Beth is a 65 year old woman of African American heritage. She was admitted to the ER, 2 days ago with a serum blood sugar of 457. She states she is unaware that she has diabetes and this is a new diagnosis for her. Her daughter states this is not true, that her mother was diagnosed with “some sort of blood sugar problem” 2 years ago, but her mother did not follow up with her doctor. Beth c/o visual blurriness, thirst and frequent urination. She has snacks hidden in her bedside table because she is “always hungry.” She has been placed on oral medication, Metformin 500 mg BID and is currently on a corrective insulin regime utilizing Novolog insulin. Her blood sugar is still not stabilized, often in the 200’s. In addition, Beth has 2 black spots on her first and second toes of her left foot, has uncontrolled hypertension, an elevated Blood Urea Nitrogen (BUN) and Creatinine (Cr). VS: B/P 190/88, R 98.7°F, P 87, RR 22.…
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…
Today‘s case study is about a 10 year-old girl named Hannah. Hannah is a 4th grader at Hendricks Elementary. Hannah has recently been diagnosed with Type 1 Diabetes Mellitus. Type 1 diabetes in children is a condition in which your child's pancreas no longer produces the insulin your child needs to survive, and you'll need to replace the missing insulin. Type 1 diabetes in children used to be known as juvenile diabetes or insulin-dependent diabetes.…
PAST MEDICAL HISTORY: Per-op blood glucose is noted to be greater than 200. The patient asked for a medical consult/admission for further evaluation. Currently he denies chest pain and shortness of breath. No dysuria, no increased urine infrequency. Past history is significant for hearing loss in the right ear subsequent to an assault several years ago. Past surgical history includes a lower back surgery and the left ankle surgery.…
A subsequent fasting BG is also elevated and Y.L. is diagnosed with DM type 2…
The patient is asked about symptoms of DKA, such as nausea, vomiting, and abdominal pain. Laboratory results are monitored for metabolic acidosis (i.e. decreased pH and decreased bicarbonate level) and for electrolyte imbalance. If the patient exhibits signs and symptoms of DKA, the nursing care first focuses on treatment of these acute complications, as outlined earlier. Once these complications are resolving, nursing care then focuses on long-term management of diabetes. The patient 's emotional status is assessed by observing his or her general demeanour (e.g., withdrawn, anxious) and body language (e.g., avoids eye contact). The patient is asked about major concerns and fears about diabetes; this allows the nurse to assess for any misconceptions or misinformation regarding diabetes. The nurse is also assessing the vital signs of the patient such as temperature, respiration, blood pressure etc. and develops a baseline of these results. In this case the patients normal vital signs were as follows : Temperature- 36.4◦, Blood Pressure- 114/70, Respiration rate- 18 breaths per…
This paper will discuss and inform readers on the disease diabetes. There are two types of diabetes that affect human beings, Diabetes Mellitus and Diabetes Insipidus, in this paper the term diabetes will refer to diabetes mellitus. It will touch down on what causes diabetes and the symptoms that those with diabetes possess. The two type of diabetes, type 1 and type 2 will be explained thoroughly and in detail. It will deliberate how the disease is treated and managed. As well as the risk factors that come with being a diabetic.…
Diabetes is a term that covers several conditions that relate to a person's ability to process sugar. The two most common conditions are called Type 1 and Type 2. Both of these conditions have similarities, but they also have great differences.…
PAST MEDICAL HISTORY: Pre-op blood glucose was noted to be greater than 200. The patient asked for a medicine consult/admission for further evaluation. Currently he denies chest pain and shortness of breath. No dysuria, no increased urinary frequency. Past history is significant for hearing loss in the right ear subsequent to an assault several years ago.…
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- 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.…
A strength of the NICE strategy is that it provides education to people with type 2 diabetes. The NICE strategy provides education in the form of guidelines that are regularly updated to suit changing rates of type 2 diabetes conditions and complications. This is a strength of the strategy as providing education provides knowledge on the ways people can delay themselves from developing type 2 diabetes and control measures to avoid complications, if the person has already developed type 2 diabetes. Educating people will encourage their right of taking informed decisions on their condition. If people are educated on how to protect themselves from developing type 2 diabetes or how to stop complication then they can take informed decisions on their treatment and lifestyle choices that affect their condition positively as they have the information to actually make a change.…
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.…
diagnosed with Type II diabetes are given medication instead of insulin. In most cases, a…
Type 2 diabetes is common within most people. Eating healthy and exercising are important in reducing the chance of getting diabetes. Even if people eat healthy and exercise daily, they might still get type 2 diabetes because it runs within the family. The purpose of this paper is to discuss why type 2 diabetes occurs within people, which foods we have to increase or limit, and how the healthcare provider will educate the patients that have that condition.…