Diabetic Health Case Study

Saturday, November 13, 2015 The American Diabetes Association will be sponsoring the Bridge to Wellness Expo at the David L. Lawrence convention center. This event is free to the public and will provide them with a number of different events to help promote a healthy lifestyle. I believe that this event will be target towards a large range of different people such as uninsured, underinsured, or people who just want to live a longer healthier life. I think that many people will come out to this event because there is a lot that is going to be offered. Personally, if I was not participating in this event I would consider going to it just to see the different stations that will be set up there. I think that it is important to stress the importance of prevention because once something happens the damage is already done. I believe in living a healthy lifestyle and getting a handle on my health early. The expo will be offering a wide variety of different focus areas including but not limited to: active lifestyle, diabetes, cancer prevention, stress management, tobacco cessation, and heart health.

Cardiovascular disease- Diabetes drastically increases the risk of different cardiovascular manifestations, such as coronary artery disease and affiliated chest pain (angina), stroke, tightening of arteries (atherosclerosis), and heart attack. Having diabetes mellitus, raises the likely hood of having heart disease or stroke.

People are consuming large amounts of soda in the United states. This increase of soda consumption was significant enough that in 2010 the state of New York proposed to tax soda. The one cent per ounce in taxes was intended to help generate government revenue and to discourage soda consumption but the proposal did not pass (Desantis 2012). The average individual in America consumes 44.7 gallons of carbonated soft drinks in one year (Desantis 2012). If the proposal would have passed the state would have made $5, 721.60 in revenue per soda drinker. The increase of soda consumption continuing to rise, there has also been an increase of type two diabetes diagnosis in America. It is projected that 552 million people will be diagnosed with diabetes by 2030 (Harris, Oldmeadow, Hure, Luu, Loxton, & Attia 2017).

Mr. NX is a 35-year-old-male with complaint of back pain and not feeling well. He reports he has chronic back pain that is a constant tight, dull ache in which he has experienced over the past 10 years, without loss of function. He has a prior history of Type II diabetes, hypertension, and recurring deep vein thrombosis in which he routinely takes Glyburide, Lisinopril, and Coumadin for these disorders. Mr. NX reports he started a workout program three weeks prior in which he started two complementary alternative medications (CAMs) of Creatine and Coenzyme Q10. Other CAMs he reports taking is Kava Kava for anxiety and Garlic for his hypertension.

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 Scotland alone there are 268,154 people with diabetes and a staggering 21,428 of these individuals are living in Tayside. (Sci-diabetes, 2013). In this essay, a patient has been selected with a long term health condition and their journey through the national healthcare system will be explored following their diagnosis of type 2 diabetes. Through the use of evidence based practice, the underlying pathophysiology and nursing management of type 2 diabetes will be examined to give a better understanding of the complexity of the long term condition and the lifestyle changes that have to be considered when diagnosed with diabetes.

The American Association of Clinical Endocrinologist (AACE) treatment goals are individualized and aimed at lowering A1C and prevention of hypoglycemia along with decreased comorbidities associated with diabetes. Diabetics who are at an increased risk for hypoglycemia include: a diagnosis of greater than 15 years, advanced macrovascular disease, hypoglycemia unawareness, limited life expectancy and severe comorbidities (Garber, Blonde, Bush, Einhorn, & Garber,et al., 2017). In addition Fowler (2010) notes that those with renal or hepatic dysfunction are at an increased risk for hypoglycemia due to the combination of less endogenous glucose production and longer insulin half life. This combination can result in a rapid lowering of glucose.

Some risk factors of developing type 2 diabetes include being overweight, having a family history, older age, and more (Mayo Clinic Staff, 2014). With this in mind, the woman had an initially high contingency of developing the disease. For example, the possibility of type 2 diabetes increases drastically after approximately 45 years of age, where as this patient is 48 years old. Also, her physical exam concluded she has a BMI of 34, which is an indicator of obesity. Lastly, her mother and sister have previously been diagnosed with type 2 diabetes mellitus.

Diabetes is associated with wide range of complications such as chronic renal failure, blindness, amputations, heart disease, high blood pressure, stroke, 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 is complicated and requires knowledge and skills on the part of both healthcare providers and clients. Studies have shown that to prevent or delay diabetic complications, counseling and other lifestyle interventions are the effective therapy. However, although there are so 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, it requires a good understanding of the disease and

Diabetes is one of the most common metabolic disorder affecting almost 29 million Americans and about 86 million Americans are pre-diabetic. Type-2 diabetes mellitus (T2DM) is marked by a gradual increase in the blood glucose levels due to decrease in the insulin levels or due to insulin resistance in the adipose tissue and muscles. Strategies to control T2DM include oral agents like biguanides, using insulin hormone to control glucose levels apart from lifestyle changes such as exercise and diet changes. However, medicines can be expensive and can have adverse side effects because of which there is an increasing interest in using natural herbs and extracts to treat T2DM. Cinnamon is one such spice that has generated a lot of interest to control

Obesity has exclusively negative impacts on human health due to its disruption of key components of the body’s Control and Communication Network, especially the Local Support and Defence System and the Endocrine System. These disturbances carry harsh penalties as they can cause the development of dangerous and often irreversible chronic diseases.

There is a high incidence of diabetes within this community. According to the American Diabetes Association, Depression can affects 20-25% of patients who have diabetes, but due to the stigma, finances, and other barriers many patients may go undiagnosed or untreated. A patient’s mental health can have an influence on their glycemic control and overall quality of life. The driving force behind this project was a need to raise awareness of mental health, enhance collaboration, and to improve patient outcomes.

Mellitus is a metabolic disorder Diabetes resulting from insulin deficiency or insulin resistance. The most common is Type 2 Diabetes Mellitus (DM). It’s characterized by decrease production of insulin, and insulin resistance; these is related to genetic-environmental interaction (Huether & McCance, 2017, p.474). The major contributor factor to insulin resistance is obesity. Treating the obesity can prevent and decrease the incidence of Type 2 (DM). Decreasing the cases of Type 2 DM means helping a great number of people to have a better life, less disabled citizens in the country, and less medical expenses. Weight loss can also prevent many other cardiovascular disorders Look AHEAD Research Group. (2011, July 01).

Being a diabetic increase this patient risk for UTI by several mechanisms such as the presence of glycosuria, neutrophil dysfunction, phlebitis and neuropathy. Catheter increases my patient's risk for infection because urethral catheters introduce organisms into the bladder and promote growth by providing a surface for bacteria to attach to. While nerve damage is a risk factor because it can causes delayed bladder emptying and urine leakage. My patient also being a female increased her risk for the fact that a women's anatomy put her more at

My client is called Bafar. He is sixteen years old so he is in the adolescence life stage. He lives in averaged size house of three bedrooms with his dad and two sisters both younger then him. While his dad is at work it is Bafar’s responsibility to look after his two younger siblings.