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Research paper on diabetes mellitus
Research paper on diabetes mellitus
Investigating diabetes mellitus
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Literature review
In the past decades, people have been aware of diabetes although not to such extent being experienced today. These conditions have become more relevant due to lack of physical activity and unhealthy eating habits that leads to fluctuations in insulin levels. Recent research on this topic shows that all patients with diabetes could benefit from the same therapeutic treatments such as medical nutrition therapy and physical activity.
For all types of diabetes, the first goal of MNT is to assist attain and maintain metabolic normality, this not only include blood glucose, but also lipid and lipoprotein levels.6-14 Even though, there is no known cure for diabetes type 1, the recommendations to get rid of their symptoms do not vary significantly, besides the use of medication. In fact, there are multiple studies that have found that nutritional therapy is an integral component for the treatment of diabetes by normalizing glucose levels, helping maintain weight, and avoiding complications such as other related health concerns.13-16 Recent research, especially on randomized clinical therapy shows that observing a good nutrition really works well in prevention than in the treatment of diabetes. In a study by Rossi and colleagues, 130 patients were randomized to compare a Diabetes Interactive Diary (DID) with standard carbohydrate counting in terms of metabolic and weight control. Of the 130 patients, 11 dropped out. However, they discover that DID is at least as effective as traditional carbohydrate counting education, allowing dietary freedom for a larger proportion of type 1 diabetic patients making it safe, requiring less time for education, and is associated with lower weight gain.14 Other studies have also demonstra...
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...Medical nutrition therapy is essential for the treatment of diabetes; however, monitoring of a dietitian is empirical. As we could see, there is overwhelming evidence that shows that diabetes can be preventable, managed and sometimes reversed through activity and diet changes. Current research results, show significant results in the prevention and treatment when is maintain on a regular basis for all types of diabetes. Since complementary alternative medicine consumption is on the rise, it is desirable to improve our knowledge concerning their potential effects and adverse effects, especially in conjunction with prescription medication. Given the complexity of pharmaceutics in patients with chronic diseases, among them patients with Diabetes Mellitus, the use of supplementary medicine cannot be ignored if it can be prevented and treated with simple food and exercise.
Glucose is a sugar that plays a big part in a human’s health and well-being. This sugar is a major source of energy for the body’s brain and cells. The Cells that receive energy from glucose help in the building of the body’s muscle and tissue. Although glucose may be important to the body too much of this sugar can cause a chronic condition called Diabetes. Diabetes, also known as Diabetes mellitus, is a chronic condition that is caused by too much sugar in the blood. This condition can affect all age groups. In fact, in 2010 a survey was taken by the National Diabetes Information Clearinghouse, on the number of newly diagnosed diabetes. Out of 1,907,000 people: 24.38% were ages 20-44, 55.17% were ages 45-64, and 20.45% were ages 65 and greater. Diabetes is a very serious condition, and it can be deadly if left untreated. This paper will help better educate the reader on the signs and symptoms, the testing process, and the management of diabetes.
During the year 1889, two researchers, Joseph Von Mering and Oskar Minkowski, discovered the disease that is known today as diabetes. Diabetes is a disease in which the insulin levels (a hormone produced in unique cells called the islets of Langerhans found in the pancreas) in the bloodstream are irregular and therefore affect the way the body uses sugars, as well as other nutrients. Up until the 1920’s, it was known that being diagnosed with diabetes was a death sentence which usually affected “children and adults under 30.” Those who were diagnosed were usually very hungry and thirsty, which are two of the symptoms associated with diabetes. However, no matter how much they ate, their bodies wouldn’t be able to use the nutrients due to the lack of insulin.
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.
6. Radenković, O., Kahrović, I., & Murić, B. (2013). Role of Physical Activity in the Prevention and Treatment of Diabetes.. Activities In Physical Education & Sport, 3(1), 41-43.
Diabetes Programs: The Scripps Whittier Diabetes Institute Experience. Curr Diab Rep Current Diabetes Reports, 14(2). Doi:10.1007/s11892-013-0462-0
...revention through awareness and education is achieved via the work of government initiatives such as the National Diabetes Services Scheme and health campaigns including Measure Up. The NDSS also works to improve the self-management of diabetes. Physiotherapists also have a role in the management of diabetes through implementing exercise programs. An evidence-based approach was used to create the proposed exercise program that aimed to manage the high blood glucose levels associated with insulin resistance in type 2 diabetes (Sigal et al., 2007). It utilized both aerobic and resistance training in accordance with current knowledge of the most effective dosages for the population group. Physiotherapists must work alongside other healthcare professionals such as dietitians and general practitioners to provide optimal support and management for patients with diabetes.
Diabetes is a disease in which a person’s body in unable to make or utilize insulin properly which affects blood sugar levels. Insulin is a hormone that is produced in the pancreas, which helps to regulate glucose (sugar) levels, break down carbohydrates and fats, and is essential to produce the body’s energy. The CDC (2013) offers reliable insight, summarized here, into the different types of diabetes, some causes, and health complications that may arise from the disease.
Interestingly no significant differences were identified between the experimental and comparison groups in terms of knowledge, adaptation, and program satisfaction. However, diabetes self-care activities significantly improved (p = .02) for the experimental group (p. 316).
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...
Wyness, L. (2009). Understanding the role of diet in type 2 diabetes prevention. British Journal of Community Nursing, 14(9), 374.
Diabetes is a metabolic disease defined by high blood glucose concentration, also known as hyperglycemia (Mertig, 2012). Hyperglycemia is the result of having a problem with insulin release and/or a problem with insulin action. In other words, a person living with diabetes produces little to no insulin (type 1 diabetes) or does not have the ability to utilize efficiently the insulin produced (type 2 diabetes) (Mertig, 2012). Diabetes is a growing epidemic in the United States. In an effort to better manage and reduce the incidence of diabetes, researchers dedicate an enormous amount of time each year trying to gain a stronger understanding of the disease (Philis-Tsimikas and Decker, 2011). After all, the long term complications of uncontrolled diabetes (i.e. blindness, renal failure, heart disease, amputations, etc) can be devastating and needs to be prevented and/or controlled (Mertig, 2012). Individuals living with diabetes need to incorporate nutritional management, physical activity, compliance with medications, proper monitoring of blood sugars, self education and most importantly actively participate in their own diabetes care. According to Inzucchi et al, a patient centered approach is best and means, “Providing care that is respectful of and responsive to individual patient preferences, needs, and values and ensuring that patient values guide all clinical decisions.” An approach proven to be effective in managing diabetes is the diabetes self-management education (DSME) approach. DSME is a “patient centered” approach that actively involves the client in all aspects of their diabetes care and provides the necessary tools to encourage self-directed growth. A huge part of the DSME approach is the client’s diet,...
Exercise can be used in conjunction to dietary control when diet alone is not maintaining appropriate glucose levels. The American Diabetes Association recommends participating in both aerobic (walking at a fast pace, swimming laps, playing tennis) and resistance training exercises (free weights or weight machines, resistance bands, wall-sits) .However, it is still controversial to endorse exercis...
Since we have been learning about nutrition in class, our task was to record a food log. Nutrition requires a well-balanced diet containing nutrient and vitamins like amino acids and fatty acids. Over the past seven days I have been recording and have been looking very carefully at my intake of nutrients, minerals, vitamins, and fats. In our task, the objective was to record the basic foods we ate during the period of seven, but it did not require recording every single detail or our intake of food. Doing this food log was a pain and it was disturbing because I never wrote about what I ate like breakfast, lunch, dinner, or additional meals. I found this food log useful because it helped me learn what I can change in my intake of foods to make my diet healthy and to see what about my diet is affecting me from being healthy because I could affect me in the future.
The majority of people in this society try to exercise and eat right to stay healthy. The problem is that they worry more about exercising and not getting good nutrition. They do not understand that exercise is not enough to be healthy. In order to be healthy, people should be aware of what they eat. This may not be easy for everyone, but one can get support from family and friends in order for it to be easy. Good nutrition is more important than regular exercise because it helps in losing weight, helps to fuel the body, prevent the risk of getting diseases, and helps building muscles.