1. Assessment
1.1. Signs and Symptoms
1.1.1. 3 P's
1.1.1.1. Polyuria
1.1.1.2. Polydipsia
1.1.1.3. Polyphagia
1.2. Hypoglycemia
1.2.1. Cause
1.2.1.1. Excessive insulin
1.2.1.2. Lack of Food
1.2.1.3. Alcohol
1.2.1.4. Overexetion
1.2.2. Signs and Symptoms
1.2.2.1. Increase Respirations
1.2.2.2. Decrease Blood Pressure
1.2.2.3. Increase Heart Rate
1.2.2.4. Headace
1.2.2.5. Hunger
1.2.2.6. Anxiety
1.2.2.7. Cool Clammy Skin
1.2.2.8. Altered Mental Status or Change in LOC
1.2.3. Treatment
1.2.3.1. Cold and Clammy Need Candy
1.2.3.1.1. Glucose
1.2.3.1.2. Milk
1.2.3.1.3. OJ
1.2.3.1.4. Grahamcrackers
1.2.3.1.5. Candy
1.3. Hyperglycemia
1.3.1. Causes
1.3.1.1. Stress
1.3.1.2. Illness or Injury
1.3.1.3. To Little Insulin
1.3.1.4. Excess Food
1.3.2. Signs and Symptoms
1.3.2.1. Thrist
1.3.2.2. Decrease in Blood pressure
1.3.2.3. Altered Mental Status or change in LOC
1.3.2.4. Hot Dry Skin
1.3.2.5. Increase in Respitations
1.3.2.6. Nausea and Vomiting
1.3.3. Treatment
1.3.3.1. Hot and Dry Sugar High
1.3.3.1.1. Hospitalization
1.3.3.1.2. Regular Insulin
1.3.3.1.3. Balance Of Fluids
1.3.3.1.4. Electrolyte Replacement
2. Diagnosis
2.1. A1c
2.1.1. Normal
2.1.1.1. Below 5.7%
2.1.2. Prediabetic
2.1.2.1. 5.7%-6.4%
2.1.3. Diabetic
2.1.3.1. 6.5% or Above
3. Complications
3.1. Diabetic Ketoacidosis
3.2. Hyperosmolar Hyperglycemia Syndrom
3.3. Fluid and Electrolyte Imbalance
3.4. Hypoglycemic Coma
4. Treatment
4.1. Primary Prevention
4.1.1. Diet
4.1.2. Exercise
4.2. Secondary Prevention
4.2.1. Early Diagnosis
4.2.2. Routine Check up
4.2.3. Healthy lifestyle modification
4.3. Tertiary Prevention
4.3.1. Medication Regamin
4.3.2. Multidisciplinary Health Care Team
4.3.3. Adherence to Healthy Lifestyle modification
5. Patient Teaching
5.1. Diet
5.1.1. Calorie Restriction
5.1.2. Counting Carbohydrate
5.1.3. Low Protein, Low Sodium
5.1.4. Limit sweetened Beverages
5.1.5. Increase Fiber
5.2. Exercise
5.2.1. 30 minutes Daily is recommended
5.2.2. At least 150 Minutes Weekly
5.2.3. Aerobic or Resistance Exercise Training
5.3. Medication
5.3.1. Self Administration
5.3.1.1. Timing
5.3.1.2. Technique
5.3.1.3. Blood Glucose Monitoring
5.4. Skin and Foot Care
5.4.1. Signs, Symptoms and Treatment of and Ulcer
5.5. Guidelines for Sick Days
5.5.1. Signs symptoms of Hyper/Hypoglycemia
5.5.2. Immunization