Diabetes

04 February 2010

Tips for caregivers of diabetics

Sometimes parents find themselves taking care of diabetics – usually type 1 diabetes in the case of young children and often – but not always – type 2 diabetes in the elderly.

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Most diabetics, with the exception of young children and the elderly, are capable of managing their own care.

Sometimes parents and professionals find themselves in the position of having to take care of diabetics - usually type 1 diabetes in the case of young children and often - but not always - type 2 diabetes in the elderly.

Inform yourself

In the fight against diabetes, knowledge really is power, especially on the part of caregivers of diabetics. Knowledge of the condition is crucial, as is the ability to recognise symptoms of hyperglycaemia and the ability to manage the condition as a whole. Regular testing of blood sugar is also essential, especially if you are not sure whether someone is hypoglycaemic (low blood sugar) or hyperglycaemic(high blood sugar). The blood glucose level would also determine medication, level of exercise and diet for the day.

Consult the doctor

If you are uncertain about anything, rather consult the doctor than make any decisions yourself that you might regret later. If anything untoward happens, rather err on the side of caution. Schedule regular doctor’s visits.

Know the symptoms of hyperglycaemia

Symptoms of high blood sugar are reasonably easy to recognise. These include rapid breathing, nausea, vomiting, fatigue, stomach pain and confusion. In emergencies, these could even include becoming comatose. Get the person to a hospital immediately as this could be potentially life-threatening condition.

Watch out for diabetic complications

This mostly applies to caregivers of elderly diabetics. Signs to look out for are skin infections, abrasions or ulcers, especially on the feet, any signs of bad circulation, such as complaints about pins and needles in the lower legs and feet, complaints about blurred vision, which could point to retinopathy and frequent urination, bladder infections or kidney pain, which signify potential damage to the kidneys.

Take time out

As in the case of all caregivers, it is important that caregivers should look after themselves in order to avoid burnout. Time out is important, as is exercise, and a healthy social life. One cannot constantly give without receiving.

First Aid

Read the section on diabetic comas. All caregivers of diabetic patients should be able to recognise the signs of hyperglycaemia and hypoglycaemia. Diabetic comas can be fatal and all caregivers.

Read the labels

When choosing foodstuffs for diabetics, all caregivers should become hypervigilant with regards to the contents of especially prepackaged foods. Often hidden sugar and fat lurk in these foods. It is much better to prepare fresh food from scratch, as you can then know exactly what goes into it.

Don’t get into a power struggle

Whoever you are caring for must know that ultimately their condition is their own responsibility. This is obviously not true in the case of very young children. But in the elderly, you should not take full responsibility for the treatment. If you do, things could easily develop into a power struggle, where lack of compliance with medication or unwillingness to stick to the diet, becomes a weapon with which to get at you.

Support groups

Contact the Diabetes South Africa and ask about support groups in your area. It is important that both you and the person for whom you are caring, have contact with others in the same situation. Never underestimate the value of other peoples’ support.

Have emergency supplies

You don’t want to run out of medication in the middle of the night or somewhere far away from home. It is a good idea always to have rather too much than too little. - (Health24, updated February 2010)

 

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Diabetes expert

Dr. May currently works as a fulltime endocrinologist and has been in private practice since 2004. He has a variety of interests, predominantly obesity and diabetes, but also sees patients with osteoporosis, thyroid disorders, men's health disorders, pituitary and adrenal disorders, polycystic ovaries, and disorders of growth. He is a leading member of several obesity and diabetes societies and runs a trial centre for new drugs.

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