By Trisha Dunning
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Additional resources for Care of People with Diabetes: A Manual of Nursing Practice Third Edition
Other screening and prevention measures include providing the public with information about screening programmes, health maintenance programmes, and self-risk assessment lists, for example checklists from the Agency for Healthcare Research and Quality (AHRQ). ahrq. htm). The information is based on the US Preventative Services Task Force recommendations. Although HbA1c is a useful measure of blood glucose control its utility as a screening tool is still debated. It is not clear whether it can be used to diagnose Type 2 diabetes and cardiovascular disease, although elevated HbA1c was shown to be a strong predictor of diabetes but not cardiovascular disease after multivariate analysis and after excluding people diagnosed with diabetes within 2–5 years of follow-up (Pradhan et al.
4) The cannula is ﬂushed with saline between samples to prevent clots forming in the sample. One to two milliletres of blood should be withdrawn and discarded before collecting each sample to avoid contaminating the sample with saline left in the tubing. (5) Blood samples are collected at the following times. However, sometimes only baseline (0) and a two-hour sample are collected: minutes: 10 0 75 g glucose, consumed over 5 minutes Water can be given after the glucose. It is very sweet and some people ﬁnd it difﬁcult to drink.
The diagnosis is confirmed by genetic testing. Practice point Hyperglycaemia often occurs as a stress response to serious intercurrent illness such as cardiovascular disease and it may be difﬁcult to diagnose diabetes in such circumstances. However, controlling the blood glucose during the illness is important and leads to better outcomes including in non-diabetics. 3 Diagnostic criteria for diabetes based on the World Health Organisation guidelines. Fasting plasma glucose is the preferred test for diagnosis, but any of the three tests are acceptable.
Care of People with Diabetes: A Manual of Nursing Practice Third Edition by Trisha Dunning