INDIAN DIABETES EDUCATOR PROJECT

An assignment report on
A patient with type2 diabetics who is on oral hypoglycemic medications.

Submitted to: Miss. Manju Panda

Submitted by: shivani tyagi

CASE STUDY: A patient with type 2 diabetes who is on oral hypoglycaemic medication(s).
 y y y y

PATIENTS DEMOGRAPHICS[1]Gender: male Age: 54 years. Family background: Belongs to middle income group. History of present illness: Since last 4 years.

 ANTHROPOMETERIC MEASUREMENTS[1]y y y y y y Weight:59 Height: 1.52mtrs. Body mass index: 38.06kg/m2. Waist circumference: 44 . Hip circumference: 48 . Waist to hip ratio: .83 .

 CURRENT MEDICATION[4]y Tab. Triglucord tone. y Vobit m.3.

y Olmesar. y Jointace dn soper.

 CLINICAL PARAMETERS[3]y Blood pressure: 120/80mmhg. (TARGET LEVEL: 120/80mmhg.) y Retina examined: Once at the time of diagnosis. y Foot inspection: not done.

 BIOCHEMICAL PARAMETER[3]-

TEST NAME FASTING LEVEL POST PARNDIAL CHOLESTROL

RESULT 141 168.8 141

UNITS Mg/dl Mg/dl Mg/dl Mg/dl Mg/dl Mg/dl Mg/dl Mg/dl Mg/dl

TARGET LEVEL Below 126 Below200 Below230 Below150 Above 40 Below70 Below300 Below 40 Below 40

TRIGLYCERIDES 117 HDLCHOLESTROL LDLCHOLESTROL MAU UREA CREATITINE 44 66.2 250 19 0.8

 DIETARY RECALL[1] MEAL BREAKFAST LUCH EVENING  MENU 2 CHAPATTI WITH KADHI 2 CHAPATI WITH MOONG DAL SUGARFREE TEA AND SOMOSA PURI WITH VEG.(ALOO-MATAR) --- INGREDIENTS WHEAT FLOUR, CURD+BESAN WHEAT FLOUR, MOONG DAL. MILK. POTATO,WHEATFLOUR REFIND. WHEATFLOUR, POTATO+PEAS.

DINNER BED TIME

 PSYCHOLOGICAL STATUS OF PATIENT[2]Q1. Have you lost your interests in your daily activity after diagnosis? Q2. Do have any difficulty in reading newspaper?if yes than what? Q3. As you are over weight, do you have any problem in bending? Q4. Do you go for exersice daily? Q5. Why do not you go for excersice whenever you get time? Q6. What type of barriers are you getting in self-care? CONCLUSIONSomewhere patient is finding difficulty in dealing with his disease.

 DIABETICS KNOWLEDGE OF THE PATIENT[2]Q1.What do you know about diabetes? Q2.Are you aware about the complications of diabetes occur if it is not monitored and managed properly? Q3. Do you know about importance of foot care in diabetes? CONCLUSION:  Ingorig complications of diabetes.

 RELEVANT LITERATURE (ABOUT PATIENT)[3]Comorbid disease-

y y y y

Obesity. Pain in legs. Irritation in eyes. Denture problem.

 PLAN FOR EDUCATION AND MANAGEMENT OF THE PATIENT[2]y Regular exercise. y Proper medication. y Regular monitoring. y Dietary management. y Foot inspection and foot care.

 PART-2
Your patient says she has been taking her insulin as she was told to and eating just the right things. Here meter is showing her that her blood glucose levels are not consistent. Sometimes she is getting high results and sometimes she gets low results. She says she does not think the meter can be right, but you are not sure it is only the meter causing her fluctuating blood glucose levels. In this assignment you are to identify the things you assess in each category to determine why this patient is have trouble. You may use a blank piece of paper and try for 2-3 items under each area.  AREAS OF CONCERN[1] INSULINQ1. In what direction do you shake the vail? (should rub horizontal in between the palm) INJECTION Q1. Which is your insulin site? (Use any 4 quadrants inch away from the umbilicus.) SITEof abdomen, always atleast an

LIFESTYLEQ1. What is your (do excersice in day whenever you get time.)

lifestyle

pattern?

METER AND TECHNINQUEQ1. What is your way of using meter? ( ask them to use it in front of you) Q2. If their technique is correct ,check the correctness of meter? (to find the correctness of meter compare the meter s result with laboratory result.)

Refrences.
1. INFORMATION FROM PATIENT. 2. INDIA DIABETES EDUCATOR PROJECT BOOK. 3. PATIENT S REPORT.