b) Monitoring the patient
best supervisor of diabetes is the patient himself. Only he can adapt his treatment overnight. The monitoring is based on checks on capillary blood glucose. The research of sugar and acetone in the urine also have an interest because these parameters provide information on the melting of lipids (lipolysis) and thus the risk of ketoacidosis (ketonuria) in case of severe hyperglycemia than 3g / l. Self-monitoring of blood glucose is the preferred method due to recent progress: lancets, strips, electronic readers.
Pens lancing permit, with a very mild pain, getting a drop. Such lancing devices are reimbursed at the rate of health services Interdepartmental (TIPS). The patient pricks his middle, ring and little fingers, preferably at the sides slightly innervated. A sample of the ear lobe is also possible. The blood drop is then deposited on a strip or an electrode. Various electronic readers are available. They can automatically determine the glucose from the color of the tape or after the current produced by the electrode.
Practical realization of self
control of blood glucose before the meal is most important. Control postprandial (after meals) helps regulate insulin administered before meals. The number of daily checks is the number of insulin injections and blood glucose targets.
Adapting insulin doses
The patient must be able, from capillary blood glucose, to change the dose of insulin that is injected. It must analyze the evolution of glucose on a time slot the previous day to determine the dose of insulin to inject same day. It must nevertheless take into account the blood glucose at the time of injection to modulate slightly the intended dose. This education is part of the role of the medical team.
0 comments:
Post a Comment