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Copyright © ϮϬϭ7 Wolters Kluǁer • All Rights Reserǀed Chapter 36 Assessment and management of people with diabetes LEARNING OBJECTIVES On completion of this chapter, the learner should be able to: 1 Differentiate between type 1 and type 2 diabetes. 2 Describe the basic pathophysiology of diabetes. 3 Relate the clinical manifestations of diabetes to the associated pathophysiological changes. 4 Identify the diagnostic and clinical significance of blood glucose tests. 5 Explain the dietary principles that apply to diabetes management. 6 Describe the relationship between diet, exercise and medication (i.e. insulin or other glucose-lowering medicines). 7 Develop an education plan for insulin self-management. 8 Identify the role of oral antidiabetic agents in therapy for patients with diabetes. 9 Use the nursing process as a framework for care of the patient who has hyperglycaemia with diabetic ketoacidosis or hyperglycaemic hyperosmolar syndrome. 10 Describe a management plan for a person with diabetes to use during ‘sick days’. 11 Describe the major diabetes-related macrovascular, microvascular and neuropathic complications and the self-care behaviours important to preventing or reducing the risk of these complications. 12 Identify the programs and community support groups available for people with diabetes..
