Diabetes Due to the need for close monitoring of blood glucose and insulin level in the body, there have been various studies done regarding the various insulin regimens that are available today. Before we get into the details of the studies conducted, it is only relevant to give an overview of the problem at hand. Type I Diabetes or as it also known juvenile onset diabetes is a disorder that is normally diagnosed in young adults or children. This form of diabetes results from the destruction of the insulin producing beta cells in the pancreas. With auto immune destruction being the most common cause, type I diabetes is a lifelong disease. Insulin is the basic treatment for Diabetes in about 30% of the diabetic patients in the United States. (Centers for Disease control, 2008)It should be noted that insulin is present in three different forms and a person needs to take the regimen that is most suitable for them. As mentioned earlier, too much insulin given at a time can cause a person to go in hypoglycemia. Hypoglycemia is way more fatal than increased glucose levels. The 30 year old female in our case was taking the Insulin Basal bolus that consisted of novo rapid and glargine. There has been much concern over the efficacy of a basal regimen to a pre mixed insulin form. A study conducted by Mathieu et. al (2013) was done to see how the change in regimen switch is tolerated. This change is the opposite of what we are proposing for the 30 year old female. In the Atlantic
It is necessary to consider changing from an oral diabetes medication to insulin injections after
My paternal grandmother, Lucille, has many chronic conditions, yet we decided to focus on her diabetes for the majority of questions concerning her health and wellness. When asked, Lucille could not remember when she was first diagnosed with diabetes, but does remember when she “switched from taking pills to taking insulin.” She began taking insulin the spring of 2009 after her doctor decided it was time to switch. She has had two incidences where her blood sugar was so low that she could not even call out for help. Both times were in the night and thankfully at that time her husband (my grandfather) found her and was able to get the necessary help. After these incidences, she switched to taking her insulin in the morning instead of before bed.
If type 2 diabetes is not controlled then type 1 diabetes can develop. This is worse because the patient becomes dependant on insulin. It usually develops in the teenage years of someone’s life. This has to be given my subcutaneous injection (Payne, Barker 2010), this makes sure that the insulin levels are regular and forms the basis of dietary management. They will also have to regularly check their blood sugars. They will often need monitoring, assessment and treatment of cardiovascular risk factors because they have many features of metabolic syndrome.
Diabetes is a disease that can lead to heart attacks, stroke, kidney failure, nerve damage, or blindness (Turkoski, 2006). It not only costs many individuals their lives, but it also causes untold emotional and physical problems for people with diabetes and their families. In addition, the cost of care associated with diabetes and the associated complications exceeds $132 billion annually.
In a 52 week randomized clinical study, patients with either type 1 diabetes or type 2 diabetes were treated using insulin glargine or insulin degludec. The study focus was on the effectiveness, safety and how well the patients tolerated the insulin degludec. One area of the study that was of particular interest was the occurrence of hypoglycemic events and mainly nocturnal hypoglycemia. The results of this study were then analyzed and the findings interpreted to compare insulin glargine and insulin degludec.
When one hears the term diabetic or diabetes, most people not associated with the medical field think of only one type or that diabetes is an all inclusive "sugar problem". The reality of diabetes mellitus is both complicated and simple at the same time. There are two types of the disease that will usually cause either low blood sugar or high blood sugar: type 1 (juvenile-onset), and type 2 (adult-onset). The root issue with both is actually an insulin production problem. Type 1 is called insulin-dependent diabetes and it’s on set is usually in childhood. Type 2 is called non-insulin dependent diabetes, and it’s onset is typically later in life.
Diabetes mellitus (DM) is a condition in the body that is related to a faulty metabolism. It means that the body’s metabolism is not functioning properly, which leads to adverse effects in the health. The food we ingest, gets broken down into blood sugar (glucose), which is what fuels our body in the form of energy. This converted glucose needs to enter our cells so that it can be used for energy and growth. And in order for the glucose to enter our cells, there needs to be insulin present, which the beta cells of the pancreas is responsible for producing. This hormone is responsible for maintaining glucose level in the blood. It allows the body cells to use glucose as a main
In this type the pancreas will produce less insulin than what the body need, so there would be more glucose in the blood which would affect the diabetic person’s health. Type two diabetic people can use pills in the beginning because they do not need much insulin; however, if they do not take good care of their body, their cells would have insulin resistance, so pills will not be effective anymore, at that time they must start taking direct insulin injections. Diabetes has shown shocking statistics. According to International Diabetes Federation(https://www.idf.org/sites/default/files/Atlas-poster-2014_EN.pdf) between every twelve people there is a diabetic person. Also every seven seconds a person would die of diabetes.
The patient in this case study is diagnosed with type 2 diabetes. In type 2 diabetes insulin is still produced, but is not absorbed properly, over time levels of insulin decrease, ultimately dropping off completely (Burchum & Rosenthal, 2016). The etiology in this type of diabetes is unknown just strong familial ties seem to be a link. Lifestyle activities also play an important role in diabetes
Patients being treated with insulin face many obstacles such as the cost of insulin and supplies connected with it, proper storage of insulin, the dosing of insulin, and how to administer the injection to mention a few. Optimal absorption of it depends on the proper injection into the subcutaneous tissue. Robertson, Glazer and Campbell (2000), concluded that inadequate and unsafe practices in the administration of insulin can interfere in the metabolic control and can lead to the development
Treatments that elevate insulin in the blood independent of the ambient glucose unavoidably bring danger of recurring hypoglycemia. Episodes of hypoglycemia are traumatic, because of the modification in human brain
For over one century nurses around the world have dedicatedly provided care for patients at the bedside. However, once discharged to home an increasing number of these patients still require nursing care and are unable to afford so. These patients are parishioners; we attend church with on Sundays mornings. The parishioners are experiencing several health issues they face daily. Therefore, establishing a parish nursing to help parishioners address their health issues is paramount to improving these individuals’ quality of life. This chapter contains an overview of parish nursing and their impact they have in health care.
Diabetes is a disease where the body doesn’t produce enough insulin or it doesn’t react to insulin due to high blood glucose levels. Glucose is a type of sugar that is found in the human body, and glucose is important because it’s used for growth and energy by the cells. If insulin is not present then the cells are unable to receive glucose. When the cells receive glucose the blood sugar levels decreases. If a person has diabetes then they have high blood sugar levels due to their cells not receiving any energy from glucose. There are different types of diabetes. However, insulin can be used in order to treat diabetes. Dr. Frederick Banting and George Best, a medical student, discovered insulin. Insulin was extracted from the pancreas of an
We really have to be aware that Diabetes is one of the most common worldwide diseases, suffered by about three hundred and fifty million patients in the world's growing population every year by a large margin,and is likely Physicians of the World Health Organization that the disease candidate to be the reason dimensions of death in the world over the next two decades,where the cause of this disease is the inability of the pancreas to secrete the required amount of insulin or insulin product that is ineffective, so we must take care for improving therapeutic ways as a step for healing if possible. continuous and effective glucose monitoring can improve a person's quality of life for many years. Being able to control glucose levels easier allows
Diabetes mellitus (DM) has increased substantially over the years and will most likely become one of the major public health concerns within the next decade (Zsombok & Smith, 2009). Worldwide approximately 370 million people are affected by DM and this number is expected to rise and affect 10% of the world’s population, about 500 million, by 2030 (Owens, Matfin, & Monnier, 2014). Since DM is projected to be an increasing problem, it would seem prudent for not only health professionals but also the public to understand more about the causes, treatments, and neurological effects of DM. This paper will go over the etiology, physiology, and treatment of both type 1 and type 2 DM. It will also review the research completed on the connections associated between the central nervous system and DM.