Yêu cầu bệnh nhân để hiển thị nó cho bạn. 3 Thực hiện đường? Hỏi để xem nó. 4 Glucagon Có đối tác của bệnh nhân, cung cấp tương đối up-to-ngày và anh / cô ấy biết làm thế nào để sử dụng nó? (Xem trang 101) 5 Hạ đường huyết Bệnh nhân đã có kinh nghiệm này? | 94 I INSULIN TREATMENT 2 Diabetes card Ask the patient to show it to you. 3 Carrying glucose Ask to see it. 4 Glucagon Has the patient s partner or relative an up-to-date supply and does he she know how to use it See p. 101 5 Hypoglycaemia Has the patient experienced this Does he have warning symptoms Does he have nocturnal hypoglycaemia 6 Blood glucose balance Table If the blood glucose is persistently outside your targets for that patient the patient s treatment needs adjusting. 7 Clinical state Apart from usual tissue damage monitoring have any conditions arisen which would alter the insulin regimen Is there any evidence of side-effects of treatment Have you examined the injection sites 8 Laboratory monitoring Consider checking renal function as this will alter insulin clearance. 9 Driving Has the patient told the DVLA he is on insulin Does he know how to drive safely on insulin 10 Take home message What does should the patient be taking now When should it be taken Write it down. Remember that the patient knows his or her diabetes far better than you do. Listen to their observations carefully and do not contradict them without due thought. For example they are usually right in their belief that the pharmacist has given them the wrong insulin this happens occasionally. They are usually correct in saying that a particular insulin does not suit them. And even if they do harbour misconceptions correct them gently with an appropriate explanation. The whole principle of insulin treatment is that the insulin is adjusted to the patient s lifestyle and not the other way around. People should not have to eat to keep up with their insulin lower the dose to suit what they want to eat. People should not be prevented from doing particular things because they have to go home and inject their insulin give them an insulin pen to carry with them. They should not be afraid that hypoglycaemia will ruin their work or a day out. Learn about your patient as a person and fit the .
