therapy.
therapy.
HISTORY OF PRESENT ILLNESS: This is a 53-year-old black individual a patient of Dr. Shelton, who has had diabetes for at least six months, but he thinks it has been longer than that. He says his last known blood sugar was in the 300’s. He presents in the ER today with a foot ulcer since January of this year. He stated that it started with blisters where he had soaked his feet too long in hot water. He has had no eye examination for two years. There has been no surveillance of chronic complications of diabetes.…
Beth is a 65 year old woman of African American heritage. She was admitted to the ER, 2 days ago with a serum blood sugar of 457. She states she is unaware that she has diabetes and this is a new diagnosis for her. Her daughter states this is not true, that her mother was diagnosed with “some sort of blood sugar problem” 2 years ago, but her mother did not follow up with her doctor. Beth c/o visual blurriness, thirst and frequent urination. She has snacks hidden in her bedside table because she is “always hungry.” She has been placed on oral medication, Metformin 500 mg BID and is currently on a corrective insulin regime utilizing Novolog insulin. Her blood sugar is still not stabilized, often in the 200’s. In addition, Beth has 2 black spots on her first and second toes of her left foot, has uncontrolled hypertension, an elevated Blood Urea Nitrogen (BUN) and Creatinine (Cr). VS: B/P 190/88, R 98.7°F, P 87, RR 22.…
21-year old woman that has had type 1 diabetes for the past 8 years, was brought to the hospital in a coma. She was prescribed to take 92 units of insulin a day to maintain her sugar levels within normal limits and prevent excess sugar in her urine. Upon admission she was hypontensive, tachycardic and hyperventilating. Her labs show she is acidonic, arterial blood carbon dioxide levels were low, blood oxygen tension is normal, bicarbonate levels are really low indicating metabolic acidosis, low sodium levels, slightly high level of potassium, Chloride level is on the low end of normal, very high levels of blood urea and nitrogen, total carbon dioxide levels are really low, extremely high sugar…
We were given a piece of tin foil to make into our ship. We formed a rectangular flat-bottomed ship with short sides all around it from our piece of tin foil. Next, using the formula to find the volume of an object, we calculated the volume of the ship that we had created. Then, to get our prediction, we used a calculation that took the volume of our ship, multiplied the volume of our ship by the density of the water and divided that answer by the weight of a penny. After that, we placed our ship into a container of water, and keeping an accurate count, placed one penny at a time into our ship until it sank to the bottom of the container of water. After that, we subtracted the predicted number of pennies from the actual number of pennies to…
If the patient has hypoglycaemia from too much insulin, the body will not produce ketones.…
Federal agents suspected DLK was growing marijuana in his home and scanned DLK’s home from outside with a thermal imager which is a device that detects warmth within the home. The results were consistent with the use of heat intensive lights used in growing marijuana indoors and based on the scan and other evidence, the agents were able to obtain a warrant which was used to search the home where they found more than 100 marijuana plants. Within the search and seizure case of DLK, the government did not go too far because they had suspicion, did not invade the privacy of the suspect, and there was danger of loss of evidence.…
Wisse, B. (2013, June 7). Diabetic Ketoacidosis: MedlinePlus Medical Encyclopedia. Retrieved April 25, 2014, from http://www.nlm.nih.gov/medlineplus/ency/article/000320.htm…
After years of deliberation, Saunders Hall at UNC-Chapel Hill has become “Carolina Hall” (Stancill). Saunders was a leader of the Klu Klux Klan (KKK) during the 19th century. The board of trustees voted 10-3 to change the name; however, many questioned if their vote was going to be seen as changing history. Inevitably, it was seen as an act of righting a wrong of history given the board of trustees from 1920 used Saunders’ leadership in the KKK as a qualifier for naming the building. “We’re not changing history, we’re not rewriting it. We’re shining a bright light on it,” said trustee Alston Gardner. Gardner congratulated student activists for their perseverance, but added, “Now I hope you direct your passion on more substantial issues.” Trustee…
In regards to the DCCHA policy it would be best to leave the individuals who go onsite in that policy and non-field service workers create a corporate drug testing policy. This policy would be consistent with a DCCHA look alike (10 panel + Expanded opiates). You would not be required to have random selections on the policy. Also, we can transfer those individuals in the policy so they do not have to retest.…
Diabetes is a group of diseases that is caused by high levels of blood glucose and is caused by defects in insulin production. Diabetes is one of the leading causes of death and disability in the United States. There are a few different types of Diabetes, There is type 1, which used to be called juvenile diabetes and is caused by the body’s immune system attacking and destroying its own insulin producing beta cells in the pancreas. Type 1 accounts for about five percent while type 2 accounts for around ninety to ninety five percent of all diagnosed cases (Services, 2011). Type 2 will occur when the body cannot use the insulin produced effectively or does not produce enough insulin and usually happens in adults over the age of forty but is becoming more common for younger age groups.…
Diabetes is a condition that affects millions of individuals throughout the world, and it is a condition that affects the African American community dramatically. One is said to be diabetic when the blood glucose levels are elevated above what is considered normal. An organ within the human body called the pancreas produces insulin, which is a hormone that assists glucose into our cells to then be used for energy. The human body absorbs glucose from the food that is consumed every day, and most of that food is turned in to glucose. Individuals are diagnosed with diabetes whenever their pancreas produces and insufficient amount of insulin (Centers for Disease Control, 2007). Diabetes is a condition that has plagued the…
Diabetic ketoacidosis is a serious complication of diabetes that occurs when your body produces high levels of blood acids called ketones. Diabetic ketoacidosis develops when your body is unable to produce enough insulin and an increase in insulin counter-regulatory hormones (catecholamines, cortisol, glucagon and growth hormone). Insulin normally plays a key role in helping sugar (glucose) — a major source of energy for your muscles and other tissues — enter your cells. Without enough insulin, your body begins to break down fat as an alternate fuel. This process produces a build-up of toxic acids in the bloodstream called ketones, eventually leading to diabetic ketoacidosis if untreated.…
It can be argued that there is no greater health concern in the world, and in particular, the United States than the rapidly increasing number of people diagnosed with diabetes. Relatively recent changes to the diet and lifestyle of the general public have created a "perfect storm" of conditions that seem to perpetuate the onset of diabetes in an increasing number of people on a daily basis.…
If your body has too many ketones, it makes the blood acidic, disrupting homeostasis. If the ketones are too high, in can pass into your urine and make your urine thick. Your body uses fluids from everywhere in your body to thin out the urine. When you have ketones, your body produces more urine when your blood sugar is high and can cause you to become dehydrated. This can be life-threatening and if you do not seek treatment, you may develop diabetic ketoacidosis (DKA). Signs of ketoacidosis include that of the symptoms of Type 1 along with; great thirst, dry mouth, fruity breath, stomach pain, fever, frequent urination and labored breathing. DKA is treated best and more thoroughly while under medical supervision. Elements of treatment are insulin, fluids that are lost through dehydration, checking electrolytes (especially potassium) to make sure they do not fall too low, most likely with an IV. You will more than likely be out in ICU so that these treatments can be closely monitored. Without treatment, it can be fatal, but with treatment, you have a very high success…
From the outsider's perspective a diabetic’s life has most likely taken shape into many stereotypes. Without there being a 1st hand connection to this disease, or the proper education, there are many gaps between the standard knowledge and the specialized information that goes along with type 1 and 2 diabetes. Managing diabetes and prediabetes is challenging, especially when those around you of skills were not given the proper form to assist themselves or others concerning the nutritional and the process of digestion.…