has a lot of natural sugar. Milk we don’t think of milk as being a sugar food but of course milk has lactose, which will of course turn into blood glucose. Grains, most people understand that if we eat too much pasta too much rice the blood sugar goes up,” says Sharon.

All things in moderation is a good rule of thumb, a controlling diet can make an absolute difference in managing diabetes.

“Just before you came I took my blood sugar and it was 92, so below 100 is average for regular people,” says George Pickel.

George worked with a diabetes educator to turn his diet around and with it the course of his disease.

“Most people, diets are started and when the goal is achieved people stop the diet. They better realize that eating is a lifelong process,” says George.

It’s a healthy perspective, looking at diabetes as a lifelong journey.

View More Health Matters video segments at leememorial.org/healthmatters/

Lee Memorial Health System in Fort Myers, FL is the largest network of medical care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For nearly a century, we’ve been providing our community with everything from primary care treatment to highly specialized care services and robotic assisted surgeries.

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Learn more at: http://www.AnimatedDiabetesPatient.com
The goal of Type 2 Diabetes treatment is to safely keep blood glucose within the normal range. When diet and exercise fail to provide patient benefits, medical management of diabetes is warranted. Various medications for controlling blood sugar are briefly explained. A self-management plan should be part of every patient’s strategy with regular doctor visits.

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It’s a growing health concern. Studies show more than three million people are living with type 2 diabetes. Teresa Spano, a naturopathic consultant with Lee Health, says what you eat, when you eat, and how you feel after you eat, can all help determine if you’re living with pre-diabetes. “Pre-diabetes is more referring to when your fasting glucose levels are going up, usually you can see the hemoglobin A1C that is starting to climb, it’s not necessarily in the diabetic range but it’s getting there.”

Discussing a patient’s sleep patterns, exercise, and diet can help determine if they’re at risk for developing diabetes. “There is a lot of gray area in between completely normal and actually being diabetic, which is where the pre-diabetic range is really where you can help people so much before they actually get to full blown diabetes,” said Spano.

Health experts may also use the waist to hip ratio to determine if patients are at risk. This ratio look at how the patient is carrying their weight: in their belly or in their hips and thighs? If patients have more belly fat, they are at a higher risk of developing type 2 diabetes. “A lot of people just don’t really know that they are creeping up towards that, which is probably the scariest thing about it,” said Spano.

Experts encourage healthy diets of fruit, vegetables, and fiber, and limiting animal protein. “Exercise is so important when it comes to preventing diabetes. Sleep is always important as well, stress reduction. It’s really the core for everything you hear for staying healthy,” said Spano.

A blood test to check a patient’s A1C, triglyceride levels, and cholesterol can ultimately decide if a patient is at risk for type 2 diabetes.
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