Outpatient story: When encountering such patients, it will not be reasonable
Some patients have followed me for a long time, so they are more casual...
Saturday morning outpatient clinic, he came to follow up as usual, or did not queue, saw me enter the consultation room, he followed in together, and said with the guide nurse: I asked Director Liu to open a laboratory list first, the nurse thought we were very familiar, did not say much...
Postprandial blood glucose 13.5, "I look for you before the blood sugar has never been so high, that is, the first week of the drug change fasting 5.6, more than 8 o'clock after the meal, after the blood sugar has been high and low, I originally wanted to let other relatives at home also come to see you diabetes, if so who dares to come?" "Seeing the blood sugar results, he was suddenly irritated, no longer the attitude of the morning...
"What did you eat in the morning?" I asked calmly. "Fried rice, tofu brain and fritters," he replied unkindly.
"Your blood glucose fluctuations are mainly related to diet, because our medication regimen is the same, only your diet changes, you initially looked for me time and space abdominal blood glucose is 9, and the medical history of 10 years, I have always recommended injecting insulin every night, you do not agree..." I turned over his medical records every time he saw a doctor, which was a reasonable and well-founded "discussion" with him...
"I don't take insulin, my family has been taking it for 3 years, and the blood sugar is still high and it doesn't work at all," he is very persistent
"This time I will adjust your medication again, after the medicine is retrieved, tell you how to eat, and then tell you the principles of diet" In the face of a large number of patients every day, it will not be reasonable... # Health 2022 # # Family Health Guardian # #天津头条 #
