Diabetes is a chronic disease, a condition that occurs when:

• The pancreas produces not enough insulin or no insulin,

• The body’s cells stop responding to the insulin.

When the glucose can not enter the cell, it stays in the blood flow, which causes the blood glucose to rise. This can cause serious health complications. Symptoms of diabetes are:

• Fatigue;

• Excessive thirst;

• Frequent urination;

• Excessive hunger;

• Tingling of hands & feet;

• Weight loss;

• Itching.

Long term consequences of diabetes are very serious:

• Blindness, cataract, glaucoma, retinopathy (damage of the tiny blood vessels in the eye);

• Damage to the kidneys which may, in time, lead to the need for kidney dialysis or kidney transplant; Peripheral insufficiency of the blood vessels;

• Risk for heart attack and stroke are 2-4 times higher;

• Endings of the nerves in legs & feet are less sensitive to pain, temperature and pressure. This causes little wounds or ulcers being noticed too late. Because of the decreased blood flow they are harder to treat and take longer to heal. In worst cases, the tissue breaks down & starts to rot, this may lead to amputation of the limbs (= diabetic foot ulcer).

The Caregiver will promote a healthier lifestyle and strict compliance with treatment.

Studies have demonstrated that an intense regimen of lifestyle changes can help patients sustain long-term weight loss, reduce cardiovascular risk, and improve blood glucose control over time.

Source: For diabetes, diet and exercise yield long-term results. Pharmacy Times. 76.10 (Oct. 2010): p69.

Diabetes is a chronic and irreversible organ damage disease.

The long-term daily care is complicated and detailed, thus a Specialised Caregiver can help the family in ensuring that this care is provided properly, hence giving the family the peace of mind that the Very Best Care is provided to their loved one, while minimising the symptoms for the patient

Our Until today, there is NO CURE for Diabetes…BUT with the help of a Specialised Caregiver, the symptoms can be controlled so that a person with diabetes has a relatively normal life.

The Goal of the Specialised Caregiver will be to:

• Keep the glucose levels in normal range;

• Prevent long term complications as much as possible.

The Specialised Caregiver will assist in:

1. Monitoring of blood glucose

2. Encouraging the patient to make Dietary changes & exercise:

• Good diet consists of carbohydrates (50-60%), proteins (10-20%) and fat (<30%).

• Number of calories depends on the age, weight, activity level.

• Diet means also good timing of meals & snacks

• Set an exercise routine (e.g.: going for a walk every day)

• Avoid the patient from sitting with his legs crossed.

• Encourage the Patient to stop smoking.

3. Making sure that the patient takes the right medication, and on time;

4. Assisting the patient with Insulin when relevant (as per doctor’s instructions)

5. Wound Care:

• All cuts & blisters must be cleaned & treated with an antiseptic preparation.

• If wound starts to seem infected (warm, red, pain, swelling) or has drainage, report this to the family and doctor immediately.

6. Skin Care:

• The Specialised Caregiver will promote good general hygiene (especially of the feet): washing & drying.

• Systematically the temperature of the bath water

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