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…
Diabetes treatment aims to maintain blood sugar at levels as close to normal as possible. Regular medical care is essential for…
Even though there were many important discoveries relating to insulin and diabetes, there still was no cure or treatment for it. Individuals diagnosed with this disease died shortly after diagnosis. In the early 1900’s, Frederick Allen – a leading diet therapist – invented a diet specifically for diabetic patients. He called it ‘the undernutrition approach’ where as his patients called it ‘the starvation diet.’ This diet allowed the diabetic patients an intake of 800-1000 calories per day for six days and fewer calories on the seventh day. It wasn’t ideal but the goal of this diet was to prolong the life of diabetic patients until hopefully a cure was discovered. (Turner, Novo Story of Insulin - Part 1, n.d.)…
References: Bardsley, J.K. & Want, L.L., (2004). Overview of diabetes. Critical Care Nursing Quartley. April-June, 27(2). Pgs 106-12.…
He is 45-year-old. The boodle sugar is 1500, and this creates the need for the patient to be admitted to Intensive Care Unit. The patient is in an insulin glucose tolerance test per protocol. The goal of the treatment is to reduce the blood sugar at 70-200 per md order. The patient has been oriented three times and is alert. During the assessment, I asked the patient about his knowledge about diabetes. The answer revealed that he does not know how to check his blood sugar properly and interpret the results. In addition, the patient is not informed about diet regimes and still does not know about the consequences of uncontrolled blood sugars. Ineffective health maintenance is related to uncontrolled diabetes and reporting the lack of education about diabetes was evidenced by high blood sugar and knowledge deficient about controlled diabetes (Ozcan & Erol, 2007).…
One of the topics and objectives of healthy People 2020 is Diabetes: D-5 Improve glycemic control among persons with diabetes. School nurses play a huge role helping teenage students to control their blood sugar on a daily basis. The nurse monitors if students have appropriate supplies, checks if students withdraw the right amount of insulin. If the nurse notices that student’s blood sugar is constantly high for a period of time, he/she reaches student’s HCP and clarifies if there is a need to change patient’s sliding scale.…
In addition, several cytokines such as IL1, IL6 and TNF alpha antagonise the effects of insulin. [J Biol Chem 2001 Jul 13;276(28):25889-93] It is thus not surprising that many causes of stress and/or the systemic inflammatory response syndrome, appear to precipitate DKA in patients lacking insulin. Mechanisms by which these hormones and cytokines antagonise insulin are complex, including inhibition…
The people living in poverty stricken neighborhoods face the disadvantages of no medical services, no access to healthy foods or resources to survive. All the stress Gwai was under contributed to his heart attack. In all honesty trying to balance your family, finances, and life period can be pretty stressful. From what I hear, stress management such as meditating, is a good way to cut down stress. Meditation, in a way, is like exercise for our brains: it’s been shown to assist in the mental health maintenance, improve our memory, empathy, and sense of self — similar to how exercise boosts our resilience, muscle strength, cardiovascular health, and blood pressure/cholesterol (Bushak,…
* Zelman, M., Tompary, E., Raymond, J., Holdaway, P., & Mulvihill, M. (2010). Human disease: A systemic approach (7th ed.). Upper Saddle River, NJ: Pearson.…
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.…
Patients with diabetes need to understand what diabetes is. Patients who understand what diabetes is and the complicated process associated with the disease are more likely to comply with the prescribed regimen. Diabetes Mellitus is a syndrome with disordered metabolism and inappropriate hyperglycemia due to either a deficiency of insulin secretion or to a combination of insulin resistance and inadequate insulin secretion to compensate (Davis, 2001). Diabetes is a chronic progressive disease that requires lifestyle changes, especially in the areas of nutrition and physical activity. The overall goal of medical and nutritional therapy is to assist persons with diabetes in making self-directed behavioral changes that will improve their overall health (Franz, 2012). Blood glucose monitoring and goals of blood glucose monitoring…
Carefully, with a shaky hand, I successfully inserted an insulin pump into my left thigh. I counted every carbohydrate I ate and timidly calculated my carbohydrate/insulin ratio. The liquid I was distributing throughout my body was not in fact insulin, but saline. Volunteering as a diet aide at Camp Carefree, a children’s summer camp for type one diabetics, gave me the opportunity to know what it felt like to step into these innocent children’s shoes.…
Diabetes is a disease that afflicts millions of people worldwide each and every year. For many, diabetes has been with them for their entire lives, others however develop diabetes as they grow older. According to the World Health Organization, (WHO, 2011) 346 million people worldwide have diabetes. Approximately 3.4 million people died from consequences of high blood sugar in 2004 of which more than 80% of diabetes occur in low- and middle-income countries. It was also projected that the number of deaths as a result of diabetes will double between 2005 and 2030. Currently, diabetes imposes a large economic burden on the national healthcare system. Healthcare expenditures on diabetes account for 11.6% of the total healthcare expenditure in the world in 2010.…
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.…
During my clinical rotation at Kaiser Permanente on April 30, 2012, I proceeded to listen to nursing knowledge exchange (NKE) with my nurse, to obtain information in regards to my patient Ms.Sunshine*. Then I went into my patient’s room and introduced myself and proceeded to do a head to toe assessment. Subsequently, I started to obtained the subjective data and objective data that can be found in Appendix 1. I created a list of nursing diagnosis that were individualized to Ms. Sunshine and realized that she had Impaired health management, which puts her at risk for many complications of Diabetes, such as uncontrolled glucose causing kidney damage (Lewis et al, 2007). A plan was constructed around the nursing diagnosis and highlighted the importance of a nutritional balance. Several nursing interventions and expected outcomes were written for the nursing diagnosis of Impaired Health Management found in Appendix 4. In this report the patient’s health and nutritional status will be summarized and strategies will be explained for the sole purpose of improving the patient’s health condition.…