A 55 year-old is seeing the family physician. The patient reports increased thirst, frequent urination, and...

A 55 year-old is seeing the family physician. The patient reports increased thirst, frequent urination, and an 8 pound weight loss. The patient's wife has diabetes and has been using her capillary blood glucose monitor to check the patient's glucose levels. The results were 206mg/dL and 208 mg/dL on separate days. Today the patient's glucose is 212mg/dL. The physician prescribes glimepiride (Amaryl).

1. the patient asks how a pill will lower his blood sugar. How does the nurse respond? What is the rationale for the nurses response?

2. At the patient's next visit, his A1C level is 6%. How will the nurse interpret this finding? What does the A1C measure?

Solutions

Expert Solution

1.The nurse can respond in the following way

First explain what is diabetes ,this helps the patient to gain the basic knowledge on the disease condition and its management .
Differentiate type 1 and type 2 diabetes, to understand how the medication will act .
The patient is having type 2 diabetes .So there will be insulin in the body but not used appropriately.Therefore when medication is administered this will help to release the insulin and control the blood sugar .

2.A1C measures the average blood glucose levels of a patient in the past three months .The level between 5.7-6.4 means patient are in Pre diabetic stage in a healthy individuals .The patient has 6% being diabetic which means the blood glucose are well controlled .(The average blood sugar is 126mg/dL which is near to normal range .

Nightingale answered 1 year ago

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