Case History Paper : Diabetes

Researcher James Levin’s “Poverty and Obesity in the U.S” from American Diabetes Association, research about the Obesity and Diabetes in Poverty counties/reigns of the United States. Levin believes poverty and obesity are linked to each other. According to Levin’s research “ People in America who live in the most poverty-dense counties are those most prone to obesity. ” . There are many reason that link poverty to obesity, but Levin believes lack of fresh food and inactivity has a huge role in chronic metabolic disease (obesity and diabetes), and cardiovascular death. People who

The study had an overall total of 1150 participants. Although there were many participants to begin with, they did not provide all of the feedback the researchers had requested.  This resulted in the expulsion of their participation, so their results were not included in the final reports of the study. The number of patients that did provide the essential information added up to a total of 901. The profile for a participant was a patients diagnosed with Type 2 diabetes in the last 6 months, but has been diagnosed no more than 10 years ago. They had to be between 35-70 years of age. Their BMI had to be more or less than 24 kg/m2 and have an HbA1c more or less than 6.5%. They also had to have treatment with a diet or oral glucose lowering medication. Those needing insulin shots, had been diagnosed with chronic diseases, or had a change in diet or lifestyle 3 months prior to the study were not included in the overall

Over this last week, I have received a patient named Sherman “Red” Yoder. He is an 80-year-old male farmer, who lives alone in the farmhouse that he had grown up in. Red was married for 50 years and has been a widow now for 10 years. Red has one son, Jon, who takes care of the farmhouse and the land. He has one daughter-in-law, Judy, who is in involved with his care. Red was diagnosed with diabetes six months ago. Diabetes mellitus is a chronic condition that affects your body 's ability to use the energy found in food. As of only a few weeks ago, Red has been managing his diabetes with insulin. Insulin is a hormone that controls blood sugar. Before he began using insulin, he managed his diabetes with oral medication. After carefully assessing Red’s chronic illness, diabetes, many red flags were presented that could interfere with his management. In turn, this would cause further complications.

The most significant difference between the regular insulin and the rapid acting insulin is the onset. The onset for rapid-acting or lispro is 10-15 minutes, and for the regular it is ½-1 hour.

This essay will inform readers about the best practices, published guidelines, and clinical pathways for management of diabetes. Diabetes is a serious issue that affects millions of people. Unrecognized pre diabetes is also a growing concern that is increasing dramatically. Diabetes is not diagnosed for most homeless people, because they do not do have a yearly physical check-up. Published guidelines are useful to patients and practitioners because they focus on the improvement of care. Clinical pathways are also important, because they focus on the outcome and assessment of their achievement.

HISTORY OF PRESENT ILLNESS: This is a 53-year-old black individual a patient of Dr. Shelton, who has had diabetes for at least six months, but he thinks it has been longer than that. He says his last known blood sugar was in the 300’s. He presents in the ER today with a foot ulcer since January of this year. He

He told me that he was diagnosed with type 2 diabetes in December 2010. Since his doctor prescribed rapid acting insulin for his diabetes, I asked him if it is acceptable to talk about his medical condition in front of his family. He gave me consent to talk about his medical problems in front of his wife and children. I suggested to him the need to take his insulin shot right before eating a meal. I informed him about the insulin medications that he was taking which was lispro. It has an onset of 10 to 30 minutes, peak time of 30 to 3 hours and a duration of 3 to 5 hours. Furthermore, I emphasized the need for him to eat a balanced diet, and the importance of exercise. I encouraged him to eat small amounts of carbohydrates during 30 minutes of exercise to prevent hypoglycemia. I also taught him that the signs and symptoms of hypoglycemia are tachycardia, irritation, excessive hunger, restless, diaphoretic and depression. He told me that he did not like to walk and do any activity besides going to his job. I brought some articles about how eating healthy, taking his medication, and regular exercise has shown to prevent, slow down the progressive process on type 2 diabetes. I suggested to him to start walking around his neighborhood, and later he could find a support group of friends can walk together with. For instance, Lewis, Sharon, Margaret Heitkemper, and Linda Bucher. "Medical-Surgical Nursing: Assessment and Management of Clinical

Diabetes is everywhere in the world now, since more people have it than ever before. Still, we have a lot more to learn about this illness if we are to fight and overcome it. There are some things about diabetes that most people just don't know. Stay tuned for part two, coming soon!

Consider J.M. J. M. a 43-year-old Hispanic female with type 2 diabetes, with lipid abnormalities and hypertension. LDL 174, HDL 52 and Triglycerides 32, A1C 9.3, microalbumin 32, and fasting blood glucose of 216 with average glucose variance of 200mg/dl, blood pressure 145/89, morbidly obese at 262 pounds. She has been diabetic for 10 years and has not seen an educator since her diagnosis. She previously danced for exercise, but has not done so in a while to work and family obligations. She has three children age 16, 14 and 10. She is married and the primary source of income for the family, which presents significant stress. J.M. presents with numerous comorbidities that contribute to the development of cardiovascular disease. Current medications

During one of my rotations, I was assigned a young adult patient who had run out of insulin and had been admitted to the hospital following a Diabetes Ketoacidosis (DKA) episode. I realized that my patient was probably torn between buying insulin and buying healthy food because her chart showed several admissions in the

JB was terrified during the interview because she also had a history of gestation diabetes with her last son and was not eating as nutritionous as she wanted to and did not exercise regularly despite having available resources. This author can understand her fear for developing diabetes as the literature indicates that it is the sixth leading cause of death and is cited as a global epidemic (Castro et al. 2008). The author also understand her risk for developing type 2 diabetes, like many of her maternal relatives, because it is closely linked to obesity and sedentary lifestyle which are factors the patient has at this time (Shulze & Hu 2005). This author will not just solely focus on her risk factors but on promoting her prevention of diabetes and well being in the future through the development of a

She has tried multiple approaches to lose weight to include pharmacological treatment, with only short term success. She also has purchased a gym membership that she rarely ever uses. With review of systems she indicated that she does have fatigue and depression. She also had gallbladder disease that required a laparoscopic cholecystectomy. Her most recent blood sugars have caused concern for prediabetes. Her most recent attempt at losing weight was to simply reduce her serving sizes. She lost a total of 3 pounds in 2 month and has gained them back as of this

manage his disease? Be specific. I would start by collecting all the objective and subjective information form K.J. educating K.J about the proper nutrition and diet plan and be a good place to start. Since he has a higher risk of developing type two diabetes I would encoring him to see a doctor and have some tests done such as A1C test.

Diabetes is little or no ability to move glucose out of the blood into the red blood cells. Nearly 16 million people have diabetes in the United States, which narrows it down to about 1 out of every seventeen people. About 2,150 new cases are diagnosed each day. Many of us do not clearly know what diabetes is and the different categories that it is classified in. The first type of diabetes that will be discussed is type 1 diabetes and steps that can be taken to diagnose diabetes. The second type of diabetes that will be talked about will be type 2 diabetes and how it effects patients. The third type of diabetes is gestational diabetes and how exercise can help control diabetes. This paper discusses type 1

On November 15, 2017, I attended a professional meeting called “Think Like A Pancreas: A Practical Guide to Managing Diabetes with Insulin.” The sponsors for this meeting were SNDA and CVD. The speaker who presented at the meeting was Gary Scheiner Ms, CDE. He is an author of the book “Think Like A Pancreas: A Practical Guide to Managing Diabetes with Insulin.” The general objective for this meeting helped people gain more knowledge about diabetes, and learned more from author personal experiences with type I diabetes. After I attended this meeting, I become more knowledgeable about diabetes. I have a chance to learn more about diabetes nutrition, different type of medications, and many tools that are available for diabetes patients to keep track on the blood glucose.