Dietary Management of Diabetic Patient at BIRDEM General Hospital.

Abstract

Having an internship opportunity at BIRDEM General Hospital is a great experience. Getting closer of experts and patients is another great lesson. Acquisition of further knowledge on diabetic and its management increases the confidence. Most of patients admitted into hospital are suffering from diabetic for a long period of time. After analysing their disease history, it is concluded that they were not following a good life style as well as not aware about their diet. In the treatment procedure diet is playing a vital role beside the other medication. Some patient is in critical condition and some are not being able to control their diabetic level. According to medical perspective the normal blood glucose level is 6-8 mmol/L. Many other difficulties are directly and indirectly related with diabetic. Most common are diabetic nephropathy, diabetic neuropathy, diabetic gastropathy, diabetic foot etc. For diabetic nephropathy some common test is advised by doctors. S. creatinine, S. potassium, S. sodium and S. chloride are important and the normal range are (0.67-1.3) mg/dl, (3.5-5.2) mmol/L (136-148) mmol/L and (98-108) mmol/L respectively. Five patients among selected ten patients are found out of normal range for S. creatinine and six patients are found out of range for S. sodium. Three different kilocalories (1200, 1400 and 1600 kilocalorie) diet chart are suggested for the patients. Most of patient are found more than 40 years old. Test report analysis, direct conversation with patients, diabetic treatment process, applicable diet chart for diabetic patients etc, are the learning of the study. For being a professional nutritionist, this experience will contribute a lot.