Management of Diabetes Mellitus

Diabetes
mellitus is a chronic disease which cannot be cured except in very specific
situations. Management concentrates on keeping blood sugar levels as close to
normal as possible without causing hypoglycaemia.

An
honest discussion with the patient about his or her disease will ensure that
the desired co-operation is achieved in view of management. This can be
accomplished with diet and drugs.  It is
necessary to seek the advice of a dietitician who may recommend calorie
requirement of between 1,000 grammes and 3,000 kilo calorie daily depending on
whether the patient is obese, elderly or young. A carbohydrate intake of 100 t0
260 grammes, protein 60-100 grammes and fat 50-50 grammes with due regards for
individual needs should provide the necessary calories.
Insulin
is still to be preferred in many circumstances and patient can now be taught
self administration. The recent development in Germany implies that a pump of
insulin implanted in the patient’s body can remit the required dose of insulin.
In dealing with pregnant diabetics, three major aspect is highlighted:
·        
The careful control of the diabetes by increasing insulin requirement.
·        
The choice of the optimal time for delivering the baby.
·        
The expert care of infant.
(Osuola,
2002).
Prevention and Control of Diabetes Mellitus
·        
Regular exercise on weight reduction.
·        
Careful control of food intake to avoid weight.
·        
Maintain normal or appropriate blood pressure.
·        
Frequent self monitoring of blood glucose level.
·        
Administer medical nutrition as advised.
·        
Balanced good instance with physical activities e.g. avoid drinking
alcohol because it can raise the level of fat in the blood which further the
increase risk of heart disease.
(American
Diabetes Association, 2010).

References
American
Diabetes Association (2010).Diagnosis and
classification of diabetes mellitus care.
New York: ADA
Osula, B.
(2002) Management of Diabetes Mellitus. Retrieved on 2nd February,
2015 from http://grantome.com/grant/NIH/K23-MH081175-02
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