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…
1. Edna has recently been diagnosed with diabetes, but her family still keep bringing in chocolate biscuits for her to eat. How would you deal with this?…
Diabetes can be classified as Type 1 (insulin dependent); Type 1 diabetes occurs when the body fails to perform insulin production function and it affects children and young adult but with insulin therapy, they can easily be treated. Type 2 ( Non – insulin dependent), this type occurs when the body cells failure to react to body insulin and it affects majority cases of diabetes patients ( CDC,2010) but with proper nutrition and good control, damage to the body systems can be…
| This is a chronic condition in which the pancreas produces little or no insulin. The immune system attacks and destroys beta cells to the point where patients no longer have sufficient insulin capacity to control blood glucose, and eventually loses the ability to produce insulin and depend on insulin injections. They are susceptible to severe metabolic derangements. Without enough insulin, glucose stays in the blood and creates high levels of blood sugar. Over time, it can cause damage to your kidneys, heart, nerves, eyes, and other organs. Your body needs the glucose to use it as an energy source. It causes depletion of protein and fat stores. So, if your body does not produce enough insulin for proper glucose metabolism, you have type I diabetes.…
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.…
"Why would genes that make people sick still be in the gene pool after millions of years?" Survival of the Sickest by Dr. Sharon Moalem with Jonathan Prince explains how diseases have a purpose in human survival, they are the tools that aided the human evolutionary process. The diseases were a contribution to the human evolutionary process. A collection of different cases and scientific research support the authors' hypothesis on the connection between certain diseases that plague us in modern times and the adaptability of our ancestors in contact with these diseases.…
In type 2 diabetes, formerly called adult-onset diabetes, the person's pancreas produces enough insulin, but the body is not able to use it properly. This is called insulin resistance. This creates the same high concentration of glucose in the bloodstream that type 1 diabetics have.…
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 Mellitus is a metabolic disease that occurs when a body is unable to produce insulin, is unable to adequately use the insulin produced, or is unable to produce enough insulin for what the body needs, and therefore results in a body not being able to process sugars properly. There are two main types of diabetes. Type 1 is where the body does not produce any insulin and so the person is dependent on taking insulin shots to survive. Type 2 is where the body can produce insulin but may not be able to produce enough to meet the needs of the body or the body is not properly using the insulin so the person has high blood sugars. Living a healthy lifestyle can decrease your chance at getting Type 2 diabetes (Milchovich, S. K., & Dunn-Long,…
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.…
My brother, Kaden, was diagnosed with Type 1 Diabetes when he was 14. The average child is diagnosed with Juvenile (Type 1) Diabetes between the ages of 4 and 13. (Mayo Clinic, 2013) Type 1 Diabetes is a condition where the pancreas no longer produces the insulin that the body needs to survive. Insulin is a chemical made by the pancreas. Insulin helps the glucose from your blood reach your cells. When the glucose can’t reach your cells, it stays in your blood, which is very dangerous. (Betschart Roemer, 2011)…
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.…
Diabetes Mellitus is a condition in which the amount of glucose or sugar in the…
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.…