Association of Diabetes Nurse Educators of the Philippines

Moving People to Action

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At First Came Our Unity, The Rest Is History

Written by: Bryan Alfred Estacio De Guia, RN

Marikina City, Philippines (April 15-28, 2009) — I CAN STILL REMEMBER THE ‘FIRST’ TIME I ENTERED THE HALLS OF ISDFI AND HEAR THE ‘FIRST’ “HI” FROM JM GOING TIPTOE UPSTAIRS THE MOMENT I GRIPPED THE STAIRCASE FOR THE ‘FIRST’ SESSION. “What a nice welcome,” I remarked. Well, you just can’t tell how somebody out of the hand-picked pros spit the first spark of the story that lives on — the tale of the 26 bright young people who took part in the history of diabetes education.

The class comprised 7 Registered Nutritionist-Dieticians, and 19 Registered Nurses. They are mostly sent by doctors to play the role of Prometheus (mythical character who brought fire from the gods to mankind) — as such they would perpetuate the spread of diabetes education all throughout the land.

THE CAST

Take my big brother here, Mike Bacabac, RN — a very bright and frenzied lad. But let me tell you, He’s an avid ISDFI volunteer who’s got the edge on all clinical skills known to diabetes care. By far, he’s got the most experience to the toughest scenes of diabetes care — any question on how a gangrenous foot smells? Go ask him! But I just can’t figure out how he sustained his sky-high fervor for the entire day (I’m serious). He’s totally amazing!

Abigail Atanacio, RND. She’s got all trades of real-life scenes in the world of community nutrition. She’s got the unique ability to verify theories in the context of the real world. I know she’s amazing, but that’s not all; she never ran out of sensible thoughts!

Thierry Asturias, RN — “buen bonita tu aura…” I really don’t know what that is, but this gal is my partner in crime: We handled the same patient but she’s got more than charm to get things done. She’s got all her senses when working things out for her client. She has the diligence to stay foot until the end of the task.

Toni Benabese, RND. That’s my dad! He’s a diligent nutritionist who had the gift of writing things down for future reference — he never missed a single important detail. And all his notes are always useful! Indeed, every bit of it.

Pinky Bueno, RND, Joy Piñon, RND, and Melissa Cabacungan, RND. It’s a trio of silent gals, they’re always discreet, but wait until you hear them spread their thoughts, their insights are cool!

Tess Catacutan, RN and Corinne Ualat, RN are my “two-some hot mama’s.” They’re not usually picky when it comes to tasks, they face everything fearlessly! They are head nurses who came all the way from Pampanga just to heighten their specialty. But beware, they can make you laugh ’till you burst when you’re with them, but let me tell you, they are sweeter than what you think: they could easily sense what I needed before I even know that I need something. Fascinating!

Now meet the “CARDIO-BOYS:” a team of singing folks with amazing: Regz Capua, RN, Eman Diaz, RN, Melvin Mari, RN, Lem Ramal, RN, RM. They can sing out loud and capture the single ladies in a melodic serenade. They’re not singing bees but they’re even sweeter than honey! Not to mention, they’ve got brilliant knock-knock jokes handy!

Jenina Duatin, RND. She’s very reserved at a glance, but on the second thought, she makes a fine comedienne. Also, she’s got a keen sense of discernment: how you feel inside no matter how you mask it with a smiling face. A mother’s sense? Perhaps.

Anzaira Roxas, RN, RM, and Ahn Sacro, RN, RM, are two sophisticated gals who had the unique ability to rationalize everything until they come up with something new. Also they make fine counselors from themselves through their affectionate touch. Also, they are nice to be with: no dull moments.

Rizza Sampaga, RND — a dietician with measuring cups across her head! I once thought she’s a nurse ’cause a nice white cap would suit her. But she exclaimed, “I’m a dietician!” Then I said, “Alright, at least you can wear measuring cups instead, it fits you beautifully.”

Haidee David, RN, Liziel Galanque, RND, together with Hasmin Sescar, RN forms another trio of discreet pixies. But they are really nice people! You can tell by the way they talk and ask you questions when you’re seated next to them.

Mae-An Rivera, RN — a.k.a. “Marian Rivera.” She’s a wonderful gal to sit next with — for one thing, she can break punch-lines slide after slide in each presentation. Well, perhaps that’s her way of picking up the stacks of information and clinging it to her neurons! Then, if that’s her way, I’ll be sitting next to her each time. But I don’t want to her to administer my injections: she makes scary faces with creepy eyes while holding the syringe — you go get the picture!

Alvin Dela Cruz, RN is a silent guy who can’t get enough of staying home so he threw himself to join the club of contenders for the best tickle bone. Indeed, he’s very discreet but wait ’till you get closer: he’s got plenty of funny ideas inside. You know what they say, “silence knows no bounds.”

Ian Recolizado, RND. He’s really assertive and although he doesn’t speak much about himself, he’s a man of actions. You can easily discern what’s on his mind by just reading his actions. But I’m impressed by the way he openly shares anything you ask about him. He just won’t say it on the first place — go ask him.

Ed “Daddy Ed” Mabalot, RN. He’s kinda… serious…(I guess). But on the second thought, He’s got a clown in him. He can make everybody laugh by acting normally. It’s quite uneasy to transcribe how he acts but you may just go look at him for the clear picture! For real, he acts just fine — but he can mysteriously tickle anybody to laughter.

THE RENDEZVOUS

The Institute for Studies on Diabetes Foundation, Inc. (ISDFI at Marikina City) turned out to be the home where we all started. On the very first day, we all met at the lobby without uttering a single word or even a harsh word to anybody, everybody’s a stranger, everything’s uncertain — but that didn’t last, the long-sitting silence was broken by the astounding “hi” to new aqcuaintances. Then, we paced our way to the second floor to start writing the story of young men and women for diabetes education.

Well, we do have bits of differences: some came from La Union, others from Pampanga, Pangasinan, Bukidnon, Zamboanga, and from other regions across the archipelago. We even speak different indigenous dialects from their respective origin. But otherwise, we speak the same language in diabetes care. “For one thing we’re one, and for the same thing we can make a difference in the life of one” — isn’t that amazing? Country folks are in unison in making a difference in client care.

And so, that’s how it all started. We came from the first encounter, expectant of the best things to come — and all went exclusively fun!

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What is Hypoglycemia?

Low blood glucose or hypoglycemia is one of the most common problems associated with insulin treatment, but it can also happen to people with diabetes taking oral medications. In general, hypoglycemia is defined as a blood glucose level below 70 mg/dl. It can make you feel weak, sweaty, shaky, and irritable. The most common reasons for hypoglycemia are skipping or delaying a meal or snack, taking too much diabetes medication, and more exercise than usual. A less common, but occasional cause for hypoglycemia, is drinking alcoholic beverages. The key is to identify the symptoms early and to treat it before it gets worse.

Common signs and symptoms of hypoglycemia are:

  • Hunger
  • Cold, clammy skin
  • Rapid heart beat
  • Shakiness
  • Nervousness
  • Light headedness

Hypoglycemia can also happen during sleep. Some signs of hypoglycemia during sleep include:

  • Crying out or having nightmares
  • Finding pajamas or sheets damp from perspiration
  • Feeling tired, irritable, or confused after waking up

The signs may be mild at first. But a low glucose level can quickly drop much lower if you don’t treat it. When your patient’s glucose level is very low, he may get confused, pass out, or have seizures. If he has any signs that the glucose may be low, test, do not guess! If it’s less than 70 mg/dL, you need to treat it right away. Teach your patient the following:

The 15-15 rule

  • Eat 15 grams of carbohydrates, then wait 15 minutes and test the blood sugar again.
  • If the blood sugar is still low, eat 15 more grams of carbohydrates, then wait 15 minutes and do another test.
  • If the results are still low, call the doctor and have someone take him to the hospital

Be careful not to over treat hypoglycemia, or your blood sugar could go too high.

Foods that provide about 15 grams of fast-acting carbohydrates:

  • glucose gel or tablets (as directed)
  • 4 oz. or ½ cup fruit juice
  • 6 oz. or 2/3 cup or ½ can regular (not diet) soft drink
  • 1 tablespoon honey
  • 3-4 teaspoons granulated sugar
  • 2 tablespoons raisins
  • 8 hard candies

The following are foods to avoid during hypoglycemia. It contains fats that slow gastric emptying and absorption of carbohydrates.

  • Ice cream, milk shakes
  • Doughnuts
  • Chocolate bars
  • Pies, cakes
  • Potato chips
  • Nuts
  • Pizza, french fries, cheese

It is also prudent to encourage your patients to tell his family members, close friends, teachers, and people at work about his diabetes. They can greatly help your patients when they experience low blood sugar.

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Food Portion Video for People With Diabetes

Are you having a difficult time in teaching your patients on how to control their food portions? Watch the following video and learn how to teach your patients portion control the easy way.

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ADNEP PADE Post Grad Videos

Watch our new batch of students do their practice teaching. Just video, no audio.


Watch live video from ADNEP PADE Practice Teaching on Justin.tv


Watch live video from ADNEP PADE Practice Teaching on Justin.tv


Watch live video from ADNEP PADE Practice Teaching on Justin.tv


Watch live video from ADNEP PADE Practice Teaching on Justin.tv


Watch live video from ADNEP PADE Practice Teaching on Justin.tv


Watch live video from ADNEP PADE Practice Teaching on Justin.tv

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Are you at risk for Type 2 Diabetes?

Diabetes is a silent killer that slowly takes away people’s health, their money, their time, and their dreams. It’s a silent killer because people can have diabetes for years and not even know it.

American Diabetes Association urges the nearly 60 million Americans who are at risk for developing type 2 diabetes to take the Diabetes Risk Test.  The risk test is a tool to help raise awareness about the seriousness of diabetes and its risk factors.The diabetes risk test was based on a thorough study about evaluating diabetes risk that was conducted by the Centers for Disease Control.

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Take this test to see if you are at risk for having or developing type 2 diabetes. Diabetes is more common in African Americans, Latinos, Native Americans, Asian Americans and Pacific Islanders. If you are a member of one of these ethnic groups, you need to pay special attention to this test.

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Diabetes Nurse Educators: Moving People to Action

The Association of Diabetes Nurse Educators of the Philippines celebrated its General Assembly and Election of Officers last January 16, 2009 at the Dr Avelino P Aventura Hall of the Philippine Heart Center in Quezon City. It was attended by diabetes nurse educators as well as nurses from different specializations.

The theme for the said event was “Diabetes Nurse Educators: Moving People to Action.” The focus is that every person has the potential and capacity for making health behavior change. As a nurse, the role is to bring forth this capacity. Armed with the proper knowledge and skills, nurses help patients explore their own concerns, ideas, and strategies for change. The theme will also be used as the official tagline of the association.

Topics discussed were: The Road Map of the Nursing Profession towards Good Governance by Dr Ma Linda G Buhat, Comprehensive Review of Diabetes Mellitus and its Current Management by Dr Nemencio A. Nicodemus, Jr, Behavior Change Strategies: Patient Centered Approach by Dean Maria Luisa H. Lopez, Diabetes Education in a Foreign Land by Ms. Marita R. Ariola, Motivating Nurses in Moving People to Action by Mr. Armand J. Nicolas and Monitoring and Insulin Delivery System by Ms Leyden V. Florido.

Dr Francis I Pasaporte was the guest speaker for the Lunch Symposium sponsored by Novo Nordisk. His topic was about the different kinds of insulin focusing on the benefits of long-acting basal insulin.  Our presentor for the assembly, Roche Accu-Chek, with their Product Manager Ms Lorecel Naredo, presented their line of products in blood glucose monitoring system. Dr. Ricardo E Fernando, President and Chairman of ISDFI, gave a warm and heartfelt appreciation of the roles of nurses in the diabetes health care team.

The organizers were very pleased with the outcome and were thankful to everyone who participated and extended their support with the association.

Click HERE to view the pictures

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ADNEP and UP Para sa Bayan

2008 marks the 100th founding anniversary of the UP (University of the Philippines) System. A one day public service fair entitled “UP Para sa Bayan” was organized by UP Colleges and Alumni last December 13, 2008 along the University Avenue. 100 booths were set up to give free services such as health counseling, haircut, legal advices, etc.

ADNEP was invited by the UP College of Nursing Alumni Association to conduct health education among high risk patients with diabetes. Two of our friends from the pharmaceutical industry (FMEI and Roche) conducted free blood sugar checking. Around 130 clients were given services by our booth alone. Young registered nurses eagerly took the blood pressure, height and weight, waist circumference and BMI of our clients.

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waist hip ratio,whr,UP para sa bayan

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