Diabetes Mellitus Case Study

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Gabriela Delgado MED 2056 Diabetes Mellitus Instructor Michela Leytham April 1, 2014 1. Discuss the pathophysiology of Type 1 & Type 2 DM Diabetes Mellitus is a common chronic disease in which patients with it, will require lifelong behavioral and lifestyle changes. In the Unites States, DM is one of the leading causes of blindness, end stage kidney disease with dialysis or kidney transplant, along with lower extremity amputations. It is characterized by hyperglycemia or high blood sugar causing lack of insulin. Type 1 DM is caused by the absolute absence of insulin where the pancreas is no longer producing any insulin. Insulin injections are mandatory in this case. Type 2 DM is a chronic disease caused by either impaired insulin production, inappropriate liver glucose production, or peripheral insulin receptor insensitivity. In other words, either insulin is being retained or very little of it being produced. 2. Identify and Compare Risk Factors for Type 1 (IDDM) & Type 2 (NIDDM) Type 1: Is an Autoimmune disorder in which no insulin is being produced affecting only 5-10% of people with diabetes and is more common in Caucasians with a typical onset before the age of 30. There aren’t many risk factors for Type 1 Diabetes, but some known ones include, Family History, Genetics, and Geography. Other possible ones are Viral exposure or viral infections, early drinking of Vitamin D (cow’s milk), and other dietary factors such as drinking water with nitrates may also increase the risk. Type 2: Is the most common form of diabetes affecting 90-95% of the 21 million people with diabetes and is more common in African Americans, Latinos, Native Americans, and Asian Americans. Those people who are at higher risk of getting this type of diab... ... middle of paper ... ...use the blood sugar levels to decrease and cause hypoglycemia. Preventative measures should include extra carbs up to 24 hours after exercise. Surgery is a physical and emotional stressor which may put a diabetic patient at a higher risk for complications. The goal is to keep the glucose level between 120 and 200mg/dl during surgery. Reference List Mahler, R. J.; Adler, M. L. (1998). The Journal of Clinical Endocrinology & Metabolism. Type 2 Diabetes Mellitus: Update on Diagnosis, Pathophysiology, and Treatment. Volume 88, Issue 4, Pages 3082-3089. Retrieved from http://press.endocrine.org/doi/citedby/10.1210/jcem.84.4.5612 Medline Plus. (2013). Diabetes Medicines. Retrieved from http://www.nlm.nih.gov/medlineplus/diabetesmedicines.html MedicineNet.com. (2012). Diabetes Mellitus. Retrieved from http://www.medicinenet.com/diabetes_mellitus/article.html

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