Mr. M. H. S Glucose Level

"Diabetes." The Cambridge Historical Dictionary of Disease. Cambridge: Cambridge University Press, 2003. Credo Reference. Web. 24 October 2013.

A person with type 2 diabetes may be treated with insulin as well as an oral hyperglycaemic drug. Discuss why this combination may be prescribed.

Over this last week, I have received a patient named Sherman “Red” Yoder. He is an 80-year-old male farmer, who lives alone in the farmhouse that he had grown up in. Red was married for 50 years and has been a widow now for 10 years. Red has one son, Jon, who takes care of the farmhouse and the land. He has one daughter-in-law, Judy, who is in involved with his care. Red was diagnosed with diabetes six months ago. Diabetes mellitus is a chronic condition that affects your body 's ability to use the energy found in food. As of only a few weeks ago, Red has been managing his diabetes with insulin. Insulin is a hormone that controls blood sugar. Before he began using insulin, he managed his diabetes with oral medication. After carefully assessing Red’s chronic illness, diabetes, many red flags were presented that could interfere with his management. In turn, this would cause further complications.

The RN diabetes educator makes a plan of care to teach Amanda to monitor her glucose levels. The RN diabetes educator discusses the use of self-glucose monitoring and gives Amanda verbal and written guidance about optimal glucose levels at each glucose testing point throughout the day. The nurse also provides instruction about calibration of the glucose monitor, fingerstick technique, and use of the monitor for testing. After reviewing the instructions and a successful return demonstration, the diabetes educator and Amanda agree to meet after Amanda's prenatal appointment to follow-up on today's teaching/learning.

A patient has been admitted to an acute medical unit with a diagnosis of diabetes insipidus with a neurogenic etiology. When planning this patient 's care, what diagnosis should be the nurse 's most likely priority?

This class also helped me finally begin to understand Diabetes, and that it was a metabolic disorder that affects the Endocrine system by not producing enough insulin, producing no insulin, or causing cells that do not respond properly to insulin produced by the pancreas (Pakistan & Gulf Economist, 2011); and to distinguish between the different types of diabetes. This once again set the foundation for me to begin to understand exactly what occurred in my grandfather’s situation. Understanding what I now know, as I write this paper, I realize that it was in this class where I began to put together that we are not necessarily sentenced to a life of disease simply because we have a familial predisposition to it (Cirino & Ho, 2013). Heredity can predispose us to things such as diabetes, high cholesterol, and cardiovascular

Mrs. J. is an African American 69years old retired teacher who was diagnosed with advanced type2 diabetes one year ago. She has been responding well to the interventions, including medications, dietary measures, and physical exercises, until recently. She was admitted into the emergency with muscle weakness, vomiting, fatigue, headache, and confusion. Physical examination revealed that her skin was dry and had lost its turgor, while an osmolality blood test revealed an elevated level of sodium in her blood. She confirmed that in the past week, she had breached the diet as was indicated by a dietician, and had been consuming less water. She further confirmed that she felt unfulfilled due to the disease, and the recognition that she was getting older ‘made’ her seek fulfillment by ‘living her life’. Mrs. J. saw diabetes as a limitation to the full enjoyment of her last days on earth, and said she has left it all to God.

My instructor showed empathy toward the patients with diabetes; she emphasized her understanding on how challenging the diabetes disease process can be and the importance of following a healthy diet and the medication schedule. As a diabetes educator, she offered us valuable resources and also emphasized the need for more diabetes educators while encouraging those of us who were thinking about it as a career path.

Patient A is a female white 38 year old G1P0 with Type I diabetes since the age of 9. Due to her high risk pregnancy and history of non compliance with medical therapy she had been coming in since 28 weeks gestation for twice weekly non stress tests. One Saturday as patient A was at the hospital for her non stress test she was found to have elevated blood pressure and proteinuria. Dr. A, an obstetrician

Although the patient described himself as old and tired, he still had many strengths. The patient kept a positive attitude and was pleasant to be around. He understood that the nursing student was not as efficient as a professional nurse would be while preparing him for the day. HK was never mean or rude, but eventually became very reserved. He followed the directions given to him and obtained an admirable mutual respect between the patient and the nursing staff. After his death, the nursing student asked a nursing aid for some information about HK. She said he was easy going and went with the flow. She said he was never one to cause any problems. This is commendable considering his health status and disease progression.

During the year 1889, two researchers, Joseph Von Mering and Oskar Minkowski, had discovered the disease that is known today as diabetes. Diabetes is a disease in which the insulin levels (a hormone produced in unique cells called the islets of Langerhans found in the pancreas) in the bloodstream are irregular and therefore affect the way the body uses sugars, as well as other nutrients. Up until the 1920’s, it was known that being diagnosed with diabetes was a death sentence which usually affected “children and adults under 30.” Those who were diagnosed were usually very hungry and thirsty, which are two of the symptoms associated with diabetes. However, no matter how much they ate, their bodies wouldn’t be able to use the nutrients due

This is a diabetes case study of Mr. Charles D., a 45-year old male who is experiencing classic symptoms of hyperglycaemia. Recently divorced and living alone in a new home, Charles has complained of recent weight loss, excessive thirst, and frequent urination. He is a busy CEO for a major technological company. This case study for Charles will educate him as to what are the causes of diabetes: explain the presenting signs and symptoms emphasize the psycho-social impact to his amended life, and instruct him in the economic impact that he and millions share.

In edition to acute complications of short term elevations of glucose, long term elevations of blood glucose lead to severe complications; microvascular damage resulting in heart attacks, strokes and gangrene, microvascular damage resulting in kidney damage and blindness due to retinopathy (peyrot 1999). For this reason the main goal of diabetes treatment is to maintain blood glucose as close to normal as possible. Medication is the theme of treating disease based on the biomedical outlook that disease is biological. Unfortunately, the biomedical model of medicine fails to take into consideration the social and psychological factors that play a role in the treatment of this illness. The biomedical approach fails to consider the psychologic and behavioral process involved in stress and coping with glucose control, as well as the interaction between biological and psychosocial factors and how this affects patient coherence with treatment. Studies have established that many people diagnosed with diabetes have difficulty in adapting to biomedical therapy; in order to improve health outcomes it is important to address the psychological and physical stresses of diabetes with specific adaptive and coping strategies (awah).

Patient G.M. is a four-year-old female from a middle class family living in San Diego. She originally presented with her mother and father to her general practitioner with lethargy and several vomiting episodes in the past few days. Her father stated concern after realizing her frequent urination in the past week. Her vital signs upon initial assessment were HR 140 RR 22 Temperature 102.7 degrees Fahrenheit, BP 70/62, O2 saturation 97%, 32 pounds, and 40 inches tall. Her General practitioner was concerned about type I diabetes and performed a blood sugar check. Upon assessment the monitor read HI, indicating that the level was above 500 and too high for the monitor to read. The doctor informed them she needed immediate treated in the closest pediatric ER due to the potential for diabetic ketoacidosis.

C.S. is a morbidly obese 32-year-old female admitted to the hospital on 8/26/05 with an admitting diagnosis of poly-drug overdose. According to the patient, the last thing she remembers is going to bed and then waking up in the hospital 2 days later without any recollection of what had happened. She has a history of suicide twice in the past, but denies suicidal ideations this time. C.S. also has a history of Diabetes type II that is normally controlled with oral medications. She states that she checks her blood glucose at home and it has been in the 200mg/dl range for the past month. Current blood glucose is 256mg/dl. C.S. is to be discharged tomorrow with a new prescription for insulin.