Diabetic Pet Peeves

  1. 0 I was responding to the forum on insulins and this popped into my head. A discussion on how to better care for a large and growing diabetic population.

    Pet Peeve#1: People diagnosed with diabetes can eat sugar! or products made from sugar...cake, cookies, donuts, candy bars and chocolate. It all comes down to carb counting. All nurses should learn carb counting and insulin to carb ratios so they can better serve this population.

    Pet Peeve #2: Type 1 and Type 2 are different. Although many type 2 diabetics require insulin...the action or reaction to it is different. Type 2 pts need to follow a diet regime that works with their antihyperglycemic meds. Type 1/ Type 2 on insulin can eat sugar products under the carb count guidelines and as long as there isn't excessive weight gain. Also know that exercise plays an important role in lowering blood glucose. Learn the differences so you can provide the appropriate care.

    Pet Peeve #3: Although there is a large population of type 2 diabetic people, the population of type 1 diabetics and a latent onset is growing. Bone up on type 1.

    Pet Peeve #4: No diabetic needs more than two insulins. Learn the onset and action of all insulins. Cater a program to work for your diabetic patient.

    Pet Peeve #5: The brittle diabetics need DDAVP, not insulin.
    Blood sugars can be controlled with the right program.

    Pet Peeve#6: People with diabetes...DO WANT TO CONTROL THEIR BLOOD SUGARS. Contrary to popular belief...we do...it's a hard thing to do. We have it for life and sometimes...even with the best control...you still loose a limb, a retina detaches or you end up on dialysis. Oh well. But we can extend our lives as long as possible with good control.....70-120!

    Can we get a Diabetic forum?
    Shelly
  2. Visit  bjs54321 profile page

    About bjs54321

    From '"MINNESOTA NICE"'; Joined Dec '05; Posts: 200.

    130 Comments so far...

  3. Visit  canoehead profile page
    0
    Are you a nurse?
  4. Visit  bjs54321 profile page
    0
    I am
    Quote from canoehead
    Are you a nurse?
  5. Visit  bjs54321 profile page
    0
    Did your know that there are at least 11 hormones that the body produces that effect blood sugar levels? And Stress...oh what a problem for blood sugar control.
  6. Visit  grannynurse FNP student profile page
    0
    Quote from bjs54321
    Did your know that there are at least 11 hormones that the body produces that effect blood sugar levels? And Stress...oh what a problem for blood sugar control.
    Do you know and understand the causes of Type 1 & 2 Diabetes? Are you current on the current treatments for Diabetic? As a diabetic, I am aware of the role that stress plays in one's blood sugars, as well as the 11 hormones that can affect blood sugars. Are you aware of the microscopic changes in the human body, that take place in unconrolled, undiagnosed Type 2? Are you aware of the lack of current knowledge on the part of many of our peers? Are you aware of the overwhleming poor attitude of healthcare professionals who write off diabetics who have problems following their diections?

    Some people need to update their knowledge.

    Grannynurse
  7. Visit  lsyorke profile page
    0
    Quote from bjs54321
    .

    Pet Peeve #5: The brittle diabetics need DDAVP, not insulin.
    Blood sugars can be controlled with the right program.
    This is a new one on me... and hubby is type I for 46 years. I've never heard of this being given to DM patients, only Diabetes Insipidus.Do you have any studies for this use?
  8. Visit  Marie_LPN, RN profile page
    0
    Blood sugars can be controlled with the right program.
    Sometimes it takes awhile just to find that program. Till then it helps to have an open mind on what works and what doesn't.
  9. Visit  Psychaprn profile page
    0
    As a diabetic and a nurse I really appreciate this discussion. It's a tough disease to live with and sometimes you just want a vacation. I'm an insulin dependent Type 2. It's so nice to see the support here. I'm so tired of people who think it's easy to eat right etc. I'm losing wt. using Byetta. It's been a wonder drug. Anyone familiar with it?
  10. Visit  Psychaprn profile page
    0
    Quote from canoehead
    Are you a nurse?
    click on her profile by clicking on her name.
  11. Visit  GooeyRN profile page
    0
    Quote from Marie_LPN
    Sometimes it takes awhile just to find that program. Till then it helps to have an open mind on what works and what doesn't.
    Exactly. And every persons body is different, and will respond differently, irregardless if type I or type II.
  12. Visit  grannynurse FNP student profile page
    0
    Quote from bjs54321
    I was responding to the forum on insulins and this popped into my head. A discussion on how to better care for a large and growing diabetic population.

    Pet Peeve#1: People diagnosed with diabetes can eat sugar! or products made from sugar...cake, cookies, donuts, candy bars and chocolate. It all comes down to carb counting. All nurses should learn carb counting and insulin to carb ratios so they can better serve this population.

    Pet Peeve #2: Type 1 and Type 2 are different. Although many type 2 diabetics require insulin...the action or reaction to it is different. Type 2 pts need to follow a diet regime that works with their antihyperglycemic meds. Type 1/ Type 2 on insulin can eat sugar products under the carb count guidelines and as long as there isn't excessive weight gain. Also know that exercise plays an important role in lowering blood glucose. Learn the differences so you can provide the appropriate care.

    Pet Peeve #3: Although there is a large population of type 2 diabetic people, the population of type 1 diabetics and a latent onset is growing. Bone up on type 1.

    Pet Peeve #4: No diabetic needs more than two insulins. Learn the onset and action of all insulins. Cater a program to work for your diabetic patient.

    Pet Peeve #5: The brittle diabetics need DDAVP, not insulin.
    Blood sugars can be controlled with the right program.

    Pet Peeve#6: People with diabetes...DO WANT TO CONTROL THEIR BLOOD SUGARS. Contrary to popular belief...we do...it's a hard thing to do. We have it for life and sometimes...even with the best control...you still loose a limb, a retina detaches or you end up on dialysis. Oh well. But we can extend our lives as long as possible with good control.....70-120!

    Can we get a Diabetic forum?
    Shelly
    Pet Peeve #7 ADA diet. No such animal but that doesn't stop the unknowledgeable.

    Grannynurse
  13. Visit  truern profile page
    0
    Quote from Psychaprn
    I'm losing wt. using Byetta. It's been a wonder drug. Anyone familiar with it?
    I was diagnosed with Type II diabetes less than a month ago. I've been trying to control BGs with diet and exercise....I've lost 5 pounds so far and have been stepping up the exercise, but today I had to call and report a BG of over 300 Saturday night (we'd gone to a birthday party...I had 2 glasses of wine and a smidgen of cake...sigh) and a FASTING BG of 201 this morning. My doc called in a prescription for Glucophage, but I'd love to know more about Byetta. I soooo need to lose about 60 pounds.

    I'm off to look up carb counting....wish me luck
  14. Visit  RedSox33RN profile page
    1
    As a Type 1 diabetic for 9 years, and on an insulin pump for 5 of that, I can attest that it does take a lot of time to find the correct regimen.

    And then as soon as you find it, it can just as quickly not be the right regimen anymore! LOL

    I find my diabetes changes day-to-day. As a nursing student, with all the stress and sleeplessness that goes along with late night med sheets and never-ending careplans, and getting up at 4:30 to be out of the house by 5:30 to be at clinical at 6:30 two days a week, I find my needs are much different on those days than on my lecture days. And they are much different on my back-to-back 12 hour work days as an LNA.

    Add in continuous migraines, 4 kids and a divorce, my diabetes is a CONSTANT challenge. What really, REALLY ticks me off is being labeled "non-compliant" when I'm doing my best to be compliant, and prevent/delay all the horrible complications I have to see on a daily basis.

    So, as much as it is a continuing education for non-diabetics, it is as much a continuing education for diabetics also.
    nurturing_angel likes this.

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