Helping a patient to understand diabetes

Teaching plan to promote an independent lifestyle
  • Lynn Batehup


George Campford was admitted to hospital after metabolic control of his diabetes had not been achieved while he was being treated as an outpatient. He is frustrated and appears not to understand fully the management of his condition. Some nursing problems are outlined, together with their expected outcomes and interventions. The organisation of a teaching programme for Mr Campford and ideas on how to ensure that safe blood glucose levels are maintained for him are required; the answers appear at the end of the chapter.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. Binder, C., Lauritzen, T., Faber, O., and Pramming, S. (1984). Diabetes care. Insulin Pharmacokinetics, 7(2) 188–199.Google Scholar
  2. Bovington, N. M., Enzenauer Spies, M., and Troy, P. J. (1983). Management of the patient with diabetes mellitus during surgery and illness. Nursing Clinics of North America, 18(4) 661–671.PubMedGoogle Scholar
  3. Cavalier, J. P. (1980). Crucial decisions in diabetic emergencies. Registered Nurse, 43, 32.Google Scholar
  4. Guthrie, D. W., and Guthrie, R. A. (1982). Nursing Management of Diabetes Mellitus, C. V. Mosby, St Louis, Missouri.Google Scholar
  5. Guyton, A. C. (1981). Textbook of Medical Physiology, W. B. Saunders, Philadelphia, Pennsylvania.Google Scholar
  6. Harmon Moorman, N. (1983). Acute complications of hyperglycaemia and hypoglycaemia. Nursing Clinics of North America, 18(4) 707–719.PubMedGoogle Scholar
  7. Koivisto, V. A., and Felig, P. (1980). Alterations in insulin absorption and in blood glucose control associated with varying insulin injection sites in diabetic patients. Annals of Internal Medicine, 92, 59–61.CrossRefPubMedGoogle Scholar
  8. Lauritzen, T., Pramming, S., Gale, E. A. M., Deckert, T., and Binder, C. (1982). Absorption of isophane insulin and its clinical implications. British Medical Journal, 285, 159–162.CrossRefPubMedPubMedCentralGoogle Scholar
  9. Marks, C. (1983). Teaching the diabetic patient. In: Wilson-Barnett, J. (ed), Patient Teaching, Churchill Livingstone, Edinburgh.Google Scholar
  10. Nutrition Sub-Committee of the Medical Advisory Committee of the British Diabetic Association (1982a). The role of the dietitian in the management of the diabetic. Human Nutrition: Applied Nutrition, 36A, 395–400.Google Scholar
  11. Nutrition Sub-Committee of the Medical Advisory Committee to the British Diabetic Association (1982b). Dietary recommendations for diabetics in the 1980s. A policy statement by the British Diabetic Association. Human Nutrition: Applied Nutrition, 36A, 138–141.Google Scholar
  12. Rayman, G., Dorrington-Ward, P., Ellwood-Russell, M., and Wise, P. (1984). Simple, economical and effective home blood glucose monitoring. The Practitioner, 228, 191–194.PubMedGoogle Scholar
  13. Skodda, H., Warzecha, P., Mulhauser, I., Kemmer, F. W., and Jorgens, V. (1983). The quality of different insulin syringes. Diabetologia, 25, 194.Google Scholar
  14. Thatcher, G. (1985). Insulin injections. The case against random rotation. American Journal of Nursing, 6, 690–692.Google Scholar
  15. Valenta, C. L. (1983). Urine testing and home blood glucose monitoring. Nursing Clinics of North America, 18(4), 645–670.PubMedGoogle Scholar
  16. Wright, S., Morris, J. T., and Hartog, M. (1982). The accuracy of drawing up insulin by insulin-treated diabetics. Diabetes Metabolism, 8, 7–8.Google Scholar

Copyright information

© Nursing Times, the Editors and the Contributors 1988

Authors and Affiliations

  • Lynn Batehup

There are no affiliations available

Personalised recommendations