All in Diabetes Management

Prescribing the Right Diabetes Medications

When it comes to diabetes medication, how do nurse practitioners decide what medication would be appropriate for their patient? Now clearly we know that metformin is the first line medication but what do you do when metformin just doesn't cut it? In the post, I am discussing the nurse practitioner’s mindset and what we should consider when prescribing medications for diabetes.

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PREDIABETES

PREDIABETES…Let’s talk about!!! You can’t discuss diabetes without discussing it. According to the CDC, one third of American adults are categorized as “prediabetic.” That’s 88 million people! The sad part about it is that a large amount of people do not even know that they have prediabetes. So I felt it was only necessary for me to spend some time over the next few post discussing prediabetes.

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Med Check: GLP-1 Receptor Agonists (Victoza, Trulicity, Byetta)

When I first started my YouTube channel, Kim E. The Diabetes NP, my first set of videos were over medications used to treat diabetes. I went through each class (there are 12 currently) and discussed the “Need to Know” Info for each. Here recently, I have been studying out medications again and wanted to revisit medications from time to time. One medication I would like to discuss today is a injectable drug class, GLP-1 Receptor Agonists (victoza, byetta, trulicity…just to name a few).

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Dietary Recall for Diabetic Patients

So let’s talk about a good FOOD RECALL for diabetic patients! In all honesty, performing a food recall is beneficial for any patient but it can be extremely insightful for you and your patients with diabetes. The purpose of it is to get an accurate daily dietary intake. This especially important because we see clearly what the issue for the patient is. Is it that they binge eat? Is it that they make unhealthy choices when they are hungry? The food recall can tell this plus more and can assist us with tailoring our education for the patient.

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How to Prevent Diabetes Mellitus

It goes without saying that most people want to PREVENT diabetes at all cost. So you can imagine how many conversations I have over this very topic. People have seen family members and loved ones suffer with this chronic disease and they just don’t want to be fooled with it. Diabetes has this black cloud over it, something like a death sentence to some. People automatically think that they will be put on insulin shots or have amputated limbs and because of this a good portion of diabetes education is spent debunking misconceptions. Now clearly, untreated, diabetes can and will wreck havoc on one’s life but that doesn’t have to be the case. So I thought it would be great to give some talking points over ways one could prevent diabetes.

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Medical Nutrition Therapy for Diabetes

According to the Centers for Disease Control & Prevention (CDC), Medical nutrition therapy (MNT) is a key component of diabetes education and management. MNT is defined as a “nutrition-based treatment provided by a registered dietitian nutritionist.” It includes “a nutrition diagnosis as well as therapeutic and counseling services to help manage diabetes.”

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Food Guidelines for Diabetes

How many times have you been asked by patients: “How should I eat as a diabetic?” or “What’s the best diet for diabetes?” or “What kinds of food can I eat?” For me…countless times but have you noticed when it comes to dietary counseling for diabetes, it’s a broad spectrum. It’s kind of all over the place. With all of the fad and designer diets, no wonder our patients are confused.

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Diabetic Foot Examination | Nurse Practitioners

Today let’s talk about the diabetic foot exam. As NURSE PRACTITIONERS, we need to make it a habit to check our patients' feet when they come into the office. Not only do we need to access their feet but we also need to educate our patients over proper diabetic foot care so they will be empowered at home to care for their feet. Some may think that this is excessive but, this is a simple way to prevent any complications and decrease the advancement of any diabetic complications that already exist.

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