Download - trina health

HEALTH
Welcome! …and Thank you for contacting Trina Health.
Please take a moment to read the information below to prepare you for your initial visit. Expect your
treatment to last approximately four-five hours. We look forward to seeing you soon.
Before your First Treatment:
We ask that you please bring the following:
•
•
•
•
•
Medical Records
Most recent labs
Medication list
Photo identification
Insurance cards
New patient packet:
• Consent to Treat
• HIPAA Acknowledgement
• Authorization for release of Photo/Video
• Patient and insurance Information
• Authorization for release of health info TO Trina
• Authorization for release of health info FROM
Trina
• Review of Systems
• Medicare ABN (if Medicare primary insurance)
• As you start your therapy with us you will receive
a comprehensive evaluation for your treatment
needs that may include specific blood work.
Day of treatment: (assuming you will be at the clinic
within 2 hours)
• Optimal blood glucose range for treatment is
150-200 mg/dl.
• DO NOT TAKE ANY INSULIN unless your blood
sugar level is over 350 mg/dL, and then only ½ of
what you would normally take for that level.
• If you are on an insulin pump, please turn it off
approximately 2 hours prior to treatment. We
want you to reach blood glucose of 150-200
mg/dl for treatment.
• Please DO NOT have any caffeine 8 hours
before treatment. Decaf OK.
• No exercise before treatment.
• No nicotine 4 hours prior to treatment.
• If your blood glucose is below 150 mg/dl. You
should have a light high-carbohydrate
breakfast (toast & jelly) with no fat (butter,
etc). Otherwise please fast prior to treatment.
• You will be required to have a meal immediately
after treatment. We recommend that you bring
snacks or juice in order to be prepared for your
commute home.
Night before treatment:
• If you are currently giving yourself oral diabetic
medications, or non insulin injectable. Please
give yourself HALF of your normal dose the
night BEFORE treatments.
• If using short acting insulin take full dosage.
• If using long acting insulin use HALF dosage.
• Drink plenty of water during the day.
• No stenuous excersice during the day.
• You will be required to check your own blood
glucose 30 minutes after you leave the clinic.
Please bring your glucose meter, test strips, and
lancets along so that you will be prepared.
• Feel free to bring: Entertainment materials, such as:
Books, Magazines, Laptop/Tablets, IPod, Music, etc.
• If possible please have a driver for the first 2 visits.
• Get a full nights sleep.
If you have any questions, feel free to call us at (877) 808-2278. We look forward to helping you!
TRINA NEW PATIENT PACKET (REV. 7/14)
Welcome Letter 22
Further information about treatment.
Medication dosages (diabetic, blood pressure and pain medications) may need to be reduced over time.
Consult with your primary care physician.
Patients with Easily Upset Stomachs
Some patients will have a difficult time tolerating oral glucose.
Be reassured that nausea will usually decrease over time.
Below are some techniques to help if nausea develops.
1.
Trying different sources of glucose and different flavors
2.
Small amounts of high carbohydrate/ low fat and protein like bread, crackers, candies with dextrose can be
substituted for a portion of the oral glucose requirement.
3.
Any drink with “orange” color or yellow dye may contribute to this problem.
4.
Using a straw for oral glucose and then immediately taking a sip of cold water can help.
5.
Antinausea medicine such as Zofran is available.
Patients with Diarrhea
Diarrhea is an uncommon experience during and after treatment. If present during treatment symptoms will usually
resolve within 2-6 weeks. Any over the counter diarrhea medications can be used during or prior to treatment.
With your improved energy please try to increase your weekly exercise.
Patients should walk or perform some mild exercise movement between treatments for a minimum of 5 minutes.
Patients will be watched and within view of staff at all times for safety.
Metabolic Measurements will be done at least 30 minutes after any exercise.
The Second Bite of the Apple program is designed to help the patient change any poor habits and encourages them to
make the most of their new mental and physical health and abilities. Speak with clinic personnel to find out more.
HEALTH
TRINA NEW PATIENT PACKET (REV. 7/14)
Welcome Letter 22