Type1insuliner
Active Member
- Messages
- 26
- Type of diabetes
- Type 1
- Treatment type
- Insulin
Sounds like an official complaint is warranted. I've had similar things happen to me while in hospital.I'm T2 but when I was in hospital for 8 days with e.coli 0157 I experienced some bullying.
1. Don't assume, when you don't know the patient and don't have his/her full medical history, that you know how s/he developed T2DM and assume that it was by eating cakes and puddings and especially don't tell them that.
2. Don't start lecturing them about eating starchy carbohydrates and stirring their food, telling them that they aren't eating enough carbs, especially not in front of their visitors who are bringing food in - and especially not when you know doctors treating the patient have had food poisoning from the hospital food !!!
3. Explain why you want to give the patient a drug, especially if giving the patient the choice not to have it. Tell them what a sliding scale is and why the doctor wants them to have it and if they aren't on insulin, don't assume they know what a brand name is and will be happy to have it without explanation.
4. BG test as appropriate. Doing it every 2 hrs might well be advisable after surgery but it's surely overkill every 2 hrs night and day for 8 days when the patient is improving. Use the lancet on the sides of fingers not the pads and don't keep using the same finger.
5. If at all possible let the patient manage his or her meds if any, at least to the point of taking them when they usually do, to try to keep their routine and therefore more stable BG.
6. Realise that patients get anxious in hospital, especially when their routine is disrupted and they feel poorly and just because they are on a ward, doesn't mean that diabetes put them there.
7. No HCP should go near someone with diabetes if they don't know the difference between nutritional ketosis and DKA
Gowever, massive Brownie points Lizzie for asking the question !! X
I've gone from being told, no morning insulin, to sliding scale, to afternoon admittance to now morning admittance at 07.30. Not allowed anything but sipping water from 07.30 for a 4pm op???? No food supposedly from midnight before? Just hypogel rubbed in gums from midnight if levels lower...
I've gone from being told, no morning insulin, to sliding scale, to afternoon admittance to now morning admittance at 07.30. Not allowed anything but sipping water from 07.30 for a 4pm op???? No food supposedly from midnight before? Just hypogel rubbed in gums from midnight if levels lower.
Hi there. I'm a type 1 diabetic nurse doing a diabetes course at uni, and have a 4000 word essay to do on "what improvements can be made in diabetes care within your area of care" (surgical ward)
I thought I would ask the experts out there....you guys! As I have brain fog and cant get started!
Any ideas or help will be much appreciated
thanks, Lizzie xx
Hi. I agree with this and would add to my original post that the NHS 'eat loads of starchy carbs' thing must be very difficult for nurses who actually know that it's nonsense. I can only hope that where possible any diabetic nurse can help bring about change whilst fighting the idiot dieticians and kitchen budgets above; not easy.Hi . You could do an essay on the relationship of diabetes and carbohydrates . And how it could be implemented on a ward that would be very helpful if you are counting carbs
Clive
Can you not put your pump back on? Does save a lot of problems.
I was allowed to keep my pump on and working plus the CGM.
I like your thinking. Though the patients get given a really good menu at our place so they get to choose what they like (literally anything) but that's the private sector for you. But I must say I feel I tire myself out trying to educate diabetics about low carb meals and how to maintain low blood sugar levels with a low glycaemic diet. Most people see going into hospital as a break from the diabetes so they eat jam on toast, jacket potatos, chips sandwichs and cakes etc
Thanks again for your help
Lizzie
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