Page 145 - Critical Maternity & Newborn Health Nursing
P. 145
• Blood glucose levels should be monitored before and after exercise.
• Use of an injection site that is not active during exercise.
Skin integrity:
Diabetes increases the individual’s risk for infection and skin breakdown.
The person is taught to:
• Keep the skin clean, warm and free of irritation and pressure.
• Prevent cracks and breaks in the skin.
• Clean the abrasions and protect with a dressing.
Foot Care:
Adult diabetic feet require special attention because of increased
susceptibility to circulatory disorders and loss of sensation.
The patient is directed to:
• Wash the feet daily with warm water.
• Use a mild antibacterial soap and a small amount of bath oil.
• Dry them thoroughly, especially the area between the toes.
Assessment of glycemic control:
Assessment of metabolic control of glucose can be achieved by the person
on a continuous or intermittent basis by:
• Monitoring of blood glucose level.
• Testing of urine for glucose and ketones.
Health Management:
• Diabetic identification card:
144 Table of Contents
