Improved Management Of Diabetes Patients

Diabetes is a disease where the body is unable to produce or use insulin effectively. Insulin is needed for proper storage and use of carbohydrates. Without it, blood sugar levels can become too high or too low, resulting in a diabetic emergency. It affects about 7.8% of the population. The incidence of diabetes is known to increase with age. It’s the leading cause of end-stage renal disease in the US, and is the primary cause of blindness and foot and leg amputation. It is known to cause neuropathy in up to 70% of diabetic patients. Individuals with diabetes are twice as likely to develop cardiovascular disease. There are two types of diabetes: Type 1 and Type 2.

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

Individuals that have been diagnosed with type 2 diabetes are cared for by a variety of people like podiatrist, district nurses, DSNs, GPs, and practice nurses. Good communication between these professionals and the person with type 2 diabetes can lead to better insight into the individual’s life, therefore helping to plan and provide the best care for that person. This can reduce repetition, improve quality of care for people with diabetes type 2 and

Diabetes has become an epidemic in today’s society. Diabetes affects almost every system in the body, and with an estimated 346 million people in the world with diabetes, healthcare has been heavily affected by the disease (Ramasamy, Shrivastava, P., & Shrivastava, S., 2013). One of the biggest issues for healthcare workers when it comes to diabetes, is that it is such a complicated disease. With so many different systems being affected, medical professionals have had to learn how the disease process works, what causes diabetes to work through the systems, and the best treatments to address all these issues. Through much research, the healthcare system has grown very knowledgeable on diabetes. One important aspect of treating diabetes has been in the introduction of diabetic education. In the past, nurses and dieticians had been responsible for educating patients on diabetes, but now that role is also extended to other people in the healthcare team, including the patient (Tomky, 2013). In fact, patients taking an active role in the education process, including learning to self-care has now become a priority in diabetes treatment. The following paper will discuss diabetic education, the importance of self-care and how this affects a patient’s compliance.

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.

Diabetes is a chronic illness that requires continuous medical care and patient self-management education to prevent acute complications and to reduce the risk of long-term complications[ ].

Interventions used in treatment of type 2 diabetes should be those that improve the probability that the patient will have better long term control of diabetes. It is therefore imperative that early diagnosis is given fast priority especially when metabolic abnormalities of diabetes are less severe. Lifestyle interventions are key in containing type 2 diabetes. It is common knowledge that sedentary lifestyle and over nutrition which lead to obesity and overweight increase the risk of type 2 diabetes (Peters & Davidson, 1996). Interventions that reverse or improve these factors have beneficial effects on control of glycemia in established type 2 diabetes.

I reviewed various articles in regards to these aspects. The first article was about improving diabetes care in nursing homes. To summarize this study, it was discovered that information was needed about sliding scales, non-insulin agents, and signs and symptoms (Boyle, O’Neil, Berry, Stowell, & Miller, 2013).

This approach has proven to be ineffective for many patients, especially those with limited health literacy. Health care professionals generally value educating their patients, but the teaching often times is left to a brief meeting while the patient is ready to be discharged (Slemmer & Thomas, 2011). The National Diabetes Audit revealed that only 6% of individuals newly diagnosed with DM-2 had been offered an additional structured diabetic education (Hall, 2015). Diabetic self care can be a complicated process that the patient has to live with every day of their life. People that know the risks of non-adherence and have the adequate education in self care show an increased and effective participation in their treatment plan. Lifestyle modifications including diet, exercise, and nicotine cessation have proven to be the most difficult aspect for most diabetic patients to adhere to. The World Health Organization estimates that 50% of people with chronic diseases (such as DM-2) do not adhere to long term care plans that call for lifestyle changes (Hain & Sandy). Diabetes education is vital to properly treat patients diagnosed and can also provide the knowledge and skills to prevent or reverse the course of DM-2. There are many aspects to the successful education of the diabetic patient, but having the access to qualified healthcare professionals obtainable by the opportunity of health insurance is

Living with diabetes poses many challenges for patients in areas like nutrition, glycemic monitoring and medication adherence. In fact, patients with diabetes

Diabetes is a chronic illness that could affect a patient in my nursing practice. The three ways that I can promote the health of the patient, in addition to the family in dealing with the specific illness are through diet and exercise promotion, education on the importance of taking good care of your skin, especially your feet, and having a strong support system with social groups that include not only the patient but incorporates the family as a whole as well.

Diabetes has reached an epidemic proportion in the United States. Currently, the management of diabetes in the hospital is often considered secondary compared with the condition that prompted the inpatient admission (Clement et al., 2004). Hospitalized patients with diabetes suffer increased morbidity, mortality, length of stay and other related hospital costs compared to non-hyperglycemic patients. These negative healthcare outcomes are observed more frequently in hospitalized patients with newly discovered hyperglycemia (Umpierrez et al., 2012).

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,

Diabetes represents one of the most challenging disorders facing the United States population. Diabetes can be classified as Diabetes Mellitus type I, Diabetes Mellitus type II, Gestational Diabetes, and secondary diabetes from other conditions. At least 90% of diabetes is type 2, and the complications could be avoided by carefully managing hyperglycemia, hypertension and dyslipidemia (Wilbur, 2013). Therefore, the healthcare industry is spending vast amounts of time and money treating a disease which is largely preventable. The purpose of this paper is to discuss the pathophysiology of the different classifications, drug treatment, and dietary considerations of Diabetes Mellitus. The impact and drug treatment of Diabetes Mellitus type I is explained, along with a description of a technique useful in educating patients on the standards of medical care in diabetic patients.

Diabetic complications such as retinopathy, nephropathy, peripheral neuropathy are directly linked to the geriatric depression scale (Floch, Doucet, Bauduceau& Verny, 2014). Diabetes mellitus id one of the leading causes of death among elderly populations and it has great association with the behavioral factors such as inadequate meal, no physical exercise, smoking, consumption of added salt and junk foods, hypertension and other comorbidities (Mantel et al., 2015). In fact a complications of diabetes mellitus among elderly in a nursing home are associated with lack of knowledge regarding diabetes mellitus among health care workers. Health care workers need sufficient knowledge to educate the patients and apply their critical decision to prevent diabetic complications (Smide & Nygran, 2013). In addition, active self- management of diabetes mellitus is very crucial to minimize the complications, which not only includes controlling a blood sugar by regular exercise, diet control and others but also it is very important to manage the psychological health status (Hamilton-West et al., 2013).