Diabetes Due to the need for close monitoring of blood glucose and insulin level in the body, there have been various studies done regarding the various insulin regimens that are available today. Before we get into the details of the studies conducted, it is only relevant to give an overview of the problem at hand. Type I Diabetes or as it also known juvenile onset diabetes is a disorder that is normally diagnosed in young adults or children. This form of diabetes results from the destruction of the insulin producing beta cells in the pancreas. With auto immune destruction being the most common cause, type I diabetes is a lifelong disease. Insulin is the basic treatment for Diabetes in about 30% of the diabetic patients in the United States. (Centers for Disease control, 2008)It should be noted that insulin is present in three different forms and a person needs to take the regimen that is most suitable for them. As mentioned earlier, too much insulin given at a time can cause a person to go in hypoglycemia. Hypoglycemia is way more fatal than increased glucose levels. The 30 year old female in our case was taking the Insulin Basal bolus that consisted of novo rapid and glargine. There has been much concern over the efficacy of a basal regimen to a pre mixed insulin form. A study conducted by Mathieu et. al (2013) was done to see how the change in regimen switch is tolerated. This change is the opposite of what we are proposing for the 30 year old female. In the Atlantic
In a 52 week randomized clinical study, patients with either type 1 diabetes or type 2 diabetes were treated using insulin glargine or insulin degludec. The study focus was on the effectiveness, safety and how well the patients tolerated the insulin degludec. One area of the study that was of particular interest was the occurrence of hypoglycemic events and mainly nocturnal hypoglycemia. The results of this study were then analyzed and the findings interpreted to compare insulin glargine and insulin degludec.
Diabetes mellitus (DM) is a condition in the body that is related to a faulty metabolism. It means that the body’s metabolism is not functioning properly, which leads to adverse effects in the health. The food we ingest, gets broken down into blood sugar (glucose), which is what fuels our body in the form of energy. This converted glucose needs to enter our cells so that it can be used for energy and growth. And in order for the glucose to enter our cells, there needs to be insulin present, which the beta cells of the pancreas is responsible for producing. This hormone is responsible for maintaining glucose level in the blood. It allows the body cells to use glucose as a main
My paternal grandmother, Lucille, has many chronic conditions, yet we decided to focus on her diabetes for the majority of questions concerning her health and wellness. When asked, Lucille could not remember when she was first diagnosed with diabetes, but does remember when she “switched from taking pills to taking insulin.” She began taking insulin the spring of 2009 after her doctor decided it was time to switch. She has had two incidences where her blood sugar was so low that she could not even call out for help. Both times were in the night and thankfully at that time her husband (my grandfather) found her and was able to get the necessary help. After these incidences, she switched to taking her insulin in the morning instead of before bed.
Treatments that elevate insulin in the blood independent of the ambient glucose unavoidably bring danger of recurring hypoglycemia. Episodes of hypoglycemia are traumatic, because of the modification in human brain
It is necessary to consider changing from an oral diabetes medication to insulin injections after
This will be emphasize on the implementation phase of the audit, which aim to educate and create awareness amongst the treating doctors and nursing staff about hypoglycemia prevention. This might be a very challenging task especially in the elderly patients with inconsistent and poor food intake, swallowing difficulties, progressive sarcopenia, or behavioral management issues related to cognitive impairment. More than one third (75%) of patient in our audit is on premixed insulin, which required a fixed dose to be given in the morning and evening. It is impossible to reserves the insulin if patient were to miss a meal after the dose is given, resulting in hypoglycemia. Other alternatives would be using rapid-acting insulin after meals, so the insulin can match the amount of carbohydrate intake. (ilvio E. Inzucchi, 2012) However, it will increase the amount of subcutaneous
If type 2 diabetes is not controlled then type 1 diabetes can develop. This is worse because the patient becomes dependant on insulin. It usually develops in the teenage years of someone’s life. This has to be given my subcutaneous injection (Payne, Barker 2010), this makes sure that the insulin levels are regular and forms the basis of dietary management. They will also have to regularly check their blood sugars. They will often need monitoring, assessment and treatment of cardiovascular risk factors because they have many features of metabolic syndrome.
When one hears the term diabetic or diabetes, most people not associated with the medical field think of only one type or that diabetes is an all inclusive "sugar problem". The reality of diabetes mellitus is both complicated and simple at the same time. There are two types of the disease that will usually cause either low blood sugar or high blood sugar: type 1 (juvenile-onset), and type 2 (adult-onset). The root issue with both is actually an insulin production problem. Type 1 is called insulin-dependent diabetes and it’s on set is usually in childhood. Type 2 is called non-insulin dependent diabetes, and it’s onset is typically later in life.
For over one century nurses around the world have dedicatedly provided care for patients at the bedside. However, once discharged to home an increasing number of these patients still require nursing care and are unable to afford so. These patients are parishioners; we attend church with on Sundays mornings. The parishioners are experiencing several health issues they face daily. Therefore, establishing a parish nursing to help parishioners address their health issues is paramount to improving these individuals’ quality of life. This chapter contains an overview of parish nursing and their impact they have in health care.
This was basically unbelievable for him, as he attempted various medicines keeping in mind the end goal to acquire the same results. Therefore, he quit taking insulin as he trusted that his new eating routine can't raise the sugar levels. For any case, he planned to backtrack to the same insulin treatment in the event that they increment. However, nothing changed, his glucose levels stayed stable and he began getting thinner.
The patient in this case study is diagnosed with type 2 diabetes. In type 2 diabetes insulin is still produced, but is not absorbed properly, over time levels of insulin decrease, ultimately dropping off completely (Burchum & Rosenthal, 2016). The etiology in this type of diabetes is unknown just strong familial ties seem to be a link. Lifestyle activities also play an important role in diabetes
Children all over are getting sick and on the verge of dying due to the lack of knowledge in America. About one of our many “secret killers” that slide right under our noses. We as a country need to educate ourselves and prove that we are the strong, brave and knowledgeable country we always say we are. We need to ensure that the knowledge we receive is correct and not just jumbled misconceptions we hear from the media or by word of mouth. We, as a country, have the chance to stop an estimation of a 55% increase for 2030 for this “secret killer”, diabetes (IDF). This disease is serious and has nothing mild about it (IDF, JDRF). We must take the steps now America and stop our children and families from going through something like this.
Patients being treated with insulin face many obstacles such as the cost of insulin and supplies connected with it, proper storage of insulin, the dosing of insulin, and how to administer the injection to mention a few. Optimal absorption of it depends on the proper injection into the subcutaneous tissue. Robertson, Glazer and Campbell (2000), concluded that inadequate and unsafe practices in the administration of insulin can interfere in the metabolic control and can lead to the development
We really have to be aware that Diabetes is one of the most common worldwide diseases, suffered by about three hundred and fifty million patients in the world's growing population every year by a large margin,and is likely Physicians of the World Health Organization that the disease candidate to be the reason dimensions of death in the world over the next two decades,where the cause of this disease is the inability of the pancreas to secrete the required amount of insulin or insulin product that is ineffective, so we must take care for improving therapeutic ways as a step for healing if possible. continuous and effective glucose monitoring can improve a person's quality of life for many years. Being able to control glucose levels easier allows
Diabetes mellitus (DM) has increased substantially over the years and will most likely become one of the major public health concerns within the next decade (Zsombok & Smith, 2009). Worldwide approximately 370 million people are affected by DM and this number is expected to rise and affect 10% of the world’s population, about 500 million, by 2030 (Owens, Matfin, & Monnier, 2014). Since DM is projected to be an increasing problem, it would seem prudent for not only health professionals but also the public to understand more about the causes, treatments, and neurological effects of DM. This paper will go over the etiology, physiology, and treatment of both type 1 and type 2 DM. It will also review the research completed on the connections associated between the central nervous system and DM.