Nursing 220Abstract
Type 1 Diabetes Mellitus is a chronic condition in which the pancreas produces little or no insulin, a hormone needed to allow glucose to enter cells to produce energy. This paper explores the aspects of the disease as it relates to the pathophysiology, clinical manifestations, diagnostic testing, collaborative care, and nursing care.Type 1 Diabetes Mellitus
Type 1 Diabetes, previously referred to as “juvenile diabetes” most often occurs in people under 30 years of age. Diabetes mellitus is a multisystem disease with both biochemical and structural consequences. It is a chronic disease of carbohydrate, fat, and protein metabolism caused by the lack of insulin, which results …show more content…
The symptoms characteristic of DM develop when the person’s pancreas can no longer produce insulin. The patient usually has a history of recent and sudden weight loss which occurs because the body is in a catabolic state as it cannot get glucose and turns to other energy sources, such as fat and protein. The polyuria is due to osmotic diuresis and thirst is due to the hyperosmolar state and dehydration. Fatigue and weakness are also common symptoms experienced which may be due to the muscle wasting from the catabolic state of insulin deficiency, hypovolemia, and hypokalemia. Blurred vision is due to the effect of “the hyperosmolar state on the lens and vitreous humor; glucose and its metabolites cause dilation of the lens, altering its normal focal length.” Peripheral neuropathy presents as numbness and tingling in both hands and feet, in a glove and stocking pattern; it is bilateral, symmetric, and ascending neuropathy, which results from many factors, including the accumulation of sorbitol in peripheral sensory nerves due to sustained hyperglycemia” …show more content…
In particular, physicians should make patients aware of the signs and symptoms of hypoglycemia and ways to manage it; should help patients both to acknowledge and to understand the course of diabetes (eg, by teaching patients that they have a chronic condition that requires lifestyle modification and that they are likely to have chronic complications if they do not take control of their disease); and should reassure patients about the