Diabetes care review in 50 words

The comprehensive score of the 6-month care project for elderly patients with type 2 diabetes in the community was 82 points. The blood glucose compliance rate increased by 27% compared with before the intervention. Only dietary compliance did not reach the preset target. The overall effect was in line with expectations.

To be honest, this result is 5 points higher than what we originally predicted. Last week, I followed up with Aunt Zhang who lives in Building 3. She held a crumpled blood sugar registration book and turned it over to me. Half a year ago, she would hide behind her husband even if she pricked her fingertips for blood. Now she can subconsciously calculate about 15g of carbohydrates when eating a vegetable bun, which is converted into an insulin dose.

Of course, the scale for evaluating this type of care has not been completely unified in the circle. Some colleagues in chronic disease management feel that the fasting target of 4.4-7.0mmol/L must be stuck. Interventions that do not meet the standard cannot be considered effective.； Some nurses who have been keeping an eye on elderly patients for a long time believe that for elderly people in their 70s and 80s with coronary heart disease, it is better to relax their fasting blood sugar to less than 8mmol/L and occasionally take a few bites of the peach cakes they miss, rather than being starved to the point of dizziness and dizziness.

We are currently experimenting with a compromise method, setting aside a "glutton relief quota" for each elderly person once a week, which can be a small cake or half a mooncake, as long as they walk for 20 minutes more that day. During this period, more than half of the people who secretly hide sweets to eat have been reduced, and the dietary compliance has increased by nearly 20% compared with the previous strict control.

In fact, to put it bluntly, nursing evaluation is never a score for leaders to see. In the end, it must be reflected in the actual life of patients. It can help patients with diabetes reduce complications and live more comfortably. It is more reliable than any beautiful evaluation data.