Counselling of diabetic pt,please give suggestion! - hucom

[ArchivalUser]

Hi Guys if we have a sp who have DM and from the history we suspect the patient has not well controoled DM,how can we counsel him,I have seen the suggestion in FA ,but it seems to me is a bit long,pleease if anyone has any suggestion provide me with

thxxx in advance

[ArchivalUser]

Proper Diet offer nutritionist referral
Regular Blood sugar self monitoring
If alcoholic advice how imp it is to stop drinking due to high carbs in alcohol and increased risk of CV disease in Diabetics who drink
Regular eye exam
Regular feet exam, advise on proper fitted shoes and examining feet every day and keeping them clean and dry
Tell about signs of hypoglycemia and how to have some snacks with them always
If patient is taking a beta blocker do mention that hypoglycemia can be masked with them
It sounds long but it really doesnt take that long

[ArchivalUser]

Always let them know if exercising , to cut back on insulin before event to prevent hypoglycemia. I am a retired US born and educated physician tutoring IMGS to master CS. Contact Aaron Hurowitz DO skype id. aaronhurowitz

[ArchivalUser]

http://clinicalskillsexamination.blogspot.com/