00:01
Remember, we've got some things that will
increase the risk for diabetic neuropathy.
00:05
If the patient is overweight,
if the patient has
high blood pressure,
which often goes
along with diabetes,
if the patient has
high cholesterol,
they've got Advanced
kidney disease
or if they drink too
much alcohol or smoke.
00:18
Okay well I could just
go on to the next slide
but this is one that we
really need to talk about.
00:24
Remember the discussion
of thinking like a nurse,
developing a therapeutic
relationship,
well look what we're talking about
here, over weight,
cholesterol, drinking
alcohol, or smoking,
those real personal.
00:37
People don't necessarily
take advanced kidney disease
or high blood pressure
something they did
but the other three
involve social habits.
00:46
So again,
start from a place of understanding
help them take the next
step toward health.
00:53
Don't be judgemental.
00:55
Also encourage the
value of medications
and consistent follow up with
the whole healthcare team.
01:02
Help them understand the importance
of blood glucose control.
01:05
You want to focus on
the quality of life
versus telling them, you must keep your
blood sugar between these two numbers.
01:12
Let's focus on what they can do
versus what they can't or
currently aren't doing.
01:17
So strict blood glucose control
results in minimizing the risk
of complications of diabetes.
01:23
We got it,
but don't set the bar so high
that the patient just gives up.
01:29
Small steps towards toward
health are always progress.