Question

Identify the nursing care and management to improve glycaemic control including health education

Answer 1

Glycemic control is fundamental to the management of diabetes. According to the epidemiological analysis, the glycated hemoglobin has a significant risk of both micro vascular and macro-vascuar complications regardless of the treatment. It has been found that there is a direct relation between the risk of complications of diabetes and degree of hyperglycemia over time.

Following is the importance of glycemic control:

i. Improved glycemic control reduces the rates of micromascular and macro-vascular complications.

ii. The best possible glycermic control helps the type 2 diabetes patients from risk cif complications.

iii. Patients with normal range of glycemia have the Iowest risk.

iv. Proper glycemic control helps to reduce hypertension in diabetic patients.

Methods for long term glycemic control are

i. Glycated hemoglobin assays: It is used to measure the average glucose concentraton in the previous two to three months because the life span of red blood cells (RBCs) is 120 days. It Is also called as HbA1c and its level between 5.7 to 6.4% indicates the increased diabetes risk.

ii. Self-monitoring of blood glucose (SMBG): It is used to measure the glucose level at the very moment. The measurernet is taken from daily home glucose monitoring records. It includes a blood drop obtained by prolong a finger and then it is analyzed by blood glucose meter. It is recommended before meals.