Patient was educated on life-style measures to be observed by individuals with history of folate deficiency as follows:

  1. Poorly controlled diabetics can be at increased risk for developing neuropathy and folate deficiency in such individuals can increase the risk for neuropathy significantly. Folate deficient individuals with coexisting diabetes must observe compliance with calorie intake recommendations, log maintenance of everyday blood sugar readings, diabetic foot care, periodic podiatrist visits, physical exercise recommendation. Avoid environments with extreme temperatures, such as, sauna units. Observe compliance with having proper fitting shoes on always.
  2. Optimum oxygen delivery is important for normal function of body tissues and their ability to fight infections. Low oxygen delivery to tissues in folate deficient patients leads to compromised function of the tissues and increased susceptibility for infections. Observe compliance with general infection control & prevention measures.
  3. Folate acts as an essential coenzyme in the body, needed for various metabolic and biologic functions. Folate deficiency can compromise these metabolic functions, resulting in slow and stunted growth, especially in infants and young adults. Caregivers must keep a close watch on the growth patterns of infants and young adults diagnosed with folate deficiency, to report to the physician regarding any growth retardation. Caregivers must observe compliance with incorporating folate rich foods on the diet and folate supplements, as recommended.