Diabetes Treatment Plan Essay

Diabetes can be treated in three basic ways: by diet, by diet in conjunction with tablets, or diet in conjunction with insulin. Diet serves as an initial control for non-urgent patients. If a person’s diet will have a major effect on glycaemic control, it does so reasonably quickly, within a few weeks of changing

Diabetes is a serious medical condition that can also be a risk factor for the development of many different diseases and conditions including dementia, heart disease, and CVA. Thus, effective management of diabetes is very important. Patient compliance can be difficult to achieve if the person affected with diabetes is not educated about the illness or treatment, has not fully accepted the diagnosis or its severity, will not change habits or believes that the prescribed treatment regime is too difficult or ineffective, has cultural beliefs conflicting with the treatment regime, experiences stressful events, lacks social support, or suffers from psychiatric issues unrelated to diabetes (Gerard, Griffin, & Fitzpatrick, 2010). As one may expect, adequate education programs are essential tools when dealing with diabetics. Solid education will provide the patient with information as well as teaching the necessary skills to manage the disorder. The primary focus of any diabetes education program must be to empower patients as a part of the multidisciplinary team. This team should be focused at integrating diabetes into the lives of the patients and this focus should be based on the decisions made by the patient, otherwise the treatment plan can be looked on as forced (Gerald et al., 2010). Every patient stricken with diabetes has the right to benefit from an education program of this type. First, basic education and facts should be administered directly following the diagnosis of

As a patient, coping with being newly diagnosed with diabetes mellitus, can be very stressful for the patient and family members involved in the patient plan of care. The patient will have to make drastic lifestyle changes in order to be in compliance with the recommended treatment by the members of the health care team. Being a patient, making the necessary lifestyle adjustment will assist with management of the newly diagnosed illness. This essay will discuss a family member who was recently diagnosed with diabetes mellitus type II and has to take insulin. The family member is trying to gain knowledge in order to have a clear understanding of this illness. A questionnaire has been created for the family member regarding being diagnosed with diabetes mellitus. The results from the questionnaire will be discussed and further analyzed. There will be a discussion on how the patient, family and friends are accepting and their impact on the patient being diagnosed with diabetes mellitus. Finally an analysis of the care plan developed for diabetes mellitus will be discussed. The purpose of this essay is to help facilitate the patient and family members involved in the patient plan of care with education and management of diabetes mellitus.

A systematic literature review was conducted to include articles published in English and limited to peer-reviewed journal articles written after the year 2000. The databases used were Scopus, PubMed and Medline. Two series of search terms were used: 1) (diabetes) AND (food OR fruit OR vegetable OR nutrition

Food insecurity is the unreliable availability to consistently obtain food without resorting to socially unacceptable practices with over 14% of the people in the U.S. affected and the rate is higher among the Hispanic population (ADA, 2017). The goal for J.M. is to become more educated about diabetes mellitus and healthy food choices. Behavioral objective for J.M. would be to consult with a dietician and diabetic educator to review smart food choices, exercise and community resources which may be available to guide her in self-managing her illness. The outcome to this objective is the patient obtained the knowledge to make healthy food choices for both herself and her family evidenced by verbal understanding and loss of 1-3 lbs. within the next 6 weeks.

Of those with diabetes, the majority were older, African American women. For this Culminating Experience, the author reviewed the intervention with a focus on participants with type 2 diabetes. For participants with type 2 diabetes, the food provided during the intervention followed a Mediterranean diet, including fresh fruits and vegetables, equivalent to 1800 kcal a day. The meals and snacks were available to pick up twice a week. The results of this intervention showed that the Food=Medicine program produced statistically significant results across several health outcomes for those in the diabetes group. The results showed that Food=Medicine improved food insecurity (p<.00001); increased the frequency of consuming fruits and vegetables from 1.85 to 2.34 times per day (p= 0.011); decreased BMI from 36.1 at baseline to 34.8 at follow-up (p =0.035); reduced hospitalizations from 25.0percent to 6.90 percent (p = 0.09); reduced emergency department visits from 31.0percent to 13.8 percent (p = 0.09); decreased diabetes distress scores from 2.64 to 2.02 (p<0.001); increased perceived diabetes self-management scores from 24.8 to 27.3 (p = 0.007); and decreased the mean HbA1c from 9.23 percent at baseline to 8.75 percent at follow-up (p=0.41) (Palar et al., 2017).

A Nutritional Therapy Practitioner is a paraprofessional certified by the Nutritional Therapy Association, Inc. trained to evaluate a client’s nutritional needs, support normal function, and identify nutritional deficiencies. A Nutritional Therapy Practitioner makes recommendations of dietary change, lifestyle considerations, and nutritional supplements based on the following: Client interview, Analysis of client’s food journal, Nutritional assessment questionnaire, Functional evaluation, and Lingual-neuro testing. A Nutritional Therapy Practitioner is not trained to provide medical diagnosis or treatment of any medical or pathological condition, illness, injury, or disease. No recommendation or comment made by a Nutritional Therapy Practitioner should be construed as being medical advice or

The fundamental goal of effective diabetes management is for the patient to select behaviors that maintain glycemic homeostasis. Thus the goal of this study is to help the patient select optimal behaviors. To do this we must be able to learn how a patient’s choices affect blood glucose. So our task is mainly to collect the data from the people first about their choices of food, their general behavior and their habits and routine. We need to go in the depth of finding the reasons for the disease itself. We also studied from the care providers perspective. This should be able to provide detailed and accurate data about the patient, increase interaction

Diabetes is associated with wide range of complications such as chronic renal failure, blindness, amputations, heart disease, high blood pressure, stroke, and neuropathy (Alotabi, A., et al., 2016). There is no known cure for diabetes, but the disease can be controlled through health management that includes multiple perspectives of care such as medications, blood glucose monitoring, diet, nutrition, screening for long-term complications and regular physical activity (Alotabi, A., et al., 2016). Managing diabetes may be complicated and requires the knowledge and skills of both healthcare providers and the clients. Studies have shown that to prevent or delay diabetic complications due to diabetes, counseling and other lifestyle interventions are the effective therapy. Even with many policies set up for diabetes, 8.1 million Americans are undiagnosed with diabetes mellitus, and approximately 86 million Americans ages 20 and older have blood glucose levels that considerably increase their risk of developing Diabetes Mellitus in the next several years (CDC, 2015). For diabetes care to be successful there needs to be a good understanding of the disease and management by both patients and healthcare providers,

In first step, it teaches the basics of diabetes its causes and the facts which are not known by doctors themselves. The secrets facts and figures about diabetes type II reveals in this step. In second module, the author gives a detail guide on the food that helps in increasing the insulin production in the body. The third step aims to boost up the body’s metabolism and make it super fast. In last module, the author forces people to manage the timing to eat the meals. According to him, the time to take the meal is the most important factor in reducing symptoms of diabetes in body.

According to the article by the Diabetes UK nutrition working group (Dayson et al., 2011), nutrition therapy plays an essential role in the management of diabetes. The type of foods a diabetic consumes can impact the optimal glycemic control and reduce the risk for complications. A multidisciplinary approach is vital in the delivery of nutritional care. To maximize the benefit of nutritional care, it must be individualized, accounting the patient’s lifestyle and beliefs, preferences, and willingness to change. The nutrition guidelines emphasized diets low in saturated fats, increase intake of fiber and multigrain foods, low fat dairy foods, and avoid processed meat products. To significantly reduce the cardiovascular risk, a combination of

Based upon analysis of existing scientific literature, the following ADA’s recommendations advised for all diabetic patients type 2—all patients should be educated about diagnosis of the disease (Powers, et. al, 2015). All treatment plans for diabetic patients should include education for nutrition therapy and physical. Other important education topics should be covered with individuals with diabetes type two are psychological concerns, behavior change strategies (e.g., self-directed goal setting), taking medications, purchasing food, planning meals, identifying portion sizes, physical activity, and checking blood glucose (ADA, 2016). “Individuals requiring insulin should receive additional education so that the insulin regimen can be cording with patient’s eating pattern and physical activity” (Franz, Boucher, Evert, 2014). Multiple studies provide evidence that diabetes nutrition therapy is effective for improving glycemic control and other metabolic outcomes. Franz, Boucher, Evert (2014) found that nutrition therapy interventions implemented by registered dietitians/nutritionists reduced HbA1c levels by an average of 1% to 2% depending on the type and duration of diabetes and the HbA1c level at implementation. “Implementation of nutrition therapy in patients with newly diagnosed type 2 diabetes and an HbA1c of 9% resulted in a decrease of 2% with implementation of nutrition therapy. Even in patients with a long duration of type 2 diabetes

It is an undeniable fact that patients living with type 2 diabetes will inevitably encounter challenges in life. In particular, their need to maintain a relatively normal blood glucose level of 6-8mmol/L before meal and 6-10mmol/L after meal are essential to prevent further complications which will aggravate their current situation. (Diabetes Australia 2015, Blood Glucose Monitoring, para 20) As well as self-monitor blood glucose levels, patients also have to make moderations to their diet and integrate healthier food choices into their daily living (Rebecca Mathew, Enza Gucciardi, Margaret De Melo, Paula Barata, 2012).This involves restrictions on some of the foods which are

This objective will be an individual goal for our target population, since we hope to see a benefit in each individual who takes part in our intervention. During the beginning of the twelve month period, we plan to hold one or two events each month, for a duration of four month. We will educate our population about sugars and carbohydrates in foods. This dietary education and in depth knowledge will help our target population further understand which foods are best to eat depending on if their sugars are high, low, or stable. We feel this objective is an appropriate goal for our intervention because high and low sugars are extremely dangerous and can lead to short term and long term side effects, if left unaddressed. We as professionals, understand each of our clients will be using insulin in order to regulate their sugars. What we hope to achieve from our education is to help to lower the amount of insulin our clients use. Insulin, if overused, can lead to side effects such as hypoglycemia. Another reason we feel educating our target population on how to regulate their blood sugar levels with diet change is due to the fact that medication for type two diabetes is expensive. We feel if we

Dietitian consult to educate patient on maintaining proper diabetic nutrition and referral to outpatient diabetes clinic for continued support after hospitalization.