Patient Teaching Type 2 Diabetes

Drug Therapy for the Endocrine System
Case Study: Patient Teaching, Type 2 Diabetes

You are working as a nurse in an outpatient clinic as the diabetic educator. Your patient, Mr. Tyrell, has recently been diagnosed with type 2 diabetes and you will be developing a teaching plan. Mr. Tyrell is a 50-year-old male with a history of hypertension, vital signs are stable, hemoglobin A1C is 7.5%, and the patient has a body mass index (BMI) of 28.

Question 1
What are the main goals of therapy for all patients with diabetes in terms of both symptom control and quantitative targets for fasting blood glucose levels and for the hemoglobin A1c?

Question 2
You prepare a teaching plan to include glargine [Lantus] for Mr. Tyrell. What information will you include in your teaching plan?

Question 3
What are the signs, and symptoms of hypoglycemia and hyperglycemia you will want to teach him?