What is the management of diabetic patient?

Diabetes affects your whole body. To best manage diabetes, you’ll need to take steps to keep your risk factors under control and within the normal range, including: Keep your blood glucose levels as near to normal as possible by following a diet plan, taking prescribed medication and increasing your activity level.

What are 4 ways to manage diabetes?

Know what to do every day.

  1. Take your medicines for diabetes and any other health problems even when you feel good.
  2. Check your feet every day for cuts, blisters, red spots, and swelling.
  3. Brush your teeth and floss every day to keep your mouth, teeth, and gums healthy.
  4. Stop smoking.
  5. Keep track of your blood sugar.

Which antidiabetic drug is preferred for elderly patient?

Long-acting basal insulin analogs (insulin glargine and detemir) are preferred in older adults with diabetes because these agents are relatively easy to titrate and have a decreased risk of hypoglycemia compared to NPH and regular insulin [50].

Can metformin be used in the elderly?

Metformin is an attractive agent to use in older adults due to a low risk of hypoglycemia. Healthy older adults may be treated similarly as younger adults with initiation of metformin at the time of diabetes diagnosis, even if the presenting A1C is below the individualized medication-treated target.

What are the nursing management of diabetes mellitus?

Nursing Priorities Correct/reverse metabolic abnormalities. Identify/assist with management of underlying cause/disease process. Prevent complications. Provide information about disease process/prognosis, self-care, and treatment needs.

How do you manage uncontrolled diabetes?

In patients whose diabetes remains uncontrolled even with moderate daily dosages of insulin (i.e., more than 30 units per day), metformin and troglitazone are effective in reducing insulin requirements and improving glycemic control.

Is metformin safe for the elderly?

However, elderly patients are more likely to have age-related kidney problems, which may require caution in patients receiving metformin. This medicine is not recommended in patients 80 years of age and older who have kidney problems.

Is glimepiride safe for elderly?

Long-acting sulfonylureas like chlorpropamide, glyburide, and glimepiride aren’t recommended for older patients due to increased risk for hypoglycemia. Other drugs that may be used as initial therapy include repaglinide, dipeptidyl peptidase 4 (DPP-4) inhibitors, or insulin.