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A Patient's Perspective on Managing Diabetes (Physical effects…
A Patient's Perspective on Managing Diabetes
Physical effects
Symptoms of hypoglycaemia
Restlessness
Confusion in speech
Tremors
Symptoms of hyperglycaemia
Similar to those of hypoglycaemia
Treatment
In the past (1960s)
Administration of a urine test that included placing a tablet into the urine sample. If the sample turned blue, then it indicated the lack of presence of glucose. If it turned orange, then it meant that there was significant amounts of glucose
Now
Insulin pumps
Set doses of insulin are able to be administered when the time is needed and there can be 1 to 60 units administered
Glucometers
These meters are able to give a snapshot of the amount of glucose (mmol/L) in the blood at that point in time
Insulin patches
These patches are able to actively monitor the glucose level present in the body by being constantly attached to a specific part of the body (e.g. upper arm). An external device is then able to scan this patch and allow for the blood glucose to be monitored and give an indication as to whether it is rising, staying consistent, or is falling
Responsibilities
Checking blood glucose levels
Blood glucose levels have to be checked from 8 to 10 times per day
Carbohydrate counting
Food has to be weighed to assess the amount of carbohydrates present. This allows for the person with diabetes to assess how much insulin has to be administered
Roles of society
Conflict of care
Usually the parents want recognition of the child's diabetic state as they want their child to be safe. On the other hand children (as well as adults) do not tell other people about their condition straight away as they may feel embarrassed that they are 'different' from other people, but at the same time may not think that it is an aspect that has to be discussed (or only is discussed with close friends or those who the person is comfortable with)
Role of the practitioner
The medical practitioner has to be honest. This is because usually people with diabetes understand their condition and understand their own body better than the doctor. Thus, it is essential that people with diabetes see the same doctor in the long-term which means that trust can also be developed. This ongoing care is also essential as diabetes is very much a lifelong (chronic) condition