The high prevalence of diabetes and its microvascular complication globally require multisectoral strategies. In the United States, 25.8 million people suffer from diabetes and its complications. It is reported that less than half of these diabetic fails to maintain their A1c, blood pressure and cholesterol (Sieverdes et al., 2013). Since the discovery of the mobile phone and the evolution of technology in the health care system its use is increasing and accepted everywhere. The term digital health implemented as a widespread behaviorally design intervention is enhancing the education and self-management measures (Greenwood et al., 2017).  

Diabetes care is necessary for avoiding the later complications of microvascular complications. The blood glucose monitoring related to the increased A1C marker is the most crucial indicator of the diabetics. They need to analyze their glucose concentration first to administer the dose of insulin. The suggested self-management strategy and generating awareness and education among the people can be monitored by the technology use. The self-management of the A1c has been effective by using technology. It enhances the communication between the nurse and the patient. The health care team can analyze the patient-generated data and issue guidelines for management (Greenwood et al., 2017). 

NURS FPX 4900 Assessment 3 Assessing the Problem Technology Care Coordination and Community Resources Considerations PS

Resources Of Diabetes Care

More than 80 to 90% of diabetic patients have access to mobile phone health technology. The health care guidelines in diabetic care related to glycemic control by self-monitoring of glucose can be increased. The health care team can monitor the pharmacological management of diabetes. Diabetics often have fluctuating weight curves which also shows their diabetes condition (Delahanty, 2017). Nurses can monitor the weight from the remote technology. Dietary and lifestyle changes including exercise are a basic part of self-management of diabetes interventions (Alouki et al., 2016). The behavior change in the patient can also be monitored. Medical nutrition therapy and vitals management are also crucial to prevent its worse outcomes. The technology can also monitor hypertension and nutrition plans by nursing staff at the back of the monitoring app (Sieverdes et al., 2013). Sensor augmented Insulin Pumps have helped report the glucose on the insulin pump. The patients can easily get warned in case of raising or decreasing glucose concentration by the use of this Smart Guard feature (Ranjan et al., 2020). The long-term use of insulin pump technology also reduces albuminuria (Gómez et al., 2017).

The screening of the diabetics for the possible complications of diabetic retinopathy and blindness requires community level and national level screening. Telemedicine has been with clinical application validation. It has been globally accepted as the high-level and accurate screening of diabetic retinopathy. It also improves the cost-effectiveness of the patient’s resources (Tozer et al., 2015). The timely diagnosis of the prognosis of diabetes into retinopathy complications has been highly effective in timely measures. Telemedicine use non-mydriatic cameras that are somehow beneficial in identifying the risk of eye disease in diabetics (Mansberger et al., 2013). Telemedicine has also been effective in improved diabetic care in terms of serum glucose, cholesterol, and hypertension. The evidence on the lifestyle and dietary interventions is also supportive in regulating the normal glucose and blood pressure (Rho et al., 2013). 


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