A Brief Note On Diabetes Mellitus ( Dm ) Is A Serious Disease That Affects Much Of The U.s. Population

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Discussion Post Week Nine NURS6051, N-20 Diabetes Mellitus (DM) is a serious disease that affects much of the U.S. population. DM occurs when the body had trouble regulating the amount of glucose in the blood stream. Although they share a similar name, Diabetes Insipidus (DI) is a different process, which involves kidney-related fluid retention problems. As advanced practice nurses (APNs) one must be able to differentiate, diagnose, and treat all three disorders appropriately. The purpose of this paper is to discuss the hormonal regulation alterations in both DM and DI respectively. Diabetes Insipidus DI is either central or nephrogenic and is a partial or total inability of individuals to concentrate urine. Inadequate ADH activity causes the elimination of large amounts of dilute urine. Central DI is can be transient or permanent, depending on the history of the underlying disorder (Elsie & Hammer, 2010, p. 542). Central DI is due to lesions of the posterior pituitary, hypothalamus, & pituitary stalk, which interfere with the synthesis of antidiuretic hormone (ADH). This type of DI is seen mostly with closed head injuries. Nephrogenic DI is due to an insufficient response of ADH by the renal tubules. This kind of DI occurs from disorders such as polycystic kidney disease and pyelonephritis, but may also be due to drugs such as lithium carbonate, colchicines, loop diuretics, and general anesthetics. Patients tend to crave cold drinks, and urine output drastically

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