| Learning Objective #1: Describe the mechanisms of pool glycemic control in long-term care | |||
| Learning Objective #2: Discuss current best evidence of intervention strategies to improve glycemic control in long-term care |
Low-carbohydrates diet (limiting sugar and simple carbohydrates) has been suggested for diabetic patients for their limited insulin levels. However, some patients could over ingest fat content with low fiber content. High-fat diet presents problems in long-term care for patients' decreased gastric-intestinal and metabolic functions. Low-fat diet as compared to low-carbohydrates diet is more beneficial for these patients, for glycemic control and preventing the development of cardiovascular complications. The strategy is to increase the fiber content (including vegetables and low-sugar fruits) and the natural nutrients in the diet. Beneficial supplements for these patients include vitamins (C, B12, and E), magnesium and chromium, and antioxidants, to stabilize blood glucose. Antioxidants are rich in fruits (berries and grape seed extracts), vegetables, nuts, seeds, flowers, aloe, and bark.
Exercise as a form of active life is the 'golden pill' for patients with pool glycemic control. The most useful form of exercise for long term care patients is walking and related exercises. The use of supplements and complementary therapies has increased dramatically in the United States in the past decade, and more patients are taking these dietary supplements. This is a new venture for conventional health care. Clinical care guidelines for glycemic control in long-term care will be presented based on the best evidence.