Case Study: The End Of Diabetes

The most significant difference between the regular insulin and the rapid acting insulin is the onset. The onset for rapid-acting or lispro is 10-15 minutes, and for the regular it is ½-1 hour.

Cardiovascular disease- Diabetes drastically increases the risk of different cardiovascular manifestations, such as coronary artery disease and affiliated chest pain (angina), stroke, tightening of arteries (atherosclerosis), and heart attack. Having diabetes mellitus, raises the likely hood of having heart disease or stroke.

Mr. NX is a 35-year-old-male with complaint of back pain and not feeling well. He reports he has chronic back pain that is a constant tight, dull ache in which he has experienced over the past 10 years, without loss of function. He has a prior history of Type II diabetes, hypertension, and recurring deep vein thrombosis in which he routinely takes Glyburide, Lisinopril, and Coumadin for these disorders. Mr. NX reports he started a workout program three weeks prior in which he started two complementary alternative medications (CAMs) of Creatine and Coenzyme Q10. Other CAMs he reports taking is Kava Kava for anxiety and Garlic for his hypertension.

Q1. Compare the incidents of diabetes within each region of the U.S. for the past year and identify which state has the highest burden of this disease.

emotional distress. Pavilon and Kaferly used to date. After breaking up, Kaferly began working as an employee for Pavilon in his company. During Kaferly’s employment, she initially agreed to attend to various affair with Pavilon because he claimed that things would be easier on her if she agreed. She then refused when Pavilon tried to offer money in exchange of sexual behavior. After Kaferly’s further refusal of attending to Pavilon’s family or social functions, he terminated Kaferly’s employment. Since then, Pavilon started harassing Kaferly’s new employer, friends and family. He also threatened to rape and kill Kaferly. In addition, he tried to take custody of Kaferly’s only child. Kaferly had been undergoing psychotherapy with Pavilon’s

Saturday, November 13, 2015 The American Diabetes Association will be sponsoring the Bridge to Wellness Expo at the David L. Lawrence convention center. This event is free to the public and will provide them with a number of different events to help promote a healthy lifestyle. I believe that this event will be target towards a large range of different people such as uninsured, underinsured, or people who just want to live a longer healthier life. I think that many people will come out to this event because there is a lot that is going to be offered. Personally, if I was not participating in this event I would consider going to it just to see the different stations that will be set up there. I think that it is important to stress the importance of prevention because once something happens the damage is already done. I believe in living a healthy lifestyle and getting a handle on my health early. The expo will be offering a wide variety of different focus areas including but not limited to: active lifestyle, diabetes, cancer prevention, stress management, tobacco cessation, and heart health.

Type 2 Diabetes is a continuing epidemic in the United States, particularly among African Americans. According to the American Diabetes Association (n.d.): "African Americans are 70% more likely to have diagnosed diabetes compared to Non-Hispanic Caucasians." The two most prominent health disparities implicated in Type 2 Diabetes with African Americans are: proportionally higher rates of diagnosis and disease-related complications (Byers et al, 2016). Notably, "ineffective patient-provider communication" and "disconnection" between a patient's diagnosis and their culture/lifestyle are thought to contribute to these disparities (Kirk et al, 2014). This disconnect between biological and social reality is likely due to ineffectual patient-provider

According to the United States Library of Medicine, diabetes is a disease that occurs when the body does not make or use insulin correctly, therefore causing fluctuating amounts of glucose in the blood. Diabetes is a disease that affects millions of adults and children from various cultures. According to the American Diabetes Association (2014), someone is diagnosed with diabetes every 19 seconds. The Center of Disease Control and Prevention most recent statistical report indicated there were 29.1 million adults and children affected by diabetes. Those numbers are astounding. Unfortunately, the American Diabetes Association (2014) estimates by year of 2050, one out of three adults will have diabetes. Therefore, it is imperative that adults take aggressive measures to prevent this disease. By the same token, diabetes diagnosed in children and adolescent is becoming more prevalent every day. The American Diabetes Association (2014) reported there were about 216, 00 children in the United States with diabetes. It is predicted that one out three children will be diagnosed with diabetes in their life. The statistics for both adults and children with diabetes are frightening; however, early detection can help lower the risk of developing the debilitating effects of diabetes.

Method Participants The sample consisted of 160 participants with type 2 diabetes, whose age ranged between 30 to 69 years (M = 55.49, SD = 8.91), with the equal number of men and women. Persons who suffered from type 2 diabetes for more than one year and less than five years were included in the study. Persons with type 2 diabetes for more than five years and whose age was below 30 years and above 70 years were excluded from the study. Among the participants, 39.4% were housewives, 31.9% were retired, 14.6% were government servants, 6.9% were private employees, and 7.2% were from professions like engineering, teaching, business, social work masonry, and farming.

Diabetes remains the 7th leading cause of death in the United States. The cost of care for diabetics and new cases of diagnosed diabetes patient’s rise more and more each year. In 2010 234’051 death certificates were issued with the mention of diabetes as a contributing factor to the death. About 60% of lower limb amputations were performed. The cost of care for diabetics is now at an astronomical high of $176 billion dollars. A change a most be made to prevent all of this loss. (American Diabetes Association, 2014)

The American Association of Clinical Endocrinologist (AACE) treatment goals are individualized and aimed at lowering A1C and prevention of hypoglycemia along with decreased comorbidities associated with diabetes. Diabetics who are at an increased risk for hypoglycemia include: a diagnosis of greater than 15 years, advanced macrovascular disease, hypoglycemia unawareness, limited life expectancy and severe comorbidities (Garber, Blonde, Bush, Einhorn, & Garber,et al., 2017). In addition Fowler (2010) notes that those with renal or hepatic dysfunction are at an increased risk for hypoglycemia due to the combination of less endogenous glucose production and longer insulin half life. This combination can result in a rapid lowering of glucose.

Being diagnosed with diabetes can be a scary time. There is a lot of information to learn and many treatment options to choose. Learning what diabetes is and what causes it is a good place to start so an informed decision can be made.

The client must have symptoms of diabetes (increased thirst, increased urination, and unexplained weight loss) and a blood sugar level equal to or greater than 200 milligrams per deciliter (mg/dL). The blood sugar test is done at any time, without regard for when you last ate (random plasma glucose test or random blood sugar test).

wo of the most prevalent conditions that healthcare providers encounter is Diabetes (DM) and Hypertension (HTN).  Further, it is common for the two diseases to present as co-morbidities.  In my experience as a nurse for nearly 20 years, I have come across a multitude of patients that appear complacent when it involves their diagnosis of Hypertension and Diabetes.  With both diseases being so widespread, I often wonder if patients are impervious to the reality of complications that inevitably will occur without proper treatment and compliance.  A myriad of issues can occur when blood sugar and blood pressure are chronically uncontrolled.  One of the complications that regularly develops in patients with DM is a microvascular condition

I could feel the acid in my throat; I desperately needed water and couldn’t keep any food down. I had felt like this for the last three months but no one believed me. I started to doubt it myself, my mom said I was fine so why wouldn’t I be?