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Risk factor for diabetes mellitus essay
Risk factor for diabetes mellitus essay
Management of newly diagnosed diabetes essay
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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.
Diabetic Diet
Carbohydrates
Carbohydrates that are consumed by a diabetic will have the most effect on his or her blood glucose levels (Watts & Anselmo, 2006, p. 46). Because of this, carbohydrates play an important role in th...
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...Sensible eating for people with diabetes. Practice Nurse, 33(9), 33. Retrieved from EBSCOhost database.
Ignatavicius, D. D. & Workman, M.L. (2010). Medical-surgical nursing: Patient-centered collaborative care. St. Louis, Missouri: Saunders Elsevier.
Mann, J. (2006). Nutrition recommendations for the treatment and prevention of type 2 diabetes and the metabolic syndrome: an evidence-based review. Nutrition Reviews, 64(9), 422-427. Retrieved from EBSCOhost database.
Mongin-Bulewski, C. (2011). Evidence-based nutrition guidelines for diabetes management. Nurse Prescribing, 9(5), 214-216. Retrieved from EBSCOhost database.
Thomas, P. (2008). Giving dietary advice. Practice Nursing, 19(12), 602-606. Retrieved from EBSCOhost database.
Watts, S. & Anselmo, J. (2006). Nutrition for diabetes—all in a day’s work. Nursing, 36(6), 46-48. Retrieved from EBSCOhost database.
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).
Wyness, L. (2009). Understanding the role of diet in type 2 diabetes prevention. British Journal of Community Nursing, 14(9), 374.
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.
Ignatavicius, D.D. & Workman, M.L.(2010). Medical-Surgical Nursing: Patient-Centered Collaborative Care. (6th ed.). St. Philadelphia PA: Saunders Elsevier
Hu, F. B., Manson, J. E., Stampfer, M. J., Colditz, G., Liu, S., Solomon, C. G., & Willett, W. C. (2001). Diet, lifestyle, and the risk of type 2 diabetes mellitus in women. New England Journal of Medicine, 345(11), 790-797.
Medical-surgical nursing: patient-centered collaborative care (7th ed.). St. Louis: Elsevier University. Taylor, C. (2011). The 'Standard'. Introduction to Nursing -.
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.
Wardlaw, G.M. and Smith. Contemporary Nutrition: Issues and Insights. 5th Edition. Boston: McGraw-Hill, pp 85, 2004.
Diabetes is a disorder that affects the way your body uses food for growth and energy. Carbohydrates play apart in diabetes. It is a biological compound containing carbon, hydrogen, and oxygen that is an important source of food and energy. When you eat, carbohydrates are broken down into a simple sugar called glucose. This is one of the main sources of fuel for your body. Those who have diabetes either do not have enough insulin or their cells have become insensitive to the effects of insulin. Insulin is a hormone produced in the pancreas that regulates the level of glucose in the blood. However, glucose does not get into the cells and it begins to build up in the blood. The buildup of glucose in the blood is the hallmark of diabetes.
These last two years, however, I started to gain weight and have become concerned with my diet. Changing my poor eating habits has been difficult for me, however, having this assignment has taught me that it is not as difficult as I previously imagined. Nutrition experts in the United States and Canada have a list of standards with four list values. These list values are called the Dietary Reference Intakes. The DRI committee sets these values for vitamins, minerals, calories, and nutrients.
Ignatavicius, D. D., & Workman, M. L. (2013). Medical-surgical nursing: patient-centered collaborative care (7th ed.). St. Louis: Elsevier Saunders.
Collaboration is the foundation to success in any team. In the healthcare setting, interprofessional collaboration (IC) has been a significant trademark among numerous highly successful innovations. Collaboration between nurses and other healthcare providers improves the quality of care, coordination, and communication between the team leading to increased patient safety. Working in a team to achieve common goals implies open communication, respect for others, mutual trust, and honesty. The purpose of this paper is to discuss the meaning of interprofessional collaboration, its implications for practice, describe the role of IC in the provision of patient and family-centered care,
Diabetes is becoming an increasing problem in the United States, with half of all Americans becoming either diabetic or pre-diabetic. Treatments for Type-1 diabetes include taking insulin to help increase your glucose levels (blood sugar), eating healthy, maintaining healthy weight, and monitoring your daily levels. Type-2 treatments include most of Type-1’s treatments (excluding the taking of insulin) and in some cases a special diabetes medication or insulin therapy (Type-2).... ... middle of paper ...
Davenport, Joan M., Stacy Estridge, and Dolores M. Zygmont. Medical-surgical nursing. 2nd ed. Upper Saddle River, N.J.: Pearson Prentice Hall, 2008, 66-88.
3. National Task Force on the Prevention and Treatment of Obesity, National Institutes of Health. Very low-calorie diets. Journal of the American Medical Association. 1993;270:967-974.