The Nurse's Guide to Teaching Diabetes Self-Management

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As the population of diabetes patients continues to grow, nurses and care-givers must keep up with the daunting task of teaching patients to care for themselves.

In this groundbreaking new guide, Rita Girouard Mertig provides the clinical guidance and expertise nurses need to successfully teach diabetes self-management and compliance to adults, children, and parents.

Ranging from the basics of diabetes to providing the most up-to-date information on drug therapies, everything you need to effectively instruct patients and help them gain control of their diabetes therapy is here. Topics covered include:

  • Nutrition management
  • Exercise
  • Medications
  • Glycemic Control
  • Continuous Glucose Monitor
  • Children with Diabetes and Their Parents
  • Adolescents with Diabetes
  • Diabetes in Adults with Special Needs
  • Diabetes and Mental Illness
  • Client Noncompliance

Addressing the most important and current topics necessary for successful self-regulation and maintenance of diabetes, this new innovative desk reference provides a quick guide and instructional tool for nurses and caregivers everywhere.

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Editorial Reviews

Doody's Review Service
Reviewer: Monica Parker, RN, MS, CDE (East Carolina University )
Description: This book provides basic information to nurses working with clients with diabetes as well as teaching-learning concepts across the life-span.
Purpose: There are two purposes: to help nurses learn new strategies to better manage diabetes and to serve as a guide for teaching clients using theories of learning and motivation.
Audience: According to the author, the book is written for nurses working with clients with diabetes as well as readers who deal with diabetes on a personal level. The book would be useful for students, lay individuals, and all healthcare providers new to the care of individuals with diabetes. It is not intended for those wanting more in-depth information.
Features: The book is divided into two sections. The first section covers basic information about diabetes including pathophysiology, nutrition, exercise, and medication and the second covers the application of teaching and learning of the individuals across the life-span. This area changes rapidly and the author has provided very up-to-date information, especially in the chapter on medications. Also, additional resources are listed that can help readers. The teaching-learning process offers more than just that. It gives excellent information regarding other aspects of dealing with diabetes that one often overlooks, such as depression, financial issues, and issues of those with special needs. More information in some of the earlier chapters would have been helpful, especially in the nutrition section.
Assessment: The author should be credited for putting this book together. This book should be used as a primer for the beginning practitioner as well as a resource for students in the healthcare professions. Its value lies in the fact that it offers guidance on how to teach using theories as well as pointing out those things that may hinder a person from learning.
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Product Details

  • ISBN-13: 9780826102256
  • Publisher: Springer Publishing Company, Incorporated
  • Publication date: 9/18/2006
  • Edition description: Older Edition
  • Pages: 184
  • Product dimensions: 5.90 (w) x 8.90 (h) x 0.40 (d)

Meet the Author

Rita Girouard Mertig, MS, RNC, CNS, DE has been a registered nurse for 45 years with a Master of Science degree. She has taught nursing in a variety of programs and retired after 21 years from teaching an associate degree nursing program in which she also taught nutrition. She is a clinical nurse specialist and is certified in maternity-newborn nursing. She also is a certified childbirth educator and is a member of the American Association of Diabetes Educators, the Association of Women's Health, Obstetrics and Neonatal Nurses Association, and Sigma Theta Tau.
Rita also has had type 1 diabetes for 25 years and has used an insulin pump for 15 years. She currently volunteers at CrossOver Ministries clinic, where she teaches classes and conducts one-on-one sessions on weight management and diabetes management for clients with minimal ability to pay for services. During the 1980s and 90s, Rita led a support group for people with diabetes who were using insulin under the auspices of the American Diabetes Association, Richmond (VA) chapter, has also served on the American Diabetes Association board of directors and received the ADA's, Virginia Affiliate "Diabetes Educator of the Year" award. Diabetes of the Year, 1989.
She has previously authored three books, Teaching Nursing in an Associate Degree Program (2003) and The Nurses' Guide to Teaching Diabetes Self-Management, first edition (2007) both published by Springer Publishing Company and What Nurses Know...Diabetes (2011) published by Demos Medical Publishing.

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Table of Contents

  1. List of Figures

    List of Tables




    Part I. The Diabetes Conundrum

  2. Diabetes: The Basics

  3. How Insulin Works

  4. Classifications of Diabetes

  5. Diagnostic Criteria

  6. Treatment: Medical Nutrition Therapy

  7. Nutrition

  8. Weight Loss

  9. Old Food Pyramid Versus 2005 Dietary Guidelines

  10. Carb Counting

  11. Alcohol: Pros and Cons

  12. Sick-Day Management

  13. Treatment: Physical Activity

  14. Benefits of Exercise

  15. Potential Problems with Exercise

  16. Treatment: Medication

  17. Oral Antidiabetic Medications

  18. Injectable Antidiabetic Medication

  19. Inhaled Insulin

  20. Glycemic Control

  21. Hyperglycemia

  22. Factors that raise blood sugar

  23. Hypoglycemia

  24. Hypoglycemia Unawareness

  25. Blood Glucose Monitoring

  26. A Cure Is Near

  27. Research in the Prevention and Cure of Type 1 Diabetes

  28. Research in the Prevention and Cure of Type 2 Diabetes

  29. How a New Drug or Product Gets Approved

  30. Part II. Diabetes Self-Management

  31. The Nurse as Teacher

  32. What do Clients with Diabetes Need to Know?

  33. Assessment Guidelines

  34. Goals of Client Education

  35. Nursing Interventions Using Learning Principles

  36. Evaluating Teaching

  37. Children with Diabetes and Their Parents, Kearsten Mauney

  38. What is it Like to Have a Child with Diabetes?

  39. Ages andStages

  40. Adolescents with Diabetes, Bev Baliko

  41. Balancing Parental Involvement

  42. Nonadherence in Adolescents with Diabetes

  43. Diabetes in Adults with Special Needs

  44. Diabetes and Pregnancy

  45. Diabetes in the Elderly

  46. Diabetes and Mental Illness, Bev Baliko

  47. Diabetes and Depression

  48. Diabetes and Chronic, Severe Mental Illnesses

  49. Teaching and Motivating Clients with Mental Illnesses

  50. Client Noncompliance

  51. Definitions

  52. Financial Considerations

  53. Physical Limitations

  54. Deficient Knowledge

  55. Literacy

  56. Culture

  57. Religious Constraints

  58. Support System

  59. Denial

  60. Anger

  61. Depression

  62. Fatalism

  63. Self-Determination
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