As part of the community health department, a nurse is educating a group of diabetic clients about prevention of blindness. Which of the following topics should be covered during this class? Select all that apply
A) Importance of yearly eye exams
B) Need to have liver enzymes checked annually
C) Tight control of blood glucose levels
D) Keep BP below 130.85 (Am. Heart Assoc. Guidelines)
E) Never eat dessert when you have eaten pasta for the meal
Ans: A, C, D
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Current guidelines recommend that persons with diabetes have yearly eye examinations. Preventing diabetic retinopathy from developing or progressing is considered the best approach to preserving vision. Growing evidence suggests that careful control of blood glucose levels in persons with diabetes mellitus may retard the onset and progression of retinopathy. There also is a need for intensive management of hypertension and hyperlipidemia, both of which have been shown to increase the risk of diabetic retinopathy in persons with diabetes.
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