Question

Y.L. is diagnosed with type 2 DM. The provider starts her on metformin (Glucophage) 500 mg and glipizide (Glucotrol) 5 mg orally each day at breakfast and atorvastatin (Lipitor) 20 mg orally at bedtime. She is referred to the dietitian for instructions on starting a 1200-calorie diet using an exchange system to facilitate weight loss and lower blood glucose, cholesterol, and triglyceride levels. You are to provide education regarding pharmacotherapy and exercise. How can you incorporate Y.W.'s cultural preferences as you develop her education plan?

Answer 1

Answer:

It should be explained to the patient that due to her age and diagnosis, she must take additional care to reach levels that allow her to lead an adequate and disease-free life. For this, it will be necessary to maintain periodic controls to reduce glucose levels, pressure arterial, triglycerides and cholesterol, if the goals are not reached, can cause consequences such as peripheral neuropathy, diabetic retinopathy, kidney failure and skin lesions that can lead to death in a few years.

vascular disease in diabetes can predispose mainly to coronary heart disease, when high blood glucose levels are maintained, endothelial damage occurs in the blood vessels.

as a proposal it must be incorporated

performing cardiovascular exercise 30 minutes per day at least 3 days a week

decrease the consumption of carbohydrates in the diet

increase protein intake

skin care to avoid the appearance of ulcerations mainly in the lower limbs

timely taking of formulated medications

keep scheduled appointments