Diabetes mellitus (DM) is a multisystem disease with both biochemical and anatomical/structural consequences. (Wolfsdorf et al: 2009) It is a chronic disease of carbohydrate, fat, and protein metabolism caused by the lack of insulin, which results from the marked and progressive inability of the pancreas to secrete insulin because of autoimmune destruction of the beta cells. Type 1 DM can occur at any age. It occurs most commonly in juveniles but can also occur in adults, especially in those in their late 30s and early 40s. Unlike people with Type 2 DM, those with Type 1 DM are generally not obese and may present initially with diabetic ketoacidosis (DKA). The distinguishing characteristic of a patient with Type 1 DM is that if his or her …show more content…
Due to distance, as well as parental knowledge, the doctor advised that he thought it would be more practical for V to receive home based treatment and management, and arranged for the specialist diabetic nurse (SDN) within the practice to schedule home visits. Medical tests for V were also organised to be held at the clinic, initially on a monthly basis, so that a professional monitoring of V’s condition could take place, as well as providing a forum for oversight and support, in respect of any family concerns that might arise as a result of V’s disease.
Clinical/ homecare of V by specialist diabetic nurse.
Outside of her responsibility for scheduling home visits, the SDN organised for the clinics dietician to accompany her on V’s home visits for a three month period, to assess V’s progress and to formulate a dietary plan that provides V and her parents with all the necessary dietary information, to sustain and manage V’s disease, whilst providing a best outcomes scenario for V. Diet is an exceptionally important factor when managing Type 1 DM because the NICE target for long-term glycaemic control is an HbA1c level of less than 7.5% without frequent disabling hypoglycaemia, therefore, V’s care package should be designed to attempt to achieve this. V will have a greater chance of keeping within desired levels if her diet is coordinated with her insulin management; consequently it is essential that a specialist diet is created that will
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.
There are a number of different healthcare professionals who treat diabetes. While many people work with their primary care physician to manage diabetes, others rely on one or more doctors and specialists to monitor their condition. Talk to your doctor about testing if you are at risk for diabetes or begin experiencing symptoms associated with the disease. The following sections discuss the different doctors and specialists who can assist in various aspects of diabetes diagnosis and care.
The individual I chose to observe is my cousin who is a 24-year-old male who was diagnosed with type1 diabetes since the age of 14. But before being diagnosed with type1 diabetes my cousin was healthy teenager that would eat just like any other teenager, but his life drastically change right away after being diagnosed with type1 diabetes. He now suffers from weight lost, nausea, body pain, and is insulin dependent. Being insulin dependent was one of the biggest changes in his life, because he had no idea what was occurring to his body and was not inform about diabetes. It took a while for my cousin to get used to the changes that were occurring to him as a teenager, but now that he is older and cautious about his disability, he lives a healthy
During 2008-2009, 18,436 people younger than twenty years of age were diagnosed with type one diabetes. Because of diabetes, 18,436 people had to completely change their way of life for a disease that is currently incurable. Out of the U.S population, 9.3%, or 29.1 million people, currently live with diabetes. Each year, 40,000 new cases of diabetes are diagnosed in the U.S. Between 2001 and 2009, the number of cases of type one diabetes in people younger than twenty years of age increased by 21%. The annual healthcare costs associated with type one diabetes totals $14 billion. Diabetes is a life-altering disease whose affects can be seen at all stages of life. If it is not well managed, diabetes can result in blindness, nerve damage, loss of limbs, cardiovascular problems, and death.
Type 1 diabetes is a serious chronic condition that tends to arise prior to adulthood. The disease requires substantial lifestyle changes in order to cope, and can lead to several debilitating outcomes if left unchecked. According to the American Diabetes Association ([ADA], 2017), Type 1 diabetes is defined as a chronic condition where the body no longer produces the insulin hormone, and is therefore unable to utilize and store glucose. As a result, individuals with Type 1 diabetes may experience excessively high or low blood glucose levels: hyperglycemia and hypoglycemia respectively (ADA, 2017). Both sides of the spectrum can have devastating effects on the body’s cardiovascular and renal activities, in addition to deteriorating the peripheral
“I’m thankful for my struggle because without it, I wouldn’t have stumbled across my strength.” – Unknown author. Why does this quote describe myself? Well, let me tell you! When I was deciding on a quote, my mind kept coming back to the question, “What obstacles have you overcome?” Of course my biggest obstacle being type 1 diabetes. When being diagnosed with a chronic illness with no cure at any age is hard, but when you are diagnosed the second week of seventh grade, it’s almost an indescribable situation. It’s as if you have been ripped from your old, normal life and put into one that revolves around finger pricks, shots, and ridicules amounts of juices. With the first year being a roller coaster that only went down, I was finally able to take a long ride up that came with success, happiness, and a new life path. I was able to find true friends, start a healthier lifestyle, and most importantly, start living as the ‘real’ me. With this exciting new “life path” I was able to excel in school, sports, and in the way I handle diabetes. I was able to join three new clubs,
Diabetes Mellitus is a disorder characterized by an imbalance between insulin production, insulin need, and the bodies ability to use the available insulin. This imbalance can result from a total lack of insulin, from impaired release of insulin, inadequate or defective insulin receptors in body tissue, or from the production of insulin that is either inactive or destroyed before it can become effective.
Diabetes one, and two revolve around the hormone insulin. Insulin is produced by the pancreas and its job is to help the cells in the body absorb glucose from the blood. Once the glucose is absorbed it signals beta cells from the pancreas to secrete insulin. Insulin enables glucose to enter cells of the liver and muscle. After the glucose has entered the cells, hormones that include insulin, decided if the glucose will be used as energy, or stored as glycogen for the future. The stored glycogen is important because if you haven’t eaten and your blood sugar is low, the body can take from the stored glycogen and use it as a source of energy.
Specific Purpose: To inform my audience about type one diabetes and the dangers of living with it. Thesis Statement: Type one diabetes is a dangerously incurable disease due to the blood’s sensitivity to sugar, inadequate insulin production, and the lack of types of treatments.
Pointing out the multiple team approach for diabetes care which may include referrals and future testing dependent upon findings. Examples of possible referral and future testing includes: education referral to certified diabetes educator for comprehensive diabetes education, with focus centered on the impact of diabetes and glycemic control upon the development of comorbidities and multiple body systems. Referral may consist of podiatry/orthopedic/neurology/surgical intervention in the event of peripheral neuropathy and associated complications. Most importantly emphasizing the impact of glycemic control as a primary prevention in the development of micro and macro vascular comorbidities which affect the entire body systems and the overall health of the patient. Referral for comprehensive dental exam, dilated eye exam and dietitian for medical nutrition therapy education and mental health as needed (ADA, 2017). Referral for family planning needs with females considering pregnancy who have not met glycemic control should for extensive education and initiation of self-glucose monitoring. Of importance, in the event of pregnancy, oral agents deemed teratogenic must be stopped and replaced with insulin therapy (Childs, Cypress, & Spollet,
This paper will discuss and critically analyze the health problem surrounding Type 1 Diabetes (T1D) among the population. The findings of this paper will be summarized about the epidemiological concepts, the natural progression, and the treatment that can be provided for this pandemic issue. Current statistics and resources will be implemented throughout this paper. In addition, the Best Practice Guidelines will be analyzed and implemented in order to provide effective care for those who are undergoing this specific health complication.
Breathe in, breathe out. My lungs rattle as I gasp for air in the humid afternoon. The sun beats down on my forehead as sweat drips onto the blistering tar. My jersey sticks to my skin as I clench my fists. Breathe in, breathe out. My legs flood with lactic acid, but I march ahead. Coach’s voice interrupts the pounding of my feet, urging me to fight on. I feel a sudden burst of adrenaline rush through my body and I drive my legs up the hill. Breathe in, breathe out. Midway, my vision begins to blur. Numbness diffuses across my arms until I’m left paralyzed. I realize my blood glucose is dangerously low but I still push forward. My body stiffens and I collapse onto the dehydrated grass beneath me. I stare up at the sky and see the sun begin
Patients with Diabetes have very comprehensive learning needs. The learning needs arefocused on managing their glucose levels and preventing complications of diabetes. Learningneeds for managing diabetes are complex and include: monitoring blood glucose levels,menu/food planning, exercise, medications, skin care, management of co-existing disease processes, knowledge of medications, knowledge of the disease process and how to managehypo or hyperglycemic episodes. Many patients are diagnosed with diabetes every year andmany are unaware that it requires lifestyle changes, especially in the areas of nutrition and
I am interested in the autoimmune disease, Type 1 diabetes because I grew up looking after by best friend who was diagnosed with it at 5 years old. Everything revolved around her diabetes because there were certain things she couldn’t do or eat. Her meals and insulin injections were scheduled at a certain time to keep her blood glucose levels regulated. She had to keep track of everything she ate and how many carbs were in each food she ate. She checked her blood about 15-20 times a day to see her blood glucose levels. If her levels ever got too low or too high she was at risk of having a seizure. She has had a few seizures during the night because her blood glucose levels dropped too low while she was sleeping. Her mom would wake up every
Type 1 diabetes is an autoimmune disease that begins when the pancreas quits making insulin. Insulin plays a key role by letting glucose enter the body’s cells, and then uses it for energy. When the body doesn’t get the