PHAR3818 Lecture Notes - Lecture 3: Glycated Hemoglobin, Endocrinology, General Medical Services
23 Jul 2018
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Talk about checking or monitoring rather than testing bgl (testing implies pass and fail) Bgls are not good and bad they are high and low. Good control does not protect from complications so you can"t offer guarantees and you shouldn"t threaten. In order for partnerships to work everyone needs to be able to give and receive, interpret and act on information about health and healthcare". Goals of care symptom control or long term complication minimization. Up to 50% of medicines prescribed for chronic disease are not being used as recommended. Adults with ifg, igt or diabetes can be strongly advised that the health benefits of 5-10% weight loss include prevention, delayed progression or improved control of type 2 diabetes . Encourage healthy eating: no food is forbidden, use treats as treats, use a smaller plate (~25cm or 10 in, minimise takeaway and eating out (<1/week, never eat straight out from bag or carton.
