MEDICAL MANAGEMENT NURSING COMPLEMENTARY & ALTERNATIVE

INTERVENTION THERAPY FOR DM

 DIET  Plan a Physical Activity

 EXERCISES Program
 MEDICATION
 Prevent Complications from
Physical Activity
 Provide Instructions on Blood
Glucose Monitoring
 Provide Instruction on Insulin
Administration
 Surigical Client
V
DM TYPE 1 &2

MICROVASCULAR
COMPLICATIONS MACROVASCULAR COMPLICATIONS

 DIABETIC  CAD
RETINOPATHY  CEREBROVASCULAR DISEASE
 NEPHROPATHY  HYPERTENSION
 NEUROPATHY  PERIPHERAL VASCULAR DISEASE
 INFECTIONS

MANAGEMENTS
 DIABETES MELLITUS

LABORATORY EXAMS ASSESSMENT SCREENING

FASTING BLOOD GLUCOSE LEVEL

 Increased frequency of  GUIDELINES FOR TESTING
CASUAL BLOOD GLUCOSE LEVEL urination (polyuria) FOR DM
 Increased thirst or fluid intake
POSTLOAD BLOOD GLUCOSE LEVEL  GUIDELINES FOR
(polydipsia)
GLYCOSYLATED HEMOGLOBIN LEVEL  Weight loss despite hunger DIAGNOSIS OF DM
KETONURIA  Increased food intake  PLASMA GLUCOSE VALUES
(polyphagia)
PROTEINURIA  Family history
SELF-MONITORING OF BLOOD  Weakness and fatigue,
GLUCOSE (SMBG) dizziness
 Recurrent blurred vision
 Pruritis,skin
infections,vaginitis
Type 1 Diabetes Mellitus

 Ketonuria
Type 2 Diabetes Mellitus

 Obese