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Home Up Energy Medicine Diet & Nutrition Reflexology Anatomy Chronic Ailments Rife
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Some questions on Chronic Ailments
- What kind of exercise precautions and diet will you suggest to people to better:
Cardiac health?
Exercise:
Should you suffer from any symptoms like, short breath, joint pains,
nasua, dizziness, etc first see a doctor
Diet:
Lower the amount of total fat
Lower the amount of saturated fats
Lower cholesterol intake
Eat more complex carbohydrates like starch and fiber
Lose weight
Blood pressure
Should you suffer from fatigue, anxiety, dizziness and headache and in
severe cases , confusion, visionchanges, nausea, vomiting, chest pain, shortness
of breath, palpitations and ear noises, nose bleed and sweating, you should be
first evaluated by a doctor
Some test will need to be done.
Reduction of sodium intake
- How
will you advise people over the age of 70 to take care of their health?
a.
They should go for a medical checkup
b.
They should eat well ballance and nutricianal foods
c.
Take a suppliment where nessessary
d.
Exercide moderately (Walks), Get fresh air, interact with
people
e.
Avoid the poisions (nicotine, alchol, sugar, soda, grape
dirivatives, euckyliptes,
f.
Medical check-up recommended:
TEST
CONDITION
FREQUENCY
History & Physical
Various discorder
Annually
Blood pressure
Hypertention
Annually
Dental exam
Dental caries
Every 6 – 12 mo
Hearing test
Hearing deficit
Every 3 – 5 yrs
Stool test(Blood)
Colourectal cancer
Every year
Sigmoidoscopy
Colourectal cancer
Every 3 – 5 yrs
PSA testing
Prosate cancer
Annually
EKG
Heart disease
Every 2 – 3 years
Urinalysis
Diabetes/Kidney desease
Every 5 years
CBC
Anemia
Every 5 years
Blood glucose
Diabetes
Every 5 yrs
Thyriod profile
Hypothyroism
Every 5 yrs
Glaucoma test
Glaucoma
Every 3 yrs
Vision test
Vision problem
Every 5 yrs
(2-3
yrs if glasses)
Cholestrol
Heart disease
Every 5 yrs
FOR WOMEN ADD:
Breast
Breat cancer
Monthly
Breast
Breat cancer
Annually
Mammography Breat
cancer
Annually
- What
health care insights will you take into consideration in counselling people
with eathing disorders?
That it is a complex psychiatric disorder
Caused by a combination of factors
Such as individual psychodynamics, family relationships, cultural values
and genetic predisposition. I wal add personal relationships as well be it
social or at work.
Some people have these disorders for other reasons than psychological or
emational ones.
A person may have characteristics of more than one eating disorder
Professional help is necessary, the sooner the better,
Recovery can take a long time
There a similarities between Anorexia and Bulimia
- Describe/illustrate
the following self help skills:
- Taking a pulse
Your pulse is the rate at which your heart
beats. As your heart pumps blood through your body, you can feel a throbbing in
some of the arteries close to the skin's surface. The two arteries that are
easiest to use for taking your pulse are the:
- Radial
artery, located on the palm side of your wrist in line with your thumb.
- Carotid
artery, located on either side of the windpipe in your neck. If you are
older than 65, do this with caution. If you press too hard, you may become
lightheaded and could fall.
To take your pulse, place two fingers gently
on the artery. Do not use your thumb because it has its own pulse that you may
feel. Count the beats for 30 seconds; then double the result to get the number
of beats per minute.
The usual resting pulse for an adult is 50 to
100 beats per minute. Certain illnesses can cause your pulse to change, so it is
helpful to know what your resting pulse is when you are well. To obtain your
resting pulse, count your pulse after you have been sitting or resting quietly
for at least 10 minutes.
Illustrations copyright
2000, 2001 by Nucleus Communications, Inc. All rights reserved. http://www.nucleusinc.com
- Measuring temperature
The patient should sit or lie in a
comfortable position to ensure that temperature readings are taken in similar
locations each time and to minimize the effects of stress
or excitement on the reading.
The manufacturer's guidelines should be
followed when taking a patient's temperature with a digital, tympanic, or
disposable thermometer. Dot-matrix thermometers are placed next to the skin and
usually held in place by an adhesive strip. With the tympanic thermometer,
caregivers should ensure that the probe is properly inserted into the ear to
allow an optimal reading. The reading will be less accurate if the sensor cannot
accurately touch the tympanic membrane or if the ear canal is clogged by wax or
debris.
A mercury thermometer can be used to monitor
a temperature in three body locations:
- Axillary.
- Oral
or sublingual. This placement is never used with infants.
- Rectal.
This method is used with infants. The tip of a rectal mercury thermometer is
usually colored blue
to distinguish it from the silver tip of an oral/axillary thermometer.
Before recording a temperature using a
mercury thermometer, the caregiver shakes the mercury down by holding the
thermometer firmly at the clear end and flicking it quickly a few times with a
downward wrist motion toward the silver end. The mercury should be shaken down
below 96°F (35.5°C) before the patient's temperature is taken.
In maxillary placement, the silver tip of the
thermometer is placed under the patient's right armpit, with the patient's arm
pressing the instrument against the chest. The thermometer should stay in place
for six to seven minutes. The caregiver can record the patient's other vital
signs during this waiting period. After the waiting period has elapsed, the
caregiver removes the thermometer and holds it at eye level to read it. The
mercury will have risen to a level indicating the patient's temperature.
The procedure for taking a patient's
temperature by mouth with a mercury thermometer is similar to the maxillary
method except that the silver tip of the thermometer is placed beneath the
tongue for four to five minutes before being read. In both cases, the
thermometer is wiped clean and stored in an appropriate container to prevent
breakage.
To record the patient's rectal temperature
with a mercury thermometer, a rectal thermometer is shaken down as described
earlier. A small amount of water-based lubricant is placed on the colored tip of
the thermometer to make it easier to insert. Infants must be positioned lying on
their stomachs and held securely by the caregiver. The tip of the thermometer is
inserted into the rectum no more than 0.5 in (1.3 cm) and held there for two to
three minutes. The thermometer is removed, read as before, and cleansed with an
antibacterial wipe. It is then stored in an appropriate container to prevent
breakage. This precaution is important as mercury is poisonous when swallowed.
Liquid-in-glass thermometers contain
alternatives to mercury (such as colored alcohol), but are used and stored in
the same manner as mercury thermometers
- Assessing cardiac health
It is very
important to ask the folloing questions to the patient.
Do you have a
history of a heart attack?
Do you often feel
dizzy or faint?
Have you ahd
chest pains?
Do you have bouts
of sweating, nausea or difficuilty breathing?
Has doctor told
you before, that you have :
heart trouble,
bone or joint problem,
high blood pressure,
diabetic,
taking high blood pressure medicine
are you 45 and not use to hard excesise?
If any answer is
yes, then patient should check with his/her doctor befor attempting the step
test
I personally use
a heart rate monitor (The Polar Watch with chest starp) to measure my heart rate
before, during and after exercise. By establishing you VO2 and maximum heart
rate, you can deside in the HR Zone you should excersice.
- What
will you look for in a possible food allergy/poison?
Normally it is cause due to chemicals added for instance:
This is now on the label of goods:
Tartrazine
coloring
dry added to food causing asthmatic symtomps.
Monosodium glumate
flavour
enhancer cuaing anxiety,facial flushing and chest pressure
BHT/BHA
Preservatives & coloring agents (yellow) causing chronic hives in
adults
Sulphite preservatives
Used for “stay fresh” on salads to prevent browning, causing
asthmatic attacks
(fresh shrimps, mushrooms, potato chips, dried fruits
& wine)
Aspartame
sweetening agent, causing mental retarders in babies
Test with biores
allergy on person and food?
The “Keep it in
the right hand test”?
- A
couple needs some advise on birth control. Advise them
There are various birth control methods, with various successes,
prescribe and non-prescribe, some with lesser enjoyment and some with a little
bit of inconvenience and those that require very carefull tracking:
1.1
Male Condom, Latex/Polyurethane
Description:
A sheath placed over the erect penis blocking the passage of sperm.
Failure Rate (number of pregnancies expected per 100 women per
year): 11 (a,
b)
Some Risks: Irritation and allergic reactions (less likely with
polyurethane)
Protection from Sexually Transmitted Diseases (STDs): Except
for abstinence, latex condoms are the best protection against STDs, including
gonorrhea and AIDS.
Convenience: Applied immediately before intercourse; used only
once and discarded. Polyurethane condoms are available for those with latex
sensitivity.
Availability: Nonprescription
1.2
Female Condom
Description:
A lubricated polyurethane sheath shaped similarly to the male condom. The closed
end has a flexible ring that is inserted into the vagina.
Failure Rate (number of pregnancies expected per 100 women per
year): 21
Some Risks: Irritation and allergic reactions
Protection from Sexually Transmitted Diseases (STDs): May give
some STD protection; not as effective as latex condom
Convenience: Applied immediately before intercourse; used only
once and discarded.
Availability: Nonprescription
1.3
Diaphragm with Spermicide
Description:
A dome-shaped rubber disk with a flexible rim that covers the cervix so that
sperm cannot reach the uterus. A spermicide is applied to the diaphragm before
insertion.
Failure Rate (number of pregnancies expected per 100 women per
year): 17 (b,
d, e)
Some Risks: Irritation and allergic reactions, urinary tract
infection. (c)
Risk of toxic shock syndrome, a rare but serious infection, when kept in place
longer than recommended.
Protection from Sexually Transmitted Diseases (STDs): None
Convenience: Inserted before intercourse and left in place at
least six hours after; can be left in place for 24 hours, with additional
spermicide for repeated intercourse.
Availability: Prescription
1.4
Lea's Shield
Description:
A dome-shaped rubber disk with a valve and a loop that is held in place by the
vaginal wall. Covers the upper vagina and cervix so that sperm cannot reach the
uterus. Spermicide is applied before insertion.
Failure Rate (number of pregnancies expected per 100 women per
year): 15
Some Risks: Skin irritation, spotting, discomfort (female and
male partners), urinary tract infection. Theoretical risk of toxic shock
syndrome.
Protection from Sexually Transmitted Diseases (STDs): None
Convenience: Inserted before intercourse and left in place at
least 8 hours after; can be left in place for up to 48 hours, with additional
spermicide for repeated intercourse.
Availability: Prescription
1.5
Cervical Cap with Spermicide
Description:
A soft rubber cup with a round rim, which fits snugly around the cervix.
Failure Rate (number of pregnancies expected per 100 women per
year): Prentiff Cap--17; FemCap--23 (b,
d, e)
Some Risks: Irritation and allergic reactions, abnormal Pap
test. (c)
Risk of toxic shock syndrome, a rare but serious infection, when kept in place
longer than recommended.
Protection from Sexually Transmitted Diseases (STDs): None
Convenience: May be difficult to insert; can remain in place
for 48 hours without reapplying spermicide for repeated intercourse.
Availability: Prescription
1.6
Sponge with Spermicide
Description:
A disk-shaped polyurethane device containing the spermicide nonoxynol-9.
Failure Rate (number of pregnancies expected per 100 women per
year): 14-28 (d,
e)
Some Risks: Irritation and allergic reactions, difficulty in
removal. (c)
Risk of toxic shock syndrome, a rare but serious infection, when kept in place
longer than recommended.
Protection from Sexually Transmitted Diseases (STDs): None
Convenience: Inserted before intercourse and protects for
repeated acts of intercourse for 24 hours without additional spermicide; must be
left in place for at least six hours after intercourse; must be removed within
30 hours of insertion. Is discarded after use.
Availability: Nonprescription; not currently marketed
1.7
Spermicide Alone
Description:
A foam, cream, jelly, film, suppository, or tablet that contains nonoxynol-9, a
sperm-killing chemical
Failure Rate (number of pregnancies expected per 100 women per
year): 20-50 (studies have shown varying effectiveness rates)
Some Risks: Irritation and allergic reactions, urinary tract
infections (c)
Protection from Sexually Transmitted Diseases (STDs): None
Convenience: Instructions vary; check labeling. Inserted
between 5 and 90 minutes before intercourse and usually left in place at least
six to eight hours after.
Availability: Nonprescription
1.8
Oral Contraceptives--combined pill
Description:
A pill that suppresses ovulation by the combined actions of the hormones
estrogen and progestin. A chewable form was approved in November 2003.
Failure Rate (number of pregnancies expected per 100 women per
year): 1-2
Some Risks: Dizziness; nausea; changes in menstruation, mood,
and weight; rarely, cardiovascular disease, including high blood pressure, blood
clots, heart attack, and strokes
Protection from Sexually Transmitted Diseases (STDs): None
Convenience: Must be taken on daily schedule, regardless of
frequency of intercourse. Women using the chewable tablet must drink 8 oz. of
liquid immediately after taking.
Availability: Prescription
1.9
Oral Contraceptives--progestin-only minipill
Description:
A pill containing only the hormone progestin that reduces and thickens cervical
mucus to prevent the sperm from reaching the egg.
Failure Rate (number of pregnancies expected per 100 women per
year): 2
Some Risks: Irregular bleeding, weight gain, breast tenderness,
less protection against ectopic pregnancy
Protection from Sexually Transmitted Diseases (STDs): None
Convenience: Must be taken on daily schedule, regardless of
frequency of intercourse.
Availability: Prescription
1.10
Oral Contraceptives--91-day regimen (Seasonale)
Description:
A pill containing estrogen and progestin, taken in 3-month cycles of 12 weeks of
active pills followed by one week of inactive pills. Menstrual periods occur
during the 13th week of the cycle.
Failure Rate (number of pregnancies expected per 100 women per
year): 1-2
Some Risks: Similar to oral contraceptives--combined pill
Protection from Sexually Transmitted Diseases (STDs): None
Convenience: Must be taken on daily schedule, regardless of
frequency of intercourse. Since users will have fewer periods, they should
consider the possibility that they might be pregnant if they miss scheduled
periods. May have more unplanned bleeding and spotting between periods than with
28-day oral contraceptives.
Availability: Prescription
1.11
Patch (Ortho Evra)
Description:
Skin patch worn on the lower abdomen, buttocks, or upper body that releases the
hormones progestin and estrogen into the bloodstream.
Failure Rate (number of pregnancies expected per 100 women per
year): 1-2 (Appears to be less effective in women weighing more than 198
pounds.)
Some Risks: Similar to oral contraceptives--combined pill
Protection from Sexually Transmitted Diseases (STDs): None
Convenience: New patch is applied once a week for three weeks.
Patch is not worn during the fourth week, and woman has a menstrual period.
Availability: Prescription
1.12
Vaginal Contraceptive Ring (NuvaRing)
Description:
A flexible ring about 2 inches in diameter that is inserted into the vagina and
releases the hormones progestin and estrogen.
Failure Rate (number of pregnancies expected per 100 women per
year): 1-2
Some Risks: Vaginal discharge, vaginitis, irritation. Similar
to oral contraceptives--combined pill
Protection from Sexually Transmitted Diseases (STDs): None
Convenience: Inserted by the woman; remains in the vagina for 3
weeks, then is removed for 1 week. If ring is expelled and remains out for more
than 3 hours, another birth control method must be used until ring has been used
continuously for 7 days.
Availability: Prescription
1.13
Post-Coital Contraceptives (Preven and Plan B)
Description:
Pills containing either progestin alone or progestin plus estrogen
Failure Rate (number of pregnancies expected per 100 women per
year): Almost 80 percent reduction in risk of pregnancy for a single act of
unprotected sex
Some Risks: Nausea, vomiting, abdominal pain, fatigue, headache
Protection from Sexually Transmitted Diseases (STDs): None
Convenience: Must be taken within 72 hours of having
unprotected intercourse.
Availability: Prescription
1.14
Injection (Depo-Provera)
Description:
An injectable progestin that inhibits ovulation, prevents sperm from reaching
the egg, and prevents the fertilized egg from implanting in the uterus.
Failure Rate (number of pregnancies expected per 100 women per
year): less than 1
Some Risks (serious medical risks from contraceptives are
rare): Irregular bleeding, weight gain, breast tenderness, headaches
Protection from Sexually Transmitted Diseases (STDs): None
Convenience: One injection every three months.
Availability: Prescription
1.15
Injection (Lunelle)
Description:
An injectable form of progestin and estrogen
Failure Rate (number of pregnancies expected per 100 women per
year): less than 1
Some Risks: Changes in menstrual cycle, weight gain. Similar to
oral contraceptives--combined.
Protection from Sexually Transmitted Diseases (STDs): None
Convenience: Injection given once a month.
Availability: Prescription
1.16
Implant (Norplant)
Description:
Six matchstick-sized rubber rods that are surgically implanted under the skin of
the upper arm, where they steadily release the contraceptive steroid
levonorgestrel.
Failure Rate (number of pregnancies expected per 100 women per
year): less than 1
Some Risks: Irregular bleeding, weight gain, breast tenderness,
headaches, difficulty in removal
Protection from Sexually Transmitted Diseases (STDs): None
Convenience: Implanted and removed by health-care provider in
minor outpatient surgical procedure; effective for up to five years.
Availability: Prescription. In July 2002, Norplant's
manufacturer announced that it will no longer distribute the Norplant system.
Women using the system should contact their doctors about what their
contraceptive options will be after the five-year expiration date of their
Norplant systems.
1.17
IUD (Intrauterine Device)
Description:
A T-shaped device inserted into the uterus by a health professional.
Failure Rate (number of pregnancies expected per 100 women per
year): less than 1
Some Risks: Cramps, bleeding, pelvic inflammatory disease,
infertility, perforation of uterus
Protection from Sexually Transmitted Diseases (STDs): None
Convenience: After insertion by physician, can remain in place
for up to one or 10 years, depending on type.
Availability: Prescription
1.18
Periodic Abstinence
Description:
To deliberately refrain from having sexual intercourse during times when
pregnancy is more likely.
Failure Rate (number of pregnancies expected per 100 women per
year): 20
Some Risks: None
Protection from Sexually Transmitted Diseases (STDs): None
Convenience: Requires frequent monitoring of body functions
(for example, body temperature for one method).
Availability: Instructions from health-care provider
1.19
Trans-abdonimal Surgical Sterilization--female (Falope Ring, Hulka Clip,
Filshie Clip)
Description:
The woman's fallopian tubes are blocked so the egg and sperm can't meet in the
fallopian tube, preventing conception. (h)
Failure Rate (number of pregnancies expected per 100 women per
year): less than 1
Some Risks: Pain, bleeding, infection, other post-surgical
complications, ectopic (tubal) pregnancy.
Protection from Sexually Transmitted Diseases (STDs): None
Convenience: One-time surgical procedure that requires an
abdominal incision.
Availability: Surgery
1.20
Sterilization Implant--female (Essure System)
Description:
Small metallic implant that is placed into the fallopian tubes. The device works
by causing scar tissue to form, blocking the fallopian tubes and preventing
conception. (h)
Failure Rate (number of pregnancies expected per 100 women per
year): less than 1
Some Risks: Mild to moderate pain after insertion, ectopic
(tubal) pregnancy.
Protection from Sexually Transmitted Diseases (STDs): None
Convenience: Minor surgical procedure, permanent sterilization.
Device is inserted through the vagina using a catheter. Women must rely on
another birth control method during the first three months, until placement is
confirmed with an X-ray procedure.
Availability: Prescription
1.21
Surgical Sterilization--male
Description:
Sealing, tying, or cutting a man's vas deferens so that the sperm can't travel
from the testicles to the penis. (h)
Failure Rate (number of pregnancies expected per 100 women per
year): less than 1
Some Risks (serious medical risks from contraceptives are
rare): Pain, bleeding, infection, other minor postsurgical complications
Protection from Sexually Transmitted Diseases (STDs): None
Convenience: One-time surgical procedure.
Availability: Surgery
- Explain
how to prevent possible back pain and injury
The bottom-line is to handle objects in the correct manner, position and
weight
Correct lifting methods to THINK before you move, lift, push even look at
something. Consider the body’s position & mechanics. How you sit, stand,
reach, twist and bend. Kneel down, come close to the object, consider the
weight, do a test list.
It important to have a healthy body, of which abdominal muscles is key
Do execersises to build muscles
Improve the way you sit and stand
Avoid becoming overweight.
- Provide
general dietary
guidelines to a sportsman
Beside good nutrition, he/she must be motivated and exercise regulary
Depending on the fitness condition (Resting Heart Rate/Maximum Heart Rate
the VO2 etc) and where the sportsman/women wants to achieve, will course the exercise
and dietary plan.
The nutritional fuel for a sportsman is is/her intake of complex
carbohydrates – starches viz. wheat, sweet potatoes, rye, rice, potatoes,
oats, cereals, breat etc.
This brakes down to glucose during digestion and is a an very important
energy source used by the muscles during exercise. Build and maintain these
levels.
Fat is not really a source of energy and should be burned during
exercise. USN stuff like Prera-cut will be recommended.
It is critical to take in enough good water before, during and after
exercise.
as it regulates body temperature, maintain proper circulation, salt and
electrolyte and removes the wastes!
To assist with endurance, sport drink is recommended for it calories and
electrolytes (sodium & potassium)
Iced-tea, sugar-free sodas and fruit and vegetable juices are good
choices.
Sugar should not be take in the final hour before and exercise as it my
lead to fatigue.
Of cause Diabetic people should consult professional trainers.
- What
kind of diet will you suggest to an AIDS patient?
Good nutritional habits are important for EVERYONE with a weakened immune
system. As Aid suffers suffer inter alia also of a weak immune system, eating
the proper amount, types and variety
of food (for energy) .Adequete protein – for muscle mass, minimizing infection
and building body tissue.
In time of difficulty to eat, cause by a loss of appetite, taste changes,
nausea, vomiting and diarrhea, thrush and mouth sore, alternative eating methods
should be considered. (add milk, honey, sugar, margarine, etc / soups, gravies
etc)
High calorie, protein and balanced meals
Take multivitamins with minerals
Avoid fad diets
- What
kind of a dietary
guidelines must a cancer/chemotherapy patient follow?
Plant based foods
Limit intake of high-fat
foods
For most of the week, be daily moderately active for 30min
Limit alcohol consumption
The goal is to:
Achieve and maintain reasonable weight and
Prevention and correction of nutritional imbalances and deficiencies
Enough calories, protein, fats, minerals, vitamins and fluisin appropriate
amounts. Malnutrition is a danger.
Appetite loss should be monitored to determine reasons and symptoms for
happening.
Recommend foods should there be like and dislikes
Teach patient to maximise up-t=time for proper food preparation and have
stock during down times.
Stay away from raw eggs and raw meats
- Explain/demonstrate
CPR for adults.
Check the victim for unresponsiveness. If there is no response, Call 911/or SA emergency and return to the victim. In most locations the emergency dispatcher can assist you with CPR instructions.
2. BLOW
Tilt the head back and listen for breathing. If not breathing normally, pinch nose and cover the mouth with yours and blow until you see the chest rise. Give 2 breaths. Each breath should take 1 second.
3. PUMP
If the victim is still not breathing normally, coughing or moving, begin chest compressions. Push down on the chest 11/2 to 2 inches 30 times right between the nipples. Pump at the rate of 100/minute, faster than once per second.
CONTINUE WITH 2 BREATHS AND 30
PUMPS UNTIL HELP ARRIVES
NOTE: This ratio is the same for one-person & two-person CPR. In
two-person CPR the person pumping the chest stops while the other gives
mouth-to-mouth breathing.
- What
is the value of Blood Glucose
Monitoring and how is it done?
Testing enables you to see how certain foods, activities, and situations
may impact your blood glucose levels. It can also help you and your diabetes
care team evaluate how effective, or ineffective, a new treatment routine or
change in medication is. For people who take insulin, self-testing allows for
more accurate dosage adjustments.
The ADA suggests that people with type
1 diabetes and pregnant women taking insulin test their blood glucose levels
at least three times a day. There is no official recommendation for daily
testing frequency for type
2 diabetes; however the ADA does state that testing should be frequent
enough to achieve blood glucose goals, and both type 1 and type 2 patients
should test more often when their treatment regimen is adjusted.
1.22
How
do I do a blood sugar test?
To get a drop of blood from a
finger or toe:
- Wash
the area with warm water. This increases blood flow and makes sure there is
nothing on the finger or toe that may change the reading. Do not routinely
wipe the finger with alcohol. Any trace of alcohol left on the skin will
interfere with the test. Occasionally, when away from home (for example,
camping or picnics), it is necessary to use alcohol-free travel wipes to
clean the area.
- Air
dry the area before pricking.
- Use
the lancet to prick the side of the finger or toe rather than the fleshy pad
on the fingertip or toe (which is more painful). It is often helpful to
place the finger on a table. This helps prevent the natural reflex of
withdrawing the finger when poked. If the drop is not coming easily, hold
the hand down to the side of the body to increase the blood flow to the
finger.
- Put
the drop of blood on the strip. (If a test strip has been in a cooler or
refrigerator, bring it to room temperature before using.) Make sure you
completely cover the required area on the strip with blood. Putting too
small a drop on the strip is one of the most common errors.
- Use
your blood glucose meter to measure the sugar level from the strip. If you
are using color-changing strips, compare the color to the color chart on the
package at the appropriate time. You will have to use a watch with a
secondhand and be careful to check the level after the exact amount of time
required according to the package directions.
1.23
Do
I have to prick a finger or toe?
Pricking sites other than the
fingers or toes may not hurt as much. The most common alternate site is the
forearm. Other places to test include the fleshy part of the hand, upper arm,
thigh, and back of the calf. The lancet must be dialed to the maximum depth to
get enough blood from these sites. Make sure you have a meter that works for
these testing sites.
The main problem with not using
the fingertips is that the blood flow through the arm is slower than through the
fingers. The slower blood flow means the blood sugar value from the arm is 10
minutes behind the fingertip. It is important to rub the site to be used on the
arm before pricking. Rubbing increases blood flow in the area. If you are having
symptoms of low blood sugar, use the fingertip.
1.24
When
should I do a blood sugar test?
In general, your health care
provider will tell you when and how often you need to check your blood sugar.
When you have just been diagnosed with diabetes you will need to check your
blood sugar more often. After you have your diabetes under control, your
provider will tell you how you can decrease your sugar checks.
You should also check your blood
sugar when you are feeling ill, especially if you are having symptoms of
hypoglycemia (low blood sugar).
1.25
What
should the blood sugar level be?
The desired blood sugar levels
at different times are:
- fasting
or before meals: 80 to 120
- after
meals: less than 180
- bedtime:
100 to 140.
1.26
Should
I keep written records?
Keeping good records to look for
patterns in blood sugars is essential. It is wise to keep written records even
if your meter is able to store results (in case the meter breaks). Write down
the time of the test, the date, how you feel, and the blood sugar value. You may
also want to note times of heavy exercise, illness, or stress. It may be helpful
to record what you ate for a bedtime snack or any evening exercise to see if
these are related to morning blood sugars. Also, keep a record of when you have
low blood sugar reactions and possible causes. Always take your blood sugar
results to your appointments.
Good record keeping allows you
and the diabetes team to work together most effectively to achieve good diabetes
management.
- What
is the self help procedure for breast examination of a female person?
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Step-by-Step Guide to Breast Self-Examination
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Step 7 |
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Step 8 |
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