A Case-Based Retrieval System for Diabetic Patients Therapy Stefania Montani 1 Riccardo Bellazzi1 ‚ Luigi Portinale 2 Stefano Fiocchi 3 and Mario Stefanelli1 ‚ ‚ Abstract. We propose a decision support tool based on the Case Based Reasoning technique‚ meant to help physicians in the retrieval of past similar cases‚ able to provide a suggestion about the revision of diabetic patients’ therapy scheme. A case is defined as a set of features collected during a visit. A taxonomy of prototypical
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Predictions Plasma glucose levels will be highest 1-3 hours after the meal Plasma ketone levels will be highest before the meal (fasting) Plasma insulin levels will be highest immediately after the meal (0 hr) Plasma glucagon levels will be highest immediately after the meal (0 hr) Materials and Methods Dependent Variable plasma levels of glucose‚ ketones‚ insulin‚ and glucagon Independent Variable food and beverage intake Controlled Variables physical activity‚ caffeine and alcohol intake‚ gender‚ age
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history of diabetes mellitus type two for twelve years‚ never having been insulin dependant. He has a smoking history of about fifty years smoking two packs per day and has been diagnosed a few years ago with chronic obstructive pulmonary disease‚ making him oxygen-dependant for two years. He claims to only drink alcohol on a social basis. Prior to his current admission‚ he stated that he has not been compliant with his diabetic diet‚ that he does not check his blood glucose regularly nor has he been
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What happens in diabetes? Lack of insulin or a resistance to insulin is known to have major metabolic effects. Food powers our bodies. When we eat food‚ most digestable carbohydrates are converted into glucose and rapidly absorbed into the bloodstream. We use this glucose for energy. However these carbohydrates cannot be utilized effectively and excess glucose cannot be stored in the liver. The glucose level in the blood increases but the cells of the body will be lacking of glucose and energy.
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first present at routine check-ups during which weight and BMI are assessed Evaluation should include a fasting lipid profile and a fasting blood glucose level with insulin and C-peptide levels to assess degree of insulin resistance. Obese children newly diagnosed with diabetes should be evaluated for possible diabetic ketoacidosis and initiation of treatment and education Treatment of obesity in children is difficult and involves dietary modification‚ increased physical activity‚ and behavior
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produces the hormone called insulin‚ but the body insulin resistant‚ causing the insulin cells not to work properly; which is formerly known as “Type 2 Diabetes” (Meyers). One in every 10 people suffers from Type 2 diabetes that are 20 years old or older‚ and one in four senior citizens are affected. This additionally shows how with prevailing age increases the chance of one obtaining diabetes‚ and how numerous people are touched
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Nutrition Assessment ● Which of the following diets have the potential to meet all the pt. nutrient needs? → soft + full ● Mid-arm muscle circumference provides information about → somatic protein status ● Purpose of nutritional screening → ID pts. at nutritional risk. ● Nut. screening should be done (H) within ??? after admittance → 24 hours ● Limitations to 24h recall → not representative‚ reliance on memory ● Which of the following can be used for assessing bone mineral density + fat
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THE ULTIMATE PRE REG BNF NOTES IMPORTANT MONITORING DRUGS 1. AMIODARONE Treatment of arrhythmias Loading Dose: 200mg tds for 7 days‚ then 200mg bd for 7 days then 200mg daily maintenance. Important side effects: Nausea‚ Vomiting‚ Taste disturbance‚ Pulmonary toxicity‚ Reversible corneal micro-deposits‚ Phototoxicity‚ Slate grey discolouration‚ Tremor‚ Sleep disorder‚ Hypo/hyperthyroidism‚ Jaundice. Monitoring: LFTs‚ Thyroid function tests required before treatment‚ then every 6 months. Measure
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glucose (blood sugar). This could be because either insulin production is inadequate or the body’s cells do not respond properly to insulin. There are 3 types of diabetes: 1) Type 1 Diabetes: The body does not produce insulin. People usually develop type 1 diabetes in early adulthood or teenage years. Approximately 10% of all diabetes cases are type 1‚ it is nowhere near as common as type 2. Patients with type 1 diabetes will need to take insulin injections for the rest of their life and carry out
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from type 2 diabetes is that he would not be able to produce enough insulin‚ which is needed for the body in order to be able to use sugar effectively‚ or perhaps his cells would ignore the insulin that his body is producing. It would help to remember the important fact that it is sugar that provides energy for the body‚ and unless the sugar is absorbed and taken in to the body and to the blood and thereafter to the cells by the insulin‚ the individual would suffer from glucose build up. This can be
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