Copy of Diabetic Patient

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Copy of Diabetic Patient by Mind Map: Copy of Diabetic Patient

1. Follow-up

1.1. Primary Care Physician

1.1.1. Every 1-3 months

1.2. Dietitian

1.2.1. If diet plans needed

1.3. Obstetrician

1.3.1. Periodically

1.4. Ophthalmology

1.4.1. Every 6 months

2. At Diagnostic Center

2.1. A1C level

2.1.1. Normal range: 4% - 5.6%

2.1.2. Risk of diabetes: 5.7% - 6.4%

2.1.3. Diabetes: >6.5%

2.2. FPG level

2.2.1. Normal range: 70 mg/dL - 99 mg/dL

2.2.2. Risk of diabetes: 100 mg/dL - 126 mg/dL

2.2.3. Diabetes: > 126 mg/dL

2.3. OGTT level (75 grams of glucose after 2 hours)

2.3.1. Normal range: < 140 mg/dL

2.3.2. Risk of diabetes: 140 mg/dL - 200 mg/dL

2.3.3. Diabetes: > 200 mg/dL

2.3.4. Gestational Diabetes: > 153 mg/dL

3. At Pharmacy

3.1. Prescription

3.1.1. Medication

3.1.2. Diabetic supplies

3.1.2.1. Glucometer

3.1.2.2. Test strips

3.1.2.3. Lancing device

3.1.2.4. Lancets

3.1.2.5. Alcohol swipes

3.1.2.6. Syringes

3.2. Pharmacy Insurance Coverage

3.2.1. Diagnosis Code for Billing

3.2.2. Specific direction for medicine required

4. At Physician's Office

4.1. Personal Information

4.1.1. Name

4.1.2. Address

4.1.3. Date of Birth

4.2. Health Condition

4.2.1. Height

4.2.2. Weight

4.2.3. Blood Pressure

4.2.4. Pregnancy

4.3. Eating Habit

4.3.1. Processed Foods

4.3.2. High Sugar Diet

4.3.3. High Carb Diet

4.4. Family History

4.4.1. Parents with Diabetes

4.4.2. Siblings with Diabetes

4.5. Payment

4.5.1. Medical Insurance

4.5.1.1. Co-pay

4.5.1.2. Co-insurance

4.5.2. No insurance

4.5.2.1. Discount

4.6. Symptoms

4.6.1. Type 1 Diabetes

4.6.1.1. Frequent Urination

4.6.1.2. Unusual Thirst

4.6.1.3. Extreme Hunger

4.6.1.4. Unusual Weight Loss

4.6.1.5. Extreme fatigue and Irritability

4.6.2. Type 2 Diabetes

4.6.2.1. Any of the type 1 symptoms

4.6.2.2. Frequent Infections

4.6.2.3. Blurred Vision

4.6.2.4. Cut/Bruises are slow to heal

4.6.2.5. Tingling/numbness in the hands/feet

4.6.2.6. Recurring skin, gum, or bladder infections

4.6.3. Gestational Diabetes

4.6.3.1. Frequent urination

4.6.3.2. Nausea and Vomiting

4.6.3.3. Extreme Hunger

4.6.3.4. Unusual Thirst

4.6.3.5. Weight loss despite increased appetite

4.6.3.6. Frequent Infections especially bladder, vagina and skin

4.7. Diagnosis Tests

4.7.1. A1C test (Hemoglobin A1c)

4.7.2. Fasting plasma glucose (FPG) test

4.7.3. Oral glucose tolerance test (OGTT)

4.8. Treatment and Guidelines

4.8.1. Type 1 Diabetes (ICD9-CM: 250.01)

4.8.1.1. Diabetic diet

4.8.1.2. Exercise

4.8.1.3. Insulin

4.8.2. Type 2 Diabetes (ICD9-CM:250.00)

4.8.2.1. Exercise

4.8.2.2. Weight reduction

4.8.2.3. Diabetes diet

4.8.2.4. Medication

4.8.3. Gestational Diabetes (ICD9-CM: 250.8)

4.8.3.1. Monitor patient and baby during pregnancy

4.8.3.2. Exercise

4.8.3.3. Diabetic diet

4.8.3.4. Medication if necessary

4.8.4. Diabetic diet

4.8.4.1. Limiting high sugar foods

4.8.4.2. Eating smaller portions spread out over the day

4.8.4.3. Be careful about carbohydrates intake

4.8.4.4. Eating a variety of whole-grain foods, fruits and vegetables every day

4.8.4.5. Eating less fat

4.8.4.6. Limiting alcohol usage

4.8.4.7. Using less salt

4.8.5. How to use Insulin

4.8.5.1. Refrigerate insulin, do not freeze

4.8.5.2. Alcohol swipes, syringes and sharp container needed

4.8.5.3. Injection sites

4.8.5.4. Demonstration on injecting insulin vial

4.8.5.5. Demonstration on injecting insulin pen

4.8.6. How to test blood glucose level at home

4.8.6.1. Equipments

4.8.6.1.1. Glucometer

4.8.6.1.2. Test strips

4.8.6.1.3. Lancing device

4.8.6.1.4. Lancets

4.8.6.1.5. Alcohol swipes

4.8.6.1.6. Cotton balls

4.8.6.1.7. Recording diary

4.8.6.2. Demonstration on how to test

4.8.6.3. Record test results as directed

4.9. Possible Complications

4.9.1. Atherosclerosis (ICD9-CM:250.8)

4.9.1.1. Maintain healthy lifestyles

4.9.1.2. Control blood pressure

4.9.2. Diabetic ketoacidosis (ICD9-CM:250.1)

4.9.2.1. Intensive Care Unit Treatment in hospital

4.9.3. Coronary artery disease (ICD9-CM:250.8)

4.9.3.1. Maintain healthy lifestyles

4.9.3.2. Control blood pressure

4.9.4. Diabetic nephropathy (ICD9-CM:250.4)

4.9.4.1. Control blood pressure to lower than 130/80 by using ACE inhibitors and angiotensin receptor blockers drugs

4.9.4.2. Maintain low fat and healthy diet

4.9.5. Diabetic neuropathy (ICD9-CM:250.6)

4.9.5.1. keep your blood sugar in a healthy range

4.9.5.2. Medicines for symptoms in the feet, legs, and arms

4.9.5.3. Diarrhea, constipation, bladder problems, and other symptoms are treated as needed.

4.9.5.4. Check nerve damage and care for feet daily

4.9.6. Diabetic retinopathy (ICD9-CM: 250.5)

4.9.6.1. Referral to Ophthalmalogist

4.9.6.1.1. Tight control of blood sugar (glucose), blood pressure, and cholesterol

4.9.6.1.2. Stop smoking

4.9.6.1.3. Laser eye surgery

4.9.6.1.4. vitrectomy