What are your biggest challenges when working with patients with diabetes and their families? How do you overcome them?
Our Facebook fans have spoken. Find out how your colleagues feel about working with patients with diabetes:
The biggest challenge is diet modification and compliance. Working with the elderly all my career, I understand that families just want grandma to be happy, but loading her with bags of candy when she is noncompliant anyway often leads to more problems down the line. I dont understand why families refuse to listen and follow the plan of care that is best for the overall health of their loved ones, especially in a time and age when there are so many alternatives available to refined sugars.
Lifestyle modification. I show pictures of amputations and arrange a tour in a dialysis unit.
I think that the biggest challenges when taking care of patients with diabetes are drug compliance, willingness to follow prescribed diet regimen and the influence of their family members on their diet and lifestyle.
Noncompliance. And I should know because I am an RN, diabetic and noncompliant at times.
Even if the patient knows all the information and has seen all the pictures, no compliance is the biggest problem. Oh, one brownie wont hurt me then one turns to three and a glucose level of 340. I have been diabetic since age 20 and use my own system to manage glucose levels since I am not good about diet. For every 10 points over 150, I walk a half-mile. So after eating a brownie and having a glucose level of 180, I walk 1.5 miles. It works for me, and I dont feel deprived. Im 63 now so have been playing with cheats for 43 years. I have both legs/feet, have a great BP and am within my weight guidelines. My 37-year-old son has been diabetic since he was 6 months and he follows my plan except he runs not walks.
Eileen Gregory Foley
Getting them to understand how high blood sugars can affect your blood vessels, heart, kidneys and eyesight.
Sandra Lynne Haston
Teaching new eating habits. Its 50-50. The medical community can only do so much. The rest is up to the patient.
Be direct and explain the harsh consequences: amputations, blindness, kidney failure and the rest. Most of the time they begin to understand.
Cindy Mc Dole Krecker
Noncompliance and family. Hard to change their diet if family doesnt help, too.
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