Dear Nurses: August 2025

UNDERSTANDING THE COMPLICATIONS OF DIABETES

Diabetic complications

Scenario: Sara is a young adult who was diagnosed
with Type 2 diabetes, about a year ago. She has now
been admitted for visual problems.

Diabetic Retinopathy

Sara's eye exam reveals Diabetic Retinopathy. This
condition affects the blood vessels in the eye. Poor
vision and possible blindness may result from leaking
and weakening of the blood vessel.

The consequences of poor circulation

The patient who has heart failure,
is also at risk for stroke or renal failure.
The diabetic patient is also at risk for stroke.

Diabetic Nephropathy

This condition may further complicate diabetes.
Poor renal function and possibly renal failure may
result. Hemodialysis then becomes necessary.

MEDICATION ERROR / COULD THIS SITUATION BE AVOIDED?

Scenario: Angie is a very dependable nurse.
She had the right dose of medication ready
to be given to the correct patient.

The Insulin is now ready to be given.

Angie receives a phone call. Sad to say,

it was about a home problem. Angie's
thoughts are now turned to the bad news
she has just received.

It is unfortunate, she picks up the Insulin
syringe and delivers it to the wrong patient.

What could Angie have done differently?

A medication error could have been avoided
by the nurse taking a few to compose herself.
If necessary, throw away the medication and
start all over again.

Correction: More medication rights have been
added. Please check with your Institution for
additional rights.