DISCHARGE PLAN

OUTPATIENT
MEDICATION EXERCISE TREATMENT HYGIENE DIET
REFERRAL
Meganerv Not yet The first goal can be achieved through close glycemic control Oral care Referred to a DM diet
1000mg, 1 tab applicable (blood glucose levels), the reduction effect in diabetic Bed bath hospital in (limited in
OD due to complications has been well demonstrated in several extensive Batangas, sugar
muscle clinical trials and is thus well established. Knowledgeable patient Aug 5, 2007. content)
Biogesic, weakness participation is vital and so patient education is a crucial aspect of 10:09am
500mg, 1 tab, this effort.
q4h RTC
Type 2 is initially treated by adjustment in diet and exercise.
Ciprofloxacin,
500mg, 1 tab, Modifying the diet is known to help control glucose intake, and in
BID response, blood glucose levels.

One 2007 study will report that in a Paleolithic diet, all 14 patients
returned blood glucose levels to normal after the trial period of 12
weeks, and improved glucose tolerance (26% less blood glucose
rise following a carbohydrate intake compared to 7% reduction for
control group on a Mediterranean diet). This was the first
Paleolithic diet study, and suggested that "it may be more efficient
to avoid some of our modern foods than to count calories or
carbohydrate".

Available classes of antidiabetic drugs

• Sulfonylureas
• Biguanides include metformin and phenformin.
• Thiazolidinediones (TZDs) include rosiglitazone,
pioglitazone, and troglitazone.
• α-glucosidase inhibitors include acarbose and miglitol.
• Meglitinides stimulate insulin release. Examples include
nateglinide, repaglinide, and their analogs.
• Peptide analogs