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A patient is considered to have hyperglycemia (high glucose) if the patient has a sugar level of greater than 230–270 mg/dL (13–15 mmol/L). Sometimes patient may be temporarily hypoglycemic under certain conditions (e.g. not eating regularly, or after strenuous exercise).
The most common cause of hyperglycemia is diabetes. When diabetes is the cause, physicians typically recommend an anti-diabetic medication as treatment. From the perspective of the majority of patients, treatment with an old, well-understood diabetes drug such as metformin will be the safest, most effective, least expensive, and most ...
It's essential to emphasize that insulin should never be discontinued, even if there is no intake of food or fluids. Patients' education and awareness of managing a sick day is a key element, as recognizing symptoms, and knowing when to contact a healthcare provider. This education significantly contributes to reducing the occurrence of DKA.
Hyperglycemia is lower in higher income groups since there is access to better education, healthcare, and resources. Low-middle income groups are more likely to develop hyperglycemia, due in part to a limited access to education and a reduced availability of healthy food options. [ 58 ]
A certified diabetes educator (CDE) is a health care professional who is specialized and certified to teach people with diabetes how to manage their condition. [1] [2]The CDE is an asset for those who need to learn the tools and skills necessary to control their blood sugar and avoid long-term complications due to hyperglycemia.
DESMOND is the first national education programme created for people with Type 2 diabetes. DESMOND meets the criteria NICE identified as being the characteristics of a quality, evidence-based structured education programme. A NHS training course is available for type 1 diabetics called DAFNE (Dose Adjustment for Normal Eating).
Blood glucose monitoring is the use of a glucose meter for testing the concentration of glucose in the blood ().Particularly important in diabetes management, a blood glucose test is typically performed by piercing the skin (typically, via fingerstick) to draw blood, then applying the blood to a chemically active disposable 'test-strip'.
The American Diabetes Association does not recommend a PPG test for determining diabetes, [2] but it notes that postprandial hyperglycemia does contribute to elevated glycated hemoglobin levels (a primary factor behind diabetes) and recommends testing and management of PPG levels for those patients who maintain optimum pre-prandial blood ...