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…
The patient is a 25yo, G4 P1021, with type 1 diabetes that was diagnosed in 2012. Her diabetic physician has been Dr. Chen until her recent insurance change. Her diabetic regimen consists of Lantus b.i.d. and HumaLog on a sliding scale 1-hr after meals. She has a Freestyle Lite meter and is currently testing 6 times daily. The patient is unsure of her last A1c and does not believe that she has ever had a dilated eye exam. She has never collected a 24-hr, so we will be giving her supplies today. She had an EKG she believes in 2012 after her delivery, which was normal. She denies any symptoms of neuropathy. She rarely has episodes of hypoglycemia and feels symptoms in the 50’s. She was last hospitalized for diabetes related to DKA 2 years…
Choose a patient from clinical practice with ONE nursing problem related to their diagnosis. After your introduction, describe the patient age, sociological factors, and medical diagnosis.…
References: Atkinson, M. A., Eisenbarth, G. S., & Michels, A. W. (2014). Type 1 diabetes. The Lancet, 383(9911), 69-82. doi:http://dx.doi.org/10.1016/S0140-6736(13)60591-7…
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 used to be a problem for the older education but now due to the increase of sugar in our diets has become an issue for all ages. Approximately 208,000 people under the age of 20 have been diagnosed with diabetes and 1.4 million cases of all ages are being diagnosed every year. Experts predict that this generation of American children may be the first whose average lifespan is shorter than their parents.” (Tucker, 2006) Diabetes is not a food legislation issue but it is caused by lack of effective preventative and educating food…
Type 1 Diabetes- Usually diagnosed in children and young adults, and was previously known as juvenile diabetes. The body does not produce insulin. The body breaks down the sugars and starches you eat into a simple sugar called glucose, which it uses for energy. Insulin is a hormone that the body needs to get glucose from the bloodstream into the cells of the body. With the help of insulin therapy and other treatments, even young children can learn to manage their condition and live long, healthy lives.…
There does appear to be a genetic factor which causes it to run in some families. People can inherit a tendency to develop type 2 diabetes, Type 2 diabetes may be prevented or delayed by following a program to eliminate or reduce risk factors-- losing weight and exercise.…
Diabetes Mellitus is a condition in which the amount of glucose or sugar in the…
diagnosed with Type II diabetes are given medication instead of insulin. In most cases, a…
Type 2 diabetes is the most common form of diabetes. In type 2 diabetes, either the pancreas does not make enough insulin (insulin is a hormone that helps glucose to enter cells) or muscle cells are unable to use insulin properly. As the result, a diabetic patient has very high blood sugar levels. When the sugar or glucose level is over 600 mg/dl, it's dangerous to the diabetic's health. Untreated diabetes affects the eyes, nerves, kidney, heart and blood vessels.…
2.Is this a lifestyle, genetic and communicable disease? How do you come to this conclusion?…
When it comes to diabetes the most common form is type 2 diabetes. Type 2 diabetes occurs when a person’s body has problems producing insulin. When someone has type 2 diabetes there are high levels of the sugar glucose in the blood. As we all know most people who contract type 2 diabetes are overweight and with Susan’s current bmi she is greatly increasing her chances of contracting it, on top of that her chances are greatly increase even more due to the fact that she has a family history of type 2 diabetes. From what is known about it, type 2 diabetes is not a genetic disease meaning that it is not passed on from person to person the same way that something like sickle cell anemia can be, so the most obvious reason for her having a family history of the disease is that she has a family history of obesity, which is something that can be passed on from parent to offspring. Some of the risk factors of type 2 diabetes are weight, age, family history, race and inactivity, all of these things can increase your chance of getting type 2 diabetes. As I mentioned earlier, most people with type 2 diabetes are overweight, but age can play a factor as well every year after the age of 45 the risk of type 2 diabetes increases. Another factor that I mentioned was family history; if your parent or one of your siblings has type 2 diabetes then your chances are increased as well. Race can also play a factor in increasing the odds of contracting type 2 diabetes, blacks, Hispanics, American-Indians, and Asian Americans all have a higher risk of getting the disease. Physical activity also plays a factor in helping to reduce type 2 diabetes, the more active that you are less chance of contracting type 2 diabetes, because when you are active you are burning the glucose energy and helping your body to produce insulin.…
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.…
According to statistical records, an approximation of 18.2 million children and adults suffer from diabetes in the United States. This is equal to 6.3 percent of America’s population. Out of this data, 13 million people underwent diagnosis while 5.2 million represents the number of people presumed to have the disease unknowingly. The annual rate of diagnosis of new cases of type 2 diabetes in America remains at 798,000 (Narayan et al, 2006).…