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Type 2 diabetes case study
Diabetes mellitus quizlet
Type 2 diabetes case study
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Diabetes Mellitus Type 2 Background • Diabetes Mellitus Type 2 is a metabolic disorder characterized by elevated blood glucose values. • Signs and symptoms of the disease include polydipsia and polyuria. • Diabetes can be genetically linked but has other risk factors such as: o Poor diet—western style, sweetened drinks o Lack of physical activity o Higher BMI o Tobacco/Alcohol use o Hispanic or African American o Low socioeconomic status o Chronic Hepatitis C o Hypertension o Agent Orange Exposure • Diagnosing • A1C and possible reasons it is wrong Comparison of ADA and AACE guidelines ADA AACE Goal A1C < 7.0% < 6.5% Blood Pressure Goal 2 hour post-prandial glucose < 140 Complications of Disease • Retinopathy, nephropathy, peripheral
Olson DE, Rhee MK, Herrick K, Ziemer DC. Screening for diabetes and prediabetes with Proposed A1c-based diagnostic criteria. Diabetes Care. July 2010;33(10):2184-2189.
For this evaluation of a clinical practice guideline I chose to evaluate a guideline that was published in 2012 and that addressed the use of oral medication in the treatment of Type 2 Diabetes (Appendix B). People who have received a diagnosis of Type 2 Diabetes Mellitus (T2DM) are facing a long term treatment plan. Diabetes mellitus is a chronic metabolic disorder that results from a problem with insulin in the body. T2DM is growing in prevalence and is a cause for concern. There are several co-morbidities that can be linked to poorly controlled blood sugar levels such as cardiovascular disease, peripheral vascular disease, renal failure, and a decrease in eyesight. If blood sugar levels can be maintained at a normal to near normal limits the patient has a decreased risk of experiencing these comorbidities. Because of this it is important for the healthcare practitioner to evaluate all treatment methods available and the evidence that supports the efficacy of recommending this treatment to our patients. I used the AGREE II tool in evaluation of this guideline (Appendix A).
Journal of Continuing Education in Nursing, 44(9), 406. doi:10.3928/00220124-20130617-38. Torpy, J. M. (2011). The 'Standard' Diabetes. Jama, 305(24), 2592 pp.
The ADA supports the decision made by the International Expert Committee for using the HbA1c threshold of ≥ 6.5% as a diagnosis of diabetes (ADA, 2013; International Expert Committee, 2009). The cut point of 6.5% is associated with an inflection point for the prevalence of retinopathy, just as are the diagnostic thresholds for fasting plasma glucose (FPG) and 2-hour plasma glucose (2-h PG) (ADA, 2013; Bao et al., 2010; International Expert Committee, 2009). Before the report form the International Expert Committee was released diabetes was diagnosed using FPG ≥ 126 mg/dl (Carson, Reynolds, Fonseca, & Munter, 2010).
The Expert Committee on the Diagnosis and Classification of Diabetes Mellitus. American Diabetic Association. (2003). Follow-up report on the diagnosis of diabetes mellitus. Diabetes Care, 26, 3160-3167. doi: 10.2337/diacare.26.11.3160
The American Diabetes Association is an organization founded in 1940. It was founded by physicians to help research and find ways to fight diabetes. The ADA now is a large organization that consists of 90 offices in the United States. The main focus of the ADA is to help cure people affected with diabetes and to help provide the best lifestyle for the people through research programs by providing information to the victims, the families of the victims and to the public. The ADA provides a number of programs and activities that are supported by many physicians, research scientist, companies, and communities. The mission for the association is to provide the best life they can for individuals diagnosed with any type of diabetes.
Diabetes is a disease that affects the body’s ability to produce or respond to insulin, a hormone that allows blood glucose (blood sugar) to enter the cells of the body and be used for energy. Diabetes falls into two main categories: type 1, or juvenile diabetes, which usually occurs during childhood or adolescence, and type 2, or adult-onset diabetes, the most common form of the disease, usually occurring after age 40. Type 1 results from the body’s immune system attacking the insulin-producing cells in the pancreas. The onset of juvenile diabetes is much higher in the winter than in the summer. This association has been repeatedly confirmed in diabetes research. Type 2 is characterized by “insulin resistance,” or an inability of the cells to use insulin, sometimes accompanied by a deficiency in insulin production. There is also sometimes a third type of diabetes considered. It is gestational diabetes, which occurs when the body is not able to properly use insulin during pregnancy. Type 2 diabetes encompasses nine out of 10 diabetic cases. Diabetes is the fifth-deadliest disease in the United States, and it has no cure. The total annual economic cost of diabetes in 2002 was estimated to be $132 billion, or one out of every 10 health care dollars spent in the United States. Diabetes risk factors can fall into three major categories: family history, obesity, and impaired glucose tolerance. Minority groups and elderly are at the greatest risk of developing diabetes.
Diabetes mellitus type 2 is an endocrine disorder that causes impaired use of carbohydrates while enhancing the use of proteins and lipids. This is called insulin resistance, in which the pancreas cannot make enough insulin to keep blood glucose levels normal, or the body is unable to use what is produced. The impairment causes blood glucose level to rise higher than normal. There is no cure for type 2 diabetes mellitus and it is life threatening when left untreated. Signs and symptoms of this disorder include vision changes, increased thirst, increased hunger, increased frequency of urination, stomach pain, nausea and vomiting, erectile dysfunction, and absences of mentruation. These can occur abruptly, or over a long period of time. Long-term complications from diabetes include kidney damage, eye damage, and blindness. The risk factors for developing diabetes mellitus include genetics, sedentary lifestyle, high blood pressure, history of diabetes during pregnancy, poor diet, obesity, high cholesterol, and abdominal obesity. Diabetes mellitus can be managed through the use of medication, or by reducing risk factors, such as avoiding obesity, inactivity, and poor nutrition.
... glucose measurements. Continuation into the immediate postoperative period remains important as well. Once in a steady state, treatment ought to be converted to a subcutaneous BBI regimen. For conversion from intravenous to subcutaneous insulin, a transition protocol should be employed 124.
My interest in this topic is a result of recent experiences with Diabetes Mellitus, Type 1 (DMI), especially with the following two instances: a young adult patient admitted at the hospital following a DKA episode during one of my nursing rotations and one of my instructors with type 1 diabetes. Also, my father was diagnosed with type 2 diabetes, this has increased my eagerness to study and explore more about the disease.
After the release of the GlucoGauge Monitors, the company began receiving troubling reports. Customers have been using social media to complain or address their issue and this, has affected the company in a negative way. Thereafter, we also have been receiving complaints from Doctors and patients about high inaccuracy rates on the GlucoGauge blood monitors. Physicians indicated that the inaccuracy readings were as high as 30% when the regular American Diabetes Association(ADA) approved devices are to exceed only exceed 10%. This high number of inaccuracy has hurt the company in a negative way and a solution must be found for it as quick as possible. Thus, I proposed the
Retrieved from http://www.ninds.nih.gov/disorders/diabetic/diabetic.htm.
Diabetes Mellitus is a chronic health condition in which the level of glucose in the blood is higher than usual. Type 1 diabetes occurs when the pancreas does not create enough insulin and type 2 diabetes occurs when insulin is produced, but is not adequate in lowering blood glucose levels or there is resistance to the insulin (Edwards, 2007, p. 9). Diabetes mellitus is the leading cause of end-stage kidney disease, foot and leg amputations, and new cases of blindness in the United States (Ignatavicius & Workman, 2010, p. 1465-66). People with type 1 diabetes are required to take insulin to manage their glucose levels. People with type 2 diabetes are usually prescribed oral medications such as sulfonylurea agents, meglitinide analogues, or biguanides to help control their glucose levels. Twenty to 30% of people with type 2 diabetes require insulin therapy as well (Ignatavicius & Workman, 2010, p. 1471). In addition to medication therapy, diet and weight control can help manage both type 1 and type 2 diabetes. Because diabetes mellitus can cause such severe complications, it is important that people with diabetes understand the importance of certain health and lifestyle choices, such as their diet and weight to manage their disease. Patients with diabetes mellitus should pay special attention to the amount of carbohydrates, protein, fat, and minerals that are included in their diet. Monitoring these components of their diet, along with weight management, can help control their diabetes mellitus.
"Symptoms - The American Diabetes Association." American Diabetes Association, 2014. Web. 3 Mar 2014. .
Diabetes mellitus is a group of metabolic disorders which is characterized by hyperglycemia due to insulin deficiency or resistance or both reasons. (1) According to that diabetes mellitus can be divided as type I and type II. This is common and its incidence is rising, 171 million people had diabetes in 2000 it is expected this condition to be doubled in 2030. It is spread in all the countries and therefore has become a major burden upon healthcare facilities. (2)