Please Reply to the following 2 Discussions Posts
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DISCUSSION POST # 1 Reply to Tiffany
Evidence-based practices have been put into use in diabetic patients. The safety of the patients is a crucial factor put into consideration while admitting evidence-based practice procedures. In nursing, clinical expertise and the social values of diabetic patients guide the type of practice a patient will be subjected to. The healthcare fraternity has various screening methods. Screening determines whether diabetic patients receive adequate healthcare and health promotion as they should be.
The glucose screening test is one of the commonly used methods to identify the glucose levels in a diabetic patient. According to Schaper et al. (2020), this test provides a healthcare worker with the blood sugar levels of a patient for the last three months. High levels of blood sugar in a diabetic patient can be evidence that the patient has failed to put into practice what is required, such as not doing exercises, taking medication wrongly, or even subjecting oneself to stress. This information is vital to engage the patients or those caring for them to avoid more dangers.
High blood pressure screening is also crucial for diabetic patients. Diabetic patients exhibiting high blood pressure are at higher risk of developing heart diseases (Araki et al., 2019).High blood pressure in diabetic patients can indicate that they have subjected themselves to a particular lifestyle the healthcare sector is against. Diabetic patients should avoid excessive alcohol intake and smoking since they put them in danger of suffering from other diseases. It is also critical to control salt intake since it triggers high blood pressure.
DISCUSSION POST # 2 Reply to Ella
Diabetes is a long-term illness that calls for continued management and monitoring. Frequent screening and health promotion are necessary to assure patients get proper care. Listed below are some evidence-based screening and health promotion strategies for patients with diabetes.
Type 2 diabetes screening: individuals who are overweight and have at least one additional risk factor, for example, family history, high blood pressure and physical inactivity, should be screened, in addition as stated by (Centers for Disease Control and Prevention [CDC], 2022), race and ethnicity also affect your risk. African Americans, Hispanic/Latino Americans, American Indians, Pacific Islanders, and some Asian Americans are at particularly high risk for type 2 diabetes.
Lipid Screening: Individuals with diabetes have an increased risk of developing cardiovascular disease. As recommended by The American Diabetes Association, lipid levels should be checked annually, with more regular testing if levels are not within the target range.
Blood Glucose Monitoring: Frequent monitoring of blood glucose levels is crucial in managing diabetes. Patients receiving treatment should always be encouraged to check their blood glucose levels regularly, and, and the frequency depends on their current treatment.
According to ("2. Classification and Diagnosis of Diabetes: standards of Medical Care in Diabetes—2022," 2021), diabetes may be diagnosed based on plasma glucose criteria, either the fasting plasma glucose (FPG) value or the 2-h plasma glucose (2-h PG) value during a 75-g oral glucose tolerance test (OGTT), or A1C criteria.
Blood Pressure Screening: it is common to see complications with high blood pressure amount patients with diabetes. That is why it is so important that we educate our patients on monitoring and keeping a record of their blood pressure readings. Blood pressure should be checked annually, and more frequently if their blood pressure is not well controlled.
Eye Exams: Diabetes can be the source of retinopathy, which can lead to vision loss if left unmanaged. Patients with diabetes should have their eye dilated annually to check for signs of retinopathy.
Physical Activity: Routine physical activity can help improve blood glucose levels and decrease the risk of other medical risk factors, such as heart problems, for example. Patients should be encouraged to engage in some type of exercise routine. According to (American Diabetes Association [ADA], 2023), getting 150 minutes of moderate intensity exercise each week can help you manage your diabetes.
Foot Exams: Poor circulation and nerve damage are also seen with patient with diabetes. Annual examination should be done to check for any signs of damage, also it is so important that the patient check their feet regularly at home.
By implementing these evidence-based screening measures and health promotion strategies, as primary care providers, we can effectively treat and prevent any type of complications from diabetes.
