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Dec 6, 2023
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Uploaded by BrigadierFoxMaster973
Running head: Type II Diabetes Mellitus in Adults and the Pathophysiological Link to Lack of
Proper Nutrition Being an Increased Culprit of Known Comorbidities
1
Type II Diabetes Mellitus in Adults and the Pathophysiological Link to Lack of Proper Nutrition
Being an Increased Culprit of Known Comorbidities
More and more older people are getting diabetes, which means they need special care from
doctors. Food is very important for treating diabetes, so doctors must come up with different
ways to help older people with their diet. Doctors need to make sure they understand what each
older person with diabetes needs when it comes to food It’s also important for doctors to plan for
what food the older person should eat (Stanley, 2014).
Delicia D Smalls
Walden University
TYPE II DIABETES MELLITUS IN ADULTS AND THE PATHOPHYSIOLOGICAL LINK
TO LACK OF PROPER NUTRITION BEING AN INCREASED CULPRIT OF KNOWN
COMORBIDITIES
2
TYPE II DIABETES MELLITUS IN ADULTS AND THE PATHOPHYSIOLOGICAL LINK
TO LACK OF PROPER NUTRITION BEING AN INCREASED CULPRIT OF KNOWN
COMORBIDITIES
3
Type II Diabetes Mellitus in Adults and the Pathophysiological Link to Lack of Proper Nutrition
Being an Increased Culprit of Known Comorbidities
More and more older people are getting diabetes, which means they need special care from
doctors. Food is very important for treating diabetes, so doctors must come up with different
ways to help older people with their diet. Doctors need to make sure they understand what each
older person with diabetes needs when it comes to food It’s also important for doctors to plan for
what food the older person should eat (Stanley, 2014).
Etiology of type II diabetes in adults
The development of Type II Diabetes in adults is primarily attributed to 1) changes in
metabolism and 2) changes in weight and physical activity). When metabolic change occurs
during aging, the development of glucose intolerance is recognized. Some levels of glucose
intolerance is recognized as normal later in otherwise healthy people. After the age of 30, it is
documented that postprandial glucose numbers increased to 5.3 mg/dl and fasting glucose
numbers by 1-2 mg/dl (Stanley 2014). Glucose intolerance etiology is so multifaceted and
include factors such as slower glucose absorption, altered gluconeogenesis, decreased insulin
production, reduced lean boy mass, decreased physical activity, and a change in digestion.
People in the older age group also have other chronic health conditions that may require
treatments with prescriptions/nonprescription medications and these may alter the effect of
glucose metabolism (Stanley, 2014)
Identifying diabetes and its risks in older adults
It can be hard for doctors to find out if older adults have diabetes, even though we know
they are more likely to get it. Usually, doctors should check for diabetes regularly in all adults in
TYPE II DIABETES MELLITUS IN ADULTS AND THE PATHOPHYSIOLOGICAL LINK
TO LACK OF PROPER NUTRITION BEING AN INCREASED CULPRIT OF KNOWN
COMORBIDITIES
4
the U.S like the ADA says. But sometimes, older adults only find out they have diabetes when
they get a blood test for something else, or when they must stay in the hospital. Sometimes, older
people don’t go to regular check-ups with their main doctor because they need to see other
doctors for different problems. This means that all doctors and nurses should learn about the
importance of checking for diabetes in older people. Older adults might not always tell their
doctors about common signs of diabetes, which can make it harder to diagnose. These signs can
include going to the bathroom frequently, being very thirsty, and feeling tired. Sometimes, older
people might not even know they’re dehydrated because they don’t feel as thirsty as they used to.
This can happen because of getting older, not drinking enough fluids, taking certain medications,
or having high blood sugar (Stanley, 2014)
Unhealthy behaviors
Unhealthy habits like what we eat and how active we are, along with our genes, can me
us more likely to get type 2 diabetes. Doctors say that we should eat less to try to fight obesity,
but sometimes this can cause other problems. Different diets have been suggested, but they all
seem to have similar results. The Mediterranean diet is a good choice, but the most important
thing is that people can stick to the diet they choose for a long time. It is almost important to take
care of one’s body by exercising and being active, some people take extra vitamins or
supplements, but experts don’t agree on whether this is helpful. It is beneficial to work with your
doctor to develop a diet plan and the best ways to stay active. After all, the goal is having a
healthy weight to help keep the diabetes under control. When a person’s body can’t use insulin
properly, it makes it harder for their muscles to take in sugar and protein after they eat. This can
also cause their liver to release more sugar and protein when they haven’t eaten. A hormone
called glucagon helps connect the muscles and live and tells the liver to make more sugar and fat.
This can lead to a condition called fatty liver disease, which is common in people with type 2
diabetes (Petroni, Brodosi, Marchignoli, Sasdelli, Caraceni, Marchesini, Ravaioli, 2021).
Medical nutrition therapy is important for the elderly that have been diagnosed with diabetes.
This will help them to manage their condition better. Being diagnosed with type 2 diabetes
should urge one to work closely with their healthcare team to come up with a special meal plan
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