DIABETES SELF MANAGEMENT YOU, THE PATIENT, are the most important person to MANAGE YOUR DIABETES. you and offer support as YOU MANAGE YOUR OWN DIABETES. …
DIABETES SELF MANAGEMENT
|Note: Diabetes, a very serious disease, causes damage to the blood vessels |
|and nerves leading to the brain, eyes, heart, kidneys, toes, and feet |
YOU, THE PATIENT, are the most important person to MANAGE YOUR DIABETES
We, the staff at Health Services Associates, Inc will guide you and offer
support as YOU MANAGE YOUR OWN DIABETES The following goals will help you
gain and maintain diabetic control to reduce damage to your blood vessels
and nerves Let the staff know if you would like a staff member to call
and remind you of your appointment or check on your progress
|PLEASE CHOOSE ONE OR MORE OF THE FOLLOWING GOALS |
|Yes |No |Goals |
| | | |I will work hard to keep my Hemoglobin A1c | |
| | |Goal1|strength of diabetes below 70, and I will keep| |
| | | |my medical appointments | |
| | | |I will walk 30 minutes ____ days a week If I | |
| | |Goal |notice chest pain, shortness of breath, or chest |
|
| | |2 |tightness, | |
| | | |I will seek medical attention | |
| | | |I will check my feet daily If I notice a sore | |
| | |Goal |or an irritation, I will seek medical attention | |
| | |3 |I will visit the podiatrist foot specialist | |
| | | |yearly, or as instructed | |
| | | | | |
| | |Goal |I will follow my diabetic and low fat diet to | |
| | |4 |reduce my blood sugar and cholesterol | |
| | | | | |
| | |Goal |I will try to obtain my ideal body weight | |
| | |5 |I will lose ______ pounds by my next office | |
| | | |visit | |
| | | | | |
| | |Goal |I will take a baby aspirin or an enteric-coated |
|
| | |6 |aspirin every day | |
| | | | | |
| | |Goal |I will stop smoking | |
| | |7 | | |
| | | | | |
| | |Goal |I will visit the eye specialist every year or as | |
| | |8 |indicated | |
| | | | | |
| | |Goal |I will take my blood sugar as instructed and will| |
| | |9 |call if the results are consistently below 70 or | |
| | | |above 180 | |
| | | | | |
| | |Goal |I will see my dentist every year or as indicated| |
| | |10 | | |
Patients Name:
MR___________________
Patients Signature:
Date:___________________
TIPS FOR GOOD DIABETIC CONTROL
|To prevent diabetic complications that cause damage to the blood vessels and |
|nerves leading to the brain, eyes, heart, kidneys, and feet; follow these tips |
| |Once you are cleared to exercise, walk 30 minutes at a rapid pace |
| |every day |
| |If you notice chest pain, shortness of breath, or tightness in the |
| |chest, stop and seek medical attention |
| |Check your feet, especially the bottom, daily If you notice a |
| |sore or an irritation, make an appointment with your provider |
| |Visit your Podiatrist foot specialist yearly, or as instructed |
| |DO eat lean meat, fruit, and vegetables |
| |DO eat multigrain food, such as whole wheat breads |
| |DO drink 6-8 glasses of water every day |
| |DO NOT drink fruit juices unless your blood sugar drops below 70 |
| |Then
drink only 4 ounces of orange juice or you may drink tomato |
| |or vegetable juice such as V-8 |
| |LIMIT your fruit to 2 servings per day |
| |LIMIT your carbohydrates to 3-4 serving per meal Carbohydrates |
| |include bread, tortillas, rice, potatoes, noodles, lima beans, |
| |sweet peas, |
| |corn, etc |
| | |
| |To achieve better diabetic control, obtain and maintain your ideal |
| |body |
| |weight |
| | |
| |To prevent blood clots, take a baby aspirin every day |
| | |
| |If you smoke, STOP SMOKING
|
| | |
| |To protect your vision, visit an eye specialist every year or as |
| |instructed |
| |If asked to take your blood sugar, please record them in a spiral |
| |notebook and bring to every visit In the notebook, mark columns |
| |as indicated below: |
| |DATE Blood Sugar before breakfast Blood Sugar before supper|
| | |
| |If your blood sugar is less than 70 or above 180 for more than 3 |
| |days, |
| |call or visit your health care provider Illness may cause your |
| |blood |
| |sugar to go up |
| | |
| |1 See your
dentist at least once a year |
Propio manejos de la diabetes
|Nota: La diabetes es una enfermedad seria que puede causar daño a los vasos|
|Sanguineos y a los nervios que conducen al cerebro, ojos, corazón, riñones, |
|los pies, y dedos de los pies |
USTED, EL PACIENTE, es la persona mas importante para manejar su DIABETES
Nosotros, los empleados de South Park Medical Care Center le guiaremos y
ofrecermos apoyo mientras que USTED MANEJA SU PROPIA DIABETES Las
siguientes metas le ayudaran a obtener y mantener el control de su diabetes
para reducir el dano a sus vasos sanguineos y nervios Digale a algún
empleado si le gustaria que le llamen para recordarle de su cita o para
revisar su progreso
|POR FAVOR ESCOJA UNA O MAS DE LAS SIGUIENTES METAS |
|SI |No |Metas |
| | | | | |
| | |Meta |Trabajare para mantener la hemoglobina A1c a | |
| | |1 |menos de 70, y cumplire
con mis citas medicas | |
| | | |Caminare por 30 minutos _____ dias a la semana | |
| | |Meta |Si noto dolor en el pecho, falta de respiración, o| |
| | |2 |presion en el pecho, parare de caminar y buscare | |
| | | |ayuda médica | |
| | | |Me revisare los pies diariamente Si noto alguna | |
| | |Meta |llaga o una irritación, buscare ayuda médica | |
| | |3 |Visitare al especialista de los pies anualmente, o| |
| | | |como se me indica | |
| | | | | |
| | |Meta |Seguire mi dieta para la diabetes y mi dieta baja | |
| | |4 |en grasa para reducir la azucar en la sangre y el | |
| | | |colesterol | |
| | | | | |
| | |Meta |Tratare de obtener mi peso ideal | |
| | |5 |Yo perdere
______ libras para mi próxima visita | |
| | | | | |
| | |Meta |Para prevenir cuagulo de sangre, yo me tomare una | |
| | |6 |aspirina de niños cada dia | |
| | | | | |
| | |Meta |Dejare de fumar | |
| | |7 | | |
| | | | | |
| | |Meta |Visitare a un especialista de la visión cada año o| |
| | |8 |como sea indicado | |
| | | |Me revisare el azucar en la sangre como se me | |
| | |Meta |indica, y llamare si los resultados son | |
| | |9 |consistentemente menos de 70 o más de 180 | |
| | | | | |
| | |Meta |Visitare a mi dentista cada año o como me sea | |
| | |10
|indicado | |
Nombre del Paciente:
MR___________________
Firma del Paciente:
Fecha:___________________
Consejos para buen control diabetico
|Para prevenir complicaciones diabeticas que causan daño a los vasos sanguineos |
|y a los nervios que conducen al cerebro, los ojos, corazón y pies; |
|siga estos consejos |
| |Una vez que haya sido aprobado para hacer ejercicio, camine 30 |
| |minutos cada dia a una velocidad rapida |
| |Si nota dolor de pecho, falta de respiración, presion en el pecho, |
| |pare |
| |de caminar y busque atención médica |
| |Revise sus pies, especialmente la planta del pie, diariamente Si |
| |nota una llaga o una irritación, haga una cita con su doctor |
| |Visite a su especialista de los pies anualmente, o como sea |
| |recomendado
|
| |1 COMA carne desgrasada, frutas y vegetales |
| |2 COMA comidas con granos multiples, como pan de trigo |
| |TOME 6-8 vasos de agua cada dia |
| |NO TOME jugos de frutas al menos que el azucar en su sangre baje a |
| |menos de 70 Entonces solamente tome 4 onzas de jugo de naranja, |
| |o puede tomar jugo de tomate o de vegetales, como V-8 |
| |LIMITESE a comer 2 porciones de fruta al dia |
| |LIMITESE los carbohidratos a 3-4 porción por comida Los |
| |carbohidratos |
| |incluyen, pan, tortillas, arroz, papas, fideos, frijol de media |
| |luna, elote, |
| |etc |
| | |
| |Para lograr un mejor control diabetico, obtenga y mantenga su peso |
| |
|
| |ideal |
| | |
| |Para prevenir coagulos de sangre, tome una aspirina de niños |
| |diariamente |
| | |
| |1 Si usted fuma, DEJE DE FUMAR |
| | |
| |1 Para proteger su vista, visite a un especialista de la visión |
| |cada año o |
| |como sea indicado |
| |Si le piden que se examine la azucar en la sangre, anotelo en un |
| |cuaderno de espiral y traigalo a cada visita En el cuaderno haga |
| |unas lineas y ponga lo siguiente: |
| |FECHA Azucar antes de desayunar Azucar antes de cenar|
| |
|
| |Si el nivel de azucar en la sangre es menos de 70 o más de 180 por |
| |más |
| |de 3 dias, llame o visite a su doctor Las enfermedades pueden |
| |causar |
| |que la azucar en la sangre aumente |
El Centro del Barrio
San Antonio, TX
Source:maine.gov
