Kerry Rand is 52, and on maximum oral medications for her type 2 diabetes. You think it is time to start insulin because her lab
s earlier this week indicate poor control, and her glucose today is again high. As you enter the room she says, "What are we going to do about this sugar, doc?" Which of the responses below will best help you move toward reaching agreement with Kerry on managing her diabetes? A. "I am concerned because a blood sugar at this level can affect your heart, your kidneys and your eyes."
B. "I have some ideas, but I am curious about what you think we should do."
C. "I was thinking that we should start you on a single insulin shot at night, how would that be for you?"
D. "Tell me what role you would like to play in making a decision about your treatment."
E. "Tell me what you know about insulin therapy."
Bursitis is when the small fluid-filled sacs around the joints called bursae are irritated or injured. In just about any joint the effects can be felt with pain in movement and when pressed upon. Sometimes a rash will occur as well.
