Nursing English: Common English dialogue in diabetes clinical care

1. The harm of drinking and taking drugs to diabetics Hi, Jess. How are you this week? Hello, Jess.
are you feeling this week? Hi, Rosie. I'm a bit tired, actually.Hello, Rosie.
I feel a little tired.
Sounds like a good time to have a chat partying when you have diabetes. It's time to discuss with you what it's like to be a diabetic and party.
OK. You're probably right. All right.
you have a point.
You were going out a lot with your friends lately? Have you been out with friends lately? Yeah. I've been partying pretty hard. Yes.
I've been playing so much lately.
You were drinking more alcohol than usual? Have you been drinking more than usual lately? Yeah, I suppose I have. Yes, I think so.
I need to talk to you about alcohol and diabetes. You have to be very careful or your blood sugars may drop too much. Alcohol can lower your blood sugars so you can have more hypos. I need to talk to you about the stakes between alcohol and diabetes.
you have to pay attention or your blood sugar will drop dramatically.
alcohol lowers blood sugar, so you're more likely to be stimulated.
I have had a few lately if I had a big night out. I've been out partying all night lately and I've been drinking a little.
's good know how much alcohol is safe to drink. It's great to know the right amount of alcohol to drink.
How much can I have? How much should I drink to the right amount? Women shouldn't have more than 14 units of alcohol a week. Women should limit their drinking to 14 units.
What's unit? What does this unit mean? A unit of alcohol is 1 standard glass of wine or half a pint of beer.1 unit of alcohol refers to a standard glass of wine or half a pint of beer.
That's not much, is it? That's not a lot, is it? No, it isn't. Also, you shouldn't drink on an empty stomach. Always have a meal or a snack when you're drinking. Yes.
, you can't drink on an empty stomach.
best to mix with meals or snacks when drinking.
OK. I'd better plan my nights out a bit better from now on. OK, now I've got to plan my nightlife.
Good idea. The other thing I need to talk to you about is recreational drugs. Take drugs can be more harmful for diabetics than for non-diabetics. Good idea.
'll have to talk to you about drugs next.
are far more harmful to drug use than non-diabetics.
Yeah. Honestly, I stay away from drugs. Yes, to be honest, I'm away from drugs.
That's good. You still need to understand what can just just case. Very good.
just in case, you still need to understand the consequences of doing so.
I suppose so. I think so, too.
Taking drugs like speed or ecstasy can change your diabetes routine. You may not eat your meals on time or you may forget your insulin. Taking drugs like sped or ecstasy can change your diabetes routine.
you may forget to eat or inject insulin.
i wouldn't do that. I'll do that.
It' good to be aware of what might happen. It's best to understand the dangers of doing so.
Which is? What's the harm? Drugs are like alcohol. They can make your blood sugars drop. You can have a hypo.Drugs are no different from alcohol.
can also cause blood sugar to drop.
you may be stimulated.
I'll be careful. I'll pay more attention.
That's good. Ring me if you need to ask any questions, won't you?
can call me anytime you need help, okay? Thanks, Rosie. I know I can always talk to you. Thank you, Rosie.
I know I can always ask you for help.
2, blood sugar for patients: Good morning, Ms. Simpson. How are you today? Good morning, Ms. Simpson.
are you feeling today? Morning, Sheena. Nice to see you again. I'm fine, tanks. Good morning, Sheena.
glad to see you again.
I'm fine, thank you for your concern.
Great. I need to check your blood glucose level before you see the doctor. Is that OK?
need to take a blood sugar test before I go to the doctor's consultation.
's all right? Yes, that's fine with me. OK, I'm fine.
OK, I'll just put a test strip in the glucometer. Can you hold out your finger, please? I'll put a test sheet on the blood glucose meter.
would you please stick out a finger? Here you are. This finger's best one, I think. OK.
I think this finger could not be more appropriate.
I'm going to prick the side of your finger with this lancet. I'll pierce your finger with a knife.
Now, I'll put a drop of blood on the test strip. Now, I'm going to put the collected blood on the test sheet.
Got enough? Yes, that's fine. You can put the cotton swab on your finger now. Yes, that's over.
you can now press and hold your finger with a cotton swab.
Thanks. What's the reading? Thank you.
's what's written on that? We'll have to wait for the result to flash on the screen.We need to wait for the result It's 5.8. Index is 5.8.That's good. I'm happy with that. Very good.
I'm very satisfied.
Yes, it's fine. I'll record it on your chart now. Yes, the glycemic index is normal.
I'll record this in your form.
3, teach patients to inject insulin Mr. Vega, I'll show you how to use your insulin pen now.Vega, I'll teach you to use an insulin pen.
OK. OK.
before we start, we'll wash our hands. We need to wash our hands before we start injecting.
OK. I've got everything ready on the trolley.OK.
everything on the trolley is ready.
First, take the cover off the insulin pen. First, remove the lid on the insulin pen.
right. OK.
Now, use an alcohol wipe to clean the rubber seal on the end of the insulin pen. Now, wipe the rubber closed port at the end of the insulin pen with alcohol cotton to disinfect.
OK. OK.
Now, screw the needle onto the end of the insulin pen. Then, tighten the needle to the end of the insulin pen.
OK. Now it's put together, right? Okay, it's installed now, right? That's right. Next, you have to prime the insulin pen. That's right.
then, you need to fill the insulin pen.
What does that mean? It means that you have to get the insulin right to the end of the needle. You need to place insulin at the other end of the needle.
I see. How do I do that? I see. What am I supposed to do? Firstly, turn the end of the pen to number 2. First, turn the other end of the insulin pen to bottle 2.
no. 2 in the window.2 bottle is at the window.
That's it. Then get the insulin to the end of the needle to prime the pen. Very good.
then use a needle to inhale insulin into the insulin pen.
OK. OK.
That's it. You can see the drop of insulin at the end of the needle. That's right.
you can see the insulin fluid at the other end of the needle.
Yes. Yes.
Next, turn the end of the pen to dial the dose of insulin. Then, debug the dose with the end of the insulin pen.
Right. I need 12 units. Yes, I need 12 units.
Now, pinch up some skin on your abdomen so it's easier to inject the insulin. Now, pinch the skin of the abdomen for injection.
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