Insulin Dependent: A Case Study

The most significant difference between the regular insulin and the rapid acting insulin is the onset. The onset for rapid-acting or lispro is 10-15 minutes, and for the regular it is ½-1 hour.

Insulin heroes was an idea that was conceived in my freshman biomedical sciences class, and was later developed during my junior year in HOSA as part of my group’s medical innovation project. Insulin Heroes was basically lotion that contained insulin. It could be used for Type 1 diabetics who didn’t like needles and would be used instead of an insulin shot.

This 54 year ld AAM. Patient has a history o fDM, HTN, and hyperlipidemia. Patient's current medications are Glipizide 10 mg BID, ASA 81 mg QD, Triamtereine /HCTZ 75/50 mg, Pravastatin 40 mg QHS, and lorsatan 300 mg QD. Patient states he is taking all mthe medications as prescribed, and he thought he was doing fine. Patient states no one in the Federal Prison System had checked his A1C in several years. The patient's A1C today is greather than 14 %. Patient denies buller vision, headache, chest pain, SOB, N/V/D, or fever. The patient denies decreased sensation of his feet, increased thirst or urination. Patient denies any depressive moods. The patient is here with his wife and had a long disussion with the plan of care for his DM, HTN, and

Metabolic disorders-Noninsulin dependent diabetes mellitus, hyperlipidaemia (cholesterol and triglyceride), gallstones, hyperuricaemia and gout are common among obese.

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.

Insulin has been used for diabetes since 1922. “Leonard Thompson, a 14-year-old boy dying from diabetes in a Toronto hospital, became the first person to receive an injection of insulin” (“The History of a Wonderful Thing We Call Insulin” 1). Without insulin, thousands of people with diabetes would die. Insulin is available for people who need it because it was initially tested on animals. Oskar Minkowski and Joseph von Mering removed a pancreas gland from a dog in 1889, and it ended up dying later (“The History of a Wonderful Thing We Call Insulin” 1). Animals like dogs, have hormones in their blood so the experiment worked on them. It wasn’t safe for humans yet (Parry 1). Although putting an animal’s life at risk for medical research might

Insulin is a hormone that is produced in the pancreas to regulate the amount of glucose in the blood. The pancreas of an individual suffering from diabetes either does not produce insulin or only produces very little insulin. Before 1922 diabetes was a feared disease with no cure.

The patient is a 70-year-old gentleman who presented to the ED with the complaint of numbness, noticeable changes mental status and is also noted glucose of 43. His medical history is significant for long-standing history of insulin-dependent diabetes mellitus, chronic alcoholism, chronic pancreatitis, paroxysmal atrial fibrillation, he is on no coagulation because of a history frequent falls, coronary artery disease, past history of a CVA, as well as COPD. Review of the chart and discussion with the patient reveals that he attends a daycare center five days a week. He lives alone, his sister and his niece do his food shopping for him. He prepares his own meals and he gives himself his insulin on the weekend otherwise it’s given to him

Type 1 insulin dependent diabetes mellitus is most commonly diagnosed in children and adolescents but can sometimes be diagnosed in older age. It is defined as a chronic condition in which the pancreas does not produce insulin which is needed to allow glucose, known as the bodies source of fuel, to enter the cells. Type 1 diabetes does not have a cure but can be managed with proper treatment of insulin therapy. Type 2 non-insulin dependent diabetes mellitus is commonly caused by genetics, obesity, poor decisions in diet and exercise. It is defined as the bodies inability to break down glucose by resisting insulin and affecting the maintenance of regulating glucose levels in the body. Glucose does not move into the cells so it builds up in the bloodstream causing increased blood sugar levels. Type 2 diabetes does not have a cure either but can be controlled with proper diet, exercise and maintaining a healthy weight. If the previous interventions do not work then patient may need medications and insulin therapy.

Diabetes Mellitus is a disorder of too little, too much or ineffective use of insulin. The different classifications of this are know as type I diabetes or IDDM (insulin dependent or juvenile diabetes), type 2 diabetes or NIDDM (non-insulin dependent diabetes or adult on-set), and gestational diabetes mellitus. There is also pre-diabetes, which is the term used to indicate the condition of impaired glucose balance, impaired fasting, or tolerance of glucose. This is more of a risk factor for a possible future disorder of diabetes, which if caught early along with behavioral change, can be prevented.

Although managing your diabetes may seem like a hassle, the alternative leaves little to be desired. Unless you’re able to control your blood glucose through diet, exercise and lifestyle, insulin therapy and medication are likely your best shot at preventing life-threatening complications. Below, Dr. Chetna Mital, M.D., LLC – a diabetic care expert in Hamilton, OH – discusses the dangers of refusing insulin therapy.

Candace, I agree Ms. Metzger would need education on diet and lifestyle changes. Unlike her sister, Ms. Metzger has type II diabetes which resists the effects of or does not produce enough of insulin (Huether & McCance, 2017). Because obesity is a contributing factor of type II diabetes, treatments are aimed at weight loss, diet control, in addition to oral hypoglycemic agents and even insulin therapy. Because many factors can affect the blood sugar,

A 60-years-old-male who had diabetes millitus for the last 18 years, on insulin therapy. He is hypertensive for the last 7 year,receiving amlodipine 5 mg. x-smocker for 15 years

Insulin deficiency also causes protein metabolism in skeletal muscle.This leads to increased release of alanine to the circulation.These substances then enter the liver where they are used as substrates for gluconeogenesis which is overly stimulated in the absence of insulin and the elevated glucagon.The increased rate of glucose production in the liver,coupled with the glucagon-mediated inhibition of glucose storage into glycogen results in the overproduction of glucose release from the liver and leads consequent hyperglycemia.

Insulin is one of many hormones that is normally created in the pancreas by beta-cells of the human body. Insulin is important to the body because it allows glucose to get into cells. Once glucose gets into the cells, the glucose provides cells with energy. Insulin is the key that unlocks cells in order for glucose to enter a cell and deliver energy. When insulin arrives to a cell, it signals the cell to trigger the glucose transporters. These transporters then allow for glucose to pass through the cells walls. Energy can then be delivered once the glucose makes its way inside the cell.