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Prevention and treatment of diabetes mellitus. essay type
Glucose measurement lab report
Glucose measurement lab report
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Patient Education: Diabetes Carolina Rodriguez Nova Southeastern University Patient Education on Diabetes Diabetes mellitus is a leading cause of death in the United States (U.S.). Holt (2014) identified that “cardiovascular risk factors, such as smoking, obesity and a sedentary lifestyle, are the leading cause of morbidity and mortality especially in patients with type 2 diabetes” (p. 53). Patient education is important to nursing to assist patients establish healthy foundations that help maintain health and avoid health issues. If diabetics are not well educated about their disease, they can suffer severe health consequences. There are ways to avoid diabetic related morbidity. To avoid these complications, the patient …show more content…
must monitor their blood glucose levels, understand and utilize proper injection techniques, and apply carbohydrate counting to their meal plan.
Blood glucose monitoring Monitoring blood glucose levels is an essential priority as a diabetic to reduce the incidence of health issues. Sugar levels are measured by inserting a slight drop amount of blood into a test stripe, in which the test stripe is already inserted in the blood glucose meter. The levels should read a few seconds after the blood is introduced. If the sugar levels read out of its normal range, the diabetic can experience undesirable symptoms. For instance, hyperglycemia occurs when the diabetic has high blood glucose levels. Some of the symptoms include; increased thirst, frequent urination, blurred vision, and fatigue. Hypoglycemia occurs when the diabetic is experiencing low blood glucose levels, which causes them to have chills, confusion, hunger, and tingling or numbness in the lips or …show more content…
tongue. Maintaining glucose control is important, especially for the healthcare professionals to indicate if your daily routine of monitoring your glucose levels is effective or if some adjustments need to be made to improve glucose levels. Some adjustments that may be made are involved with the diabetics’ diet, exercise, specific times they have to monitor glucose levels, or medications. Another effective and yet significant method to monitor glucose levels is to conduct an HbA1c test. Holt (2014) explains that the HbA1c “blood test relies on a normal erythrocyte lifespan of 120 days and measures the amount of glycated hemoglobin over the preceding two to three months” (p. 54). These results are attained through blood analysis and the average of blood glucose levels is determined. Once the blood sugar is monitored, if the diabetic is insulin dependent, then they can inject the insulin doses depending on the glucose levels. Injection techniques A patient with diabetes must understand and utilize proper injection techniques, in regards to correct injection sites, rotation of the injection sites, and using the right equipment.
If the diabetic injects more or less than what is necessary, he or she may experience hyperglycemia or hypoglycemia. Carbohydrate counting Carbohydrate counting helps the patient by means of measuring the amount of carbohydrates that can be consumed and how much insulin must be taken before each meal. It is essential to monitor your glucose levels two hours after each meal because most of the food has been absorbed into the blood
stream. References Edwards, A. (2015). An introduction to carbohydrate counting in type 1 diabetes. Journal of Diabetes Nursing, 19(2), 73-77. Retrieved from http://www.thejournalofdiabetesnur sing.co.uk/media/content/_master/4033/files/pdf/jdn19-2-73-7.pdf Holt, P. (2014). Blood glucose monitoring in diabetes. Nursing Standard, 28(27), 52-58. doi:10.7748/ns2014.03.28.27.52.e650 Pledger, J., Hicks, D., Kirkland, F., & Down, S. (2012). Importance of injection technique in diabetes. Journal of Diabetes Nursing, 16(4), 160-165. Retrieved from http://picsolu tion.ir/wp-content/uploads/2013/04/Importance-of-Injection-Technique-in-Diabetes.pdf
The case study chosen for this assignment is case study #2: Hannah is a 10-year-old girl who has recently been diagnosed with Type 1 Diabetes Mellitus. She is a 4th grade student at Hendricks Elementary School. Prior to her diagnosis, Hannah was very involved in sports and played on the girls’ volleyball team. Her mother is concerned about how the diagnosis will affect Hannah.
Diabetes education is a structured education and self-management (at diagnosis and regularly reviewed and reinforced) to promote awareness. Diet and lifestyle, healthy diet, weight loss if the person is overweight, smoking cessation, regular physical exercise. Maximizing glucose control while minimizing adverse effects of treatment such as hypoglycemia. Reduction of other risk factors for complications of diabetes, including the early detection and management of hypertension, drug treatment to modify lipid levels and consideration of antiplatelet therapy with aspirin. Early intervention for complications of diabetes,, including cardiovascular disease, feet problems, eye problems, kidney problems and neuropathy.
The pathophysiology of diabetes mellitus in is related to the insulin hormone. Insulin is secreted by cells in the pancreas and is responsible for regulating the level of glucose in the bloodstream. It also aids the body in breaking down the glucose to be used as energy. When someone suffers from diabetes, however, the body does not break down the glucose in the blood as a result of abnormal insulin metabolism. When there are elevated levels of glucose in the blood, it is known as hyperglycemia. If the levels continue to remain high over an extended period of time, damage can be done to the kidneys, cardiovascular systems; you can get eye disorders, or even cause nerve damage. When the glucose levels are low in one’s body, it is called hypoglycemia. A person begins to feel very jittery, and possibly dizzy. If that occurs over a period of time, the person can possibly faint. Diabetes mellitus occurs in three different forms - type 1, type 2, and gestational.
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.
A critical thinking task that staff on our unit are frequently challenged with is treating low blood glucose levels, which are considered to be a blood glucose level less than 80 mg/dl. The flow chart that follows is what our diabetic educators would like to see being done by nurses to address low blood glucose levels. Although the flow chart is straightforward and easy to follow, nurses often use nursing wisdom, which is based on their knowledge and experience (McGonigle & Mastrian, 2012). For example, rather than giving orange juice or one tube of glucose gel and rechecking a patient’s blood glucose in 15 minutes, nurses may wait for a breakfast tray to arrive and recheck a patient’s blood glucose after breakfast. Possible risks include a patient not eating his or her breakfast and their blood sugar continuing to drop.
When the blood glucose is higher than the normal levels, this is known as diabetes disease. The body turns the food we eat into glucose or sugar and use it for energy. The insulin is a hormone created by the pancreas to help the glucose get into the cells. The sugar builds up in the blood because either the body doesn’t make enough insulin or can’t well use its own insulin (CDC, 2015). In the United States diabetes is known as the seventh leading cause of death. There are different types of diabetes. However, there are two main types of diabetes and these are; Diabetes type 1 and Diabetes type 2 (CDC, 2015).
With the current literature research diabetes a growing among patients across the world. There several ways nursing can educate their patients on this disease that is killing their patients day to day. Educating their patients on getting physically active, changing their diet, and not smoking our some
In recent years, diabetes education has become an integral part of diabetes treatment (Piccinino et al, 2015). The 2012 National Standards for Diabetes Self-Management Education (DSME) defines education as an exchange of knowledge, tools and practices that will address client needs. Patients need information about their illness, side effects, complications and how to care for it. Diabetes education must be effective and accurate in quality, content, and method (Atak & Arslan, 2005). Diabetes education should happen concurrently with diagnosis and throughout treatment for a patient and should involve a structured program.
According to the American Diabetes Association (ADA), Diabetes Mellitus continues to rise in the United States with almost 30 million children and adults having diabetes. Approximately 90-95% of those diagnosed are diagnosed with Type 2 Diabetes Mellitus. (ADA, 2014) The need for further patient education by medical-surgical nurses has increased due to the rising number of diabetic patients. Glucose control is important in not only the promotion of health but in the prevention and early interventions of further long-term complication or comorbidities. By focusing on patient education and the responsibility of self-management the patients have the ability to
My former clinical instructor has DM1, and she taught us about carbohydrate counting, the importance of exercise, and what keeping up with insulin does. We did a carbohydrate counting project that we presented to the nurses and then to the patients. We made sure to an...
...in sources of energy. When cells cannot absorb sugar, you can become fatigued or feel exhausted” (Healhline), complain of blurred vision” In the short term, high glucose levels can cause a swelling of the lens in the eye. This leads to blurry vision. Getting your blood sugar under control can help correct vision problems. If blood sugar levels remain high for a long time, other eye problems can occur” (HealthLine), experience nocturia “Elevated glucose levels force fluids from your cells. This increases the amount of fluid delivered to the kidneys. This makes you need to urinate more. It may also eventually make you dehydrated” (Healthline), and have sores and cuts that will not heal “Elevated glucose levels may make it harder for your body to heal. Therefore, injuries like cuts and sores stay open longer. This makes them more susceptible to infection” (HealthLine).
According to Healthy People 2012 there are more then 800,000 new cases of diabetes each year, with the numbers on the rise. With this in mind, Healthy People 2012 has identified diabetes as their number five focus area. In order to reach their goal of improving the quality of life for people with diabetes they have identified diabetes teaching as their number one objective. Furthermore, in order to reduce the number of complications of diabetes, Healthy People 2012 has identified foot ulcers as their ninth objective. Through patient education Healthy People 2012 hopes to reduce the number of foot ulcers in people with diabetes, as diabetes is the number one cause of nontraumatic amputations in the United States. In order to successfully reduce the number of amputations and diabetic foot ulcers, patient teaching is essential. Patient teaching, as with the nursing process, begins with assessment in order to identify the patients learning needs (Wilkinson & Van Leuven, 2007).
So what is a diabetic emergency? A diabetic emergency occurs when there is a severe imbalance between the amount of insulin and sugar in the body. There are two conditions that may result in a diabetic emergency. 1. Not enough insulin. This causes a high level of sugar or hyperglycemia. This can lead to a diabetic coma. 2. Too much insulin. This causes a low level of sugar or hypoglycemia. This may lead to insulin shock. Regardless, both conditions require the person to seek medical attention.
Diabetes is a common disease, which can be a serious, life-long illness caused by high levels of glucose in the blood. This condition is when the body cannot produce insulin or lack of insulin production from the beta cells in the islet of Langerhans in the pancreas. Diabetes can cause other health problems over time. Eye, kidneys, and nerves can get damaged and chances of stroke are always high. Because of the serious complications, the purposes of teaching a plan for diabetes patients are to optimize blood glucose control, optimize quality of life, and prevent chronic and potentially life-threatening complications.
In conclusion, diabetes is a serious disease and can be life threatening. With the right research and implementation of new studies diabetes can be reduced among the populations. We as a people need to realize this epidemic and all get together and beat it. Restaurants need to stop putting chemicals and unnecessary fats in their food. Not only diabetics but everyone should educate themselves on what is going in your body when you eat. Also, exercising and getting off the couch, in children, needs to be addressed and that alone would help reduce diabetes in the younger population. I can’t stress enough on education. If you know what you are eating or how you are exercising you protect yourself from poor health and live a great life. Type 2 diabetes can be dwindled down with a conscious individual and group effort.