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Type 2 diabetes case study
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1. What is the patient’s diagnosis? Explain the epidemiology and pathophysiology of the disease. Patient has diabetes mellitus type 2. Epidemiology in adults, type 2 diabetes accounts for about 90 to 95 percent of all diagnosed cases of diabetes. Over the past three decades, the number of people with diabetes mellitus has more than doubled globally. Type 2 diabetes could be prevented by healthy lifestyle change. Pathophysiology for type 2 diabetes is when the body either produces inadequate amounts of insulin to meet the demands of the body or insulin resistance has developed. Insulin resistance refers to when cells of the body such as the muscle, liver and fat cells fail to respond to insulin, even when levels are high.
2. Compare patient’s disease to Diabetes Mellitus type I (DM I). In type 1 diabetes, the body's immune system destroys the cells that release insulin, eventually eliminating insulin production from the body. Type 2 diabetes can develop at any age. It most commonly becomes apparent during adulthood. Type 2 diabetes, the body isn't able to use insulin the right way. This
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How does frequent measuring of blood glucose impact glucose control? I think motoring your blood sugar would impact your glucose control because its letting you know if its high or low so you know what you can eat or cannot eat.
7. What are the symptoms of hypoglycemia? Define hypoglycemia. Hypoglycemia is Low blood sugar, the body's main energy source. Symptoms of hypoglycemia and hyperglycemia have a lot of the same symptoms like excess sweating, excessive hunger, fainting, fatigue, lightheadedness, or shakiness.
8. What is the treatment for hypoglycemia? Treatment for hypoglycemia could be consuming high-sugar foods or drinks, such as orange juice or regular soda. Or medications can be used to raise blood sugar levels.
Would you recommend any lifestyle changes to this patient? A patient with type 2 diabetes I would recommend eating healthy, exercising daily and get
3: Briscoe VJ, Davis SN (2006) Hypoglycaemia in Type 1 and 2 Diabetes: Physiology, pathophysiology and management. Clinical Diabetes, 24 (3), 115-121
Type I Diabetes are often found or developed in children and young adults. It was previously called “juvenile diabetes”. Type II diabetes are found in adults and can be seen at any age. This is non insulin dependent diabetes.
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.
Today he chooses to have a healthy life and control his diabetes. He takes one medication orally for his diabetes, Metformin. JR has a good, healthy diet as well as exercise habits like taking walks with his dog. JR takes seven medication on the daily with three being for his heart, one for his high blood pressure, one for his cholesterol, one for his diabetes and another one to prevent blood clots. After making sure there was no drug to drug interaction between any of this medications, I informed my patient that his medication can not cure diabetes and high blood pressure but control
After several days of working with me the patient’s states “I know I haven’t taken very good care of my body, but I would like to start doing that now. I have not even tried to manage my diabetes
The care plan is composed of the right food, exercise and medication (Mayo Clinic Staff, 2014). The person needs to know what type of foods affects their blood sugar levels and most of the time the patient is sent to a nutritionist to follow a diabetic diet. The patient needs to keep track of a food log to discuss later with the doctor or nurse on the next appointment (Mayo Clinic Staff, 2014). An exercise regimen also helps to keep the sugar levels balanced. It is important to keep an exercise schedule that will help the person to keep an exercise routine in accord with the medications and meals. It is very important to stay dehydrated and to keep track of the blood sugar levels (Mayo Clinic Staff, 2014). The medications are to lower the blood sugar levels. It is very important to store the insulin properly, check the expiration date and double check the dose before administration. The person will need to report to the doctor if the blood sugar gets too low or still high, because the doctor might need to adjust the dosage or timing. Also, it is important for the doctor to know if the person is taking medications for other conditions, because that will help the doctor to prescribe the correct medication for the person (Mayo Clinic Staff,
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.
Type 1 diabetes will be the first case that we will discuss. People get type 1 diabetes from the body not producing enough insulin. Inside your body your immune system sees insulin as being foreign so at that point it begins attack it (University Of Miami). Most people who get type 1 diabetes get it before they turn 40 years old (Medical News Today). Type 1 diabetes is not as common as the type 2 and only 10% of people who have diabetes have type 1.
There are two types of diabetes. The type 1 and type 2 diabetes. Type 1 diabetes is referred to as dependent diabetes mellitus (IDDM), or juvenile onset diabetes mellitus. The pancreas undergo an autoimmune attack by the body itself, and is rendered incapable of making insulin. It is in type 1 diabetes where abnormal antibodies are normally found. Antibodies are proteins in...
...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).
Neithercott, T. (Jan. 2012). Continuous Glucose Monitors. Diabetes Forecast, 65(1) 44-6. Magazine. Retrieved from ProQuest Research Library.
There are two main types of diabetes. The firsts is insulin-dependent diabetes mellitus (IDDM). In IDDM the body either doesn’t produce diabetes or produces very small amounts. The symptoms usually occur in teenagers under 20, usually around puberty. Untreated IDDM affects the metabolism of fat. Since the body can’t convert glucose into energy, it is broken down into fat and stored for energy. This also increases the amounts of ketone bodies in the blood, which interfere with respiration. The second type is called is non-insulin-dependent diabetes mellitus (NIDDM). This is when the body doesn’t make enough insulin or is unable to use it. NIDDM is the most common of all diabetes; it makes up 90 to 95 percent of all cases. Scientists believe that in some people weight gain or obesity is what triggers their diabetes because 80 percent of people with diabetes are over weight.
The first step to knowing if you have diabetes is to identify its symptoms. Patients frequently overlook symptoms of: “Urinating often,” “Feeling very thirsty,” “Feeling very hungry even though you are eating,” “Extreme fatigue,” “Blurry vision,” “Cuts/bruises that are slow to heal” (“Symptoms”). These “symptoms of diabetes are typical. However, some people with type 2 diabetes have symptoms so...
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)
Diabetes Mellitus is a disease in which the pancreas produces little or no insulin. Insulin is a hormone that helps the body’s tissues absorb glucose which is sugar, so it can be used as a source of energy. Glucose levels build up in the blood and urine which causes excessive urination, thirst, hunger, and problems with fat and protein metabolism in a diabetic person. Diabetes is very common in the United States; it is the seventh leading cause of all deaths. Women have been diagnosed with diabetes more than men. There are two forms of diabetes, Type one and Type two diabetes. Type one diabetes is when the body does not produce insulin or produces it in very small quantities. This usually occurs in younger people under twenty years of age, mostly around puberty. Type two diabetes is when the body’s balance between insulin production and the ability of cells to use insulin doesn’t work properly. This is more common than type one; about 90-95% people in the United States have it. There are no cures for diabetes now but there are many researchers investigating factors through new technologies to cure them. Meanwhile, technological advancements are being made to keep glucose at a good level for diabetes.