Unfortunately, the increasing number of diabetes patients, whether type 1 or type 2 are causing astounding challenges for health care providers worldwide. Due to hospital changes in policies regarding treatment for diabetes, the patient’s length of stay continues to shorten.

Therefore, patients are forced to obtain holistic health care in their own homes. Home diabetes health care has substantially increased, which in the long- run has improved patients quality of life. Furthermore, in-home care promotes ongoing strategies to enhance and promote diabetes awareness.

According to the American Diabetes Association, when patients are hospitalized for other conditions, diabetes is rarely a major entity of concern. Hospital records may not even include a diagnosis of diabetes. In older patients, blood glucose levels is often ignored, or regulated as secondary to other conditions. The diabetic population in the United States is 65 or older, which is projected to increase to 53% by 2025.

This would suggest that older people with diabetes and hyperglycemia may encounter a greater risk of significant cognitive decline or physical disability. Hyperglycemia also causes sleep disturbances, incontinence, dehydration, impaired inability, and visual disturbances. It is increasingly essential for home health care providers to tailor health care to caring for the aging population.

Initially, diabetes health care is not a home care network concern; relishing numerous poor blood glucose measurements. More so, the levels are not even included in initial or ongoing patient assessments. Hence, most home health care patients are referred by hospitals; generally not treated for diabetes care.

Regulated administrative movement to improve the quality of home health care for diabetes does not exist. There are existing barriers that prevent extensive diabetes assessment, self-management, and actual care for this particular population, however. Significant analysis reports have been published that hinder the enhancement of diabetes health care for the home.

1. No regulatory agency that evaluates the quality of home health care interventions for patients with diabetes

2. Home health care patients must supply their own glucose meter and test strips in order to properly asses their glycemic control. This process is to be identified as important as blood pressure, temperature, weight, height, heart sound, and lung sounds. Yet, surprisingly enough, many home health care agencies do not permit nurses to transport blood glucose meters.

3. Hyperglycemia is not considered such a diabetic medical emergency as compared to hypoglycemia or low blood glucose level. Hypoglycemia is regarded as a significant change in condition, to include mental status changes.

4. Home care American Diabetes Association standards do not require physicians to routinely order hemoglobin for their home health care patients with diabetes. Unfortunately, the largest percentage of home health care clients is the elderly with diabetes. They are not receiving optimal diabetes care.

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Unfortunately, early symptoms diabetes is subtle; therefore you may have diabetes for months or even years before consulting a physician to get treatment. According to the American Diabetes Association (ADA), over 6 million people live with diabetes simply because they don’t recognize the symptoms.

Many of the warning signs are common amongst diabetics, yet still so minor that you don’t think of them as an early indication of diabetes. Early diagnosis and treatment of diabetes guarantees a lifetime of improved overall health.

Therefore, it is recommended that you understand possible diabetes symptoms early. Qualified practitioners will provide the right treatment, to include advice, medications, and diet. People who are experiencing any of the following early symptoms diabetes should consult the physician immediately.

Two of the classic diabetes symptoms are excessive thirst and frequent urination. A diabetic is usually very thirsty and in the need to drink all the time. This symptom occurs because excess sugar builds up in the blood. The kidneys are forced to work overtime in order to filter and absorb the excess sugar.

If the kidney becomes overwhelmed, the excess sugar is excreted into the urine, causing frequent urination. This subsequently leads to increased dehydration. The cycle repeats itself; causing you to consume more liquids and urinating more.

Diabetes may cause you to lose weight unexpectedly for no apparent reason. The weight suddenly begins to fluctuate as a result of frequent urination. Constant urination means that you are losing sugar as well as calories.

Additionally, the condition keeps the sugar that’s in the digested food from moving into the beta cells, which induces constant hunger. Rapid weight loss is especially common in type1 diabetics.

People who are developing diabetes may also experience chronic restlessness or fatigue. Diabetes alleviates the body’s ability to use sugar for energy. More so, the body doesn’t produce enough insulin to breakdown the blood sugar. They also contribute fatigue to the constant need to urinate and dehydration. Therefore, you may feel overly tired for no reason.

Yet another way to detect early symptoms diabetes is by experiencing blurred vision. The inability to focus is caused by high levels of blood sugar. The elevated levels pull fluid from your tissues, including the lenses of the eyes. When left untreated, diabetes may cause new blood vessels to form in the retina and/or damage the old vessels. In worst cases, the diabetic is left with vision loss of blindness.

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Here are the diabetic diet guidelines:

1. Indulge in low-carbohydrate or low-fat calorie-restricted diet for a period of one year. Weight loss in overweight insulin-resistant individuals reveals a modest loss in weight by as much as 7% of the body weight, which resulted to lower insulin resistance. To maintain weight loss, indulge in any physical activity for at least 30 minutes per day or 150 minutes per week and better yet, make an overall lifestyle change.

2. Reduce calorie and dietary fat intakes. Consumption of saturated fat is recommended to be less than 7% of total calories while trans fat should be reduced. The dietary cholesterol limit per day is less than 200 mg.

3. Sugar alcohols and sweeteners that are nonnutritive are all right if consumed in acceptable level. There are five nonnutritive sweeteners as approved by the Food and Drug Administration (FDA) namely; aspartame, saccharin, sucralose, neotame and acesulfame potassium.

Likewise, included in the list of the FDA as allowed sugar alcohols (polyols) are isomalt, erythritol, maltitol, lactitol, sorbitol, mannitol, tagatose, xylitol and hydrogenated starch hydrolysates. Do not over indulge even though sugar alcohol seems to be safe as it can cause diarrhea in children.

4. In drinking alcoholic beverages, adult men are limited to two drinks in a day while one for older women. Alcohol should be taken in with food to avoid nocturnal hypoglycemia (low blood sugar) in people taking insulin.

5. Taking vitamin supplements like E, C and carotene are not advisable due to the absence of efficiency and long-term safety. In addition, chromium supplementation has no conclusive basis that it can lower the blood sugar level.

6. For people with the tendency to have type 2 diabetes, follow the United States Department of Agriculture (USDA) dietary fiber recommendation of 14g fiber/1,000 kcal and one-half of grain intakes for foods with whole grains.

7. More than two servings of fish are allowed in a week since it provides n-3 polyunsaturated fatty acids. Commercial fried fish fillets are not included in the diet.

8. The glycemic index is also recommended as reference for fiber rich and nutritious foods. There is no conclusive evidence to link low-glycemic load in reducing the risk of diabetes.

The diabetic diet guidelines were based on the guidelines set forth by the American Diabetes Association. Some of those who adhered to this diet was noted to have reduced the A1C in type 1 diabetes by less than 1% and 1% to 2% in type 2 diabetes, depending on the time the individual was afflicted. Further, observance of this diet  also showed there was a reduction of LDL (bad) cholesterol by 15-25 mg/dl while exercise and lifestyle change has a significant effect to lower hypertension.

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