DIABETIC TEACHING PLAN

Teaching/learning methods used:

* Individual Instruction * Visual aids
* Return demonstration * Reinforce teaching
* Group discussion * Questions and Answers

Topic(s) on Diabetes: (Do not select more than two topics).

1. What is Diabetes? (include Type I and Type II)
2. Oral Anti -Diabetic Medications
3. Insulin administration and Storage
4. Diet instructions for the diabetic (includes general guidelines for protein, fat, carbohydrates, fiber, and alcohol)
5. Hypoglycemia and Hyperglycemia signs and symptoms- (includes sources used to treat hypoglycemia and long term complications of
Carbohydrate (CHO) counting xxi. Utilizes nutrition labels on packaged food items xxii. Focuses on total grams of carbohydrates, the nutrient with greatest impact on blood glucose levels xxiii. Effective for overall blood glucose control when carbohydrate intake is consistent on a daily basis xxiv. Total g carbohydrate calculate insulin dosage (based on pt’s prescribed insulin/carbohydrate ratio) VIII. Type I Diabetes: Special Considerations . Develop insulin regimen that adheres to pt’s preferred meal routine, food preferences, exercise routine xxv. Adjust insulin doses based on carbohydrate content of meals/snacks xxvi. Monitor blood glucose before and 2 hours after meals xxvii. Decrease insulin before physical activity! Can cause hypoglycemia . Increase glucose by 2-3 mg/kg/min of moderate exercise (more for intense exercise) . Hyperinsulinemia – chronic high blood insulin levels xxviii. Can occur with intensive treatment schedules xxix. May result in weight gain! xxx. Manage high blood sugar by reducing calories, not increasing insulin . Avoid gaining weight xxxi. Minimized by following prescribed meal plan, regular exercise, avoiding overtreatment of hypoglycemia IX. Type II Diabetes: Special Considerations . Lifestyle change! xxxii. Reduce calories xxxiii.