Diabetes Mellitus, Type 1
(Insulin-Dependent Diabetes Mellitus)
Kyle Ongesii
January 22, 2015
Instructor: Melody Lickers
Diabetes Mellitus, Type 1
Type 1 diabetes is a lifelong chronic disease also known as insulin-dependent diabetes mellitus and previously known as juvenile diabetes. Type 1 diabetes is caused from lack of insulin. When the body’s pancreatic beta cells are damaged or destroyed, the body becomes dependent on insulin. Although Type 1 diabetes can occur in adults, it is usually diagnosed in children.
Signs and Symptoms
Type 1 diabetes develops when blood sugar is high. Excessive urination, hunger and thirst are the three main symptoms. Other symptoms include being tired all the time, blurry eyesight, feel of numbness or tingling in your feet, and weight loss. When the body’s blood sugar is very high a person may experience the following symptoms; deep, rapid breathing, dry skin and mouth, flushed face, fruity breath odor, nausea or vomiting and stomach pain.
Treatments
Type 1 diabetes treatments requires commitments. Monitoring blood sugar, taking insulin, regular exercise, and planning meals can help stabilize and control diabetes. It is also important to have awareness in adjusting insulin dosage during exercise, being sick, consumption of more or less food and calories and when traveling.
Massage Considerations
Assess your client’s vitality and ensure that the client’s insulin injection sites and insulin pumps are addressed in the treatment plan. It is also important to know whether or not the client is using glucose meter and or tablets, knowing this information is helpful if a client experience a hypoglycemic episode. Avoid vigorous massages over injection areas as they may be easily bruised. Provide water to keep client hydrated and sweet beverages for hypoglycemic or hyperglycemic clients. Call 911 if client becomes unconscious, and make sure to write and incident report after your client leaves. Be sure to inquire all diabetic complications and modify massage accordingly. Avoid any bruises or breaks in the skin as it may cause infections.
References
Salvo, S: Mosby’s Pathology For Massage Therapists, 3e, St Louis, 2014, Mosby
Kumar V et al: Robbins basic pathology, 7e, Philadelphia, 2003, Saunders
American Diabetes Association. http://www.diabetes.org/research-and-practice/we-are-research-leaders/type-1-research-highlights/
References: Salvo, S: Mosby’s Pathology For Massage Therapists, 3e, St Louis, 2014, Mosby Kumar V et al: Robbins basic pathology, 7e, Philadelphia, 2003, Saunders American Diabetes Association. http://www.diabetes.org/research-and-practice/we-are-research-leaders/type-1-research-highlights/
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