Statin Case Studies

Treatments are aimed at keeping the blood sugar level at normal levels while avoiding hypoglycemia or the decreased glucose level. Lifestyle changes are very important so as to avoid the worsening of the signs and symptoms of diabetes. If you are obese, you will need to lose weight. You also need to maintain your blood pressure level by decreasing the cholesterol level of your diet as well as decreasing your intake of salt and fats. Your diabetes recipes should be high in fiber and have low-fat content particularly saturated fats. You should also opt for foods that have low carbohydrate contents and increase your intake of fruits and

Diabetes can be treated in three basic ways: by diet, by diet in conjunction with tablets, or diet in conjunction with insulin. Diet serves as an initial control for non-urgent patients. If a person’s diet will have a major effect on glycaemic control, it does so reasonably quickly, within a few weeks of changing

I know that you are trying to help, but I need you to know that my life is much more complicated than the aspects that I let you see. Diabetes can be a very degenerative disease. Insulin helps us survive, but it doesn’t cure us. If we don’t live the textbook (nearly impossible, saintly) life of a diabetic, the consequences can be devastating. One-third of our lives could be cut-off. We can lose circulation in our feet and hands. Our organs can slowly corrode, and blindness is an imminent dread for 1 in 10 diabetics who don’t keep their blood-sugar under constant control.

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

D1: For the recommendation, Aisha totally needs to cut down on the sugary, salty and fatty food that she eats. To be able to reduce the negative effect of her health, first of all she would need to cut down on the amount of sugar she has in her tea. I would recommend her to cut down from 3 to 1 and a half and maybe use semi skimmed milk. This will be able to reduce the sugar and fat intake she has. For her toasts, she could try and use margarine as it has less fat than butter or have plain toast to reduce the fat intake. If Aisha finds it hard to reduce/ cut down her sugar and fatty intake, I would recommend her to get help and advice from specialised people who work with service users who have diabetes. This might include visiting a clinic and asking questions about what food to eat and which ones to avoid in order for him to have a better health.

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.

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.

He told me that he was diagnosed with type 2 diabetes in December 2010. Since his doctor prescribed rapid acting insulin for his diabetes, I asked him if it is acceptable to talk about his medical condition in front of his family. He gave me consent to talk about his medical problems in front of his wife and children. I suggested to him the need to take his insulin shot right before eating a meal. I informed him about the insulin medications that he was taking which was lispro. It has an onset of 10 to 30 minutes, peak time of 30 to 3 hours and a duration of 3 to 5 hours. Furthermore, I emphasized the need for him to eat a balanced diet, and the importance of exercise. I encouraged him to eat small amounts of carbohydrates during 30 minutes of exercise to prevent hypoglycemia. I also taught him that the signs and symptoms of hypoglycemia are tachycardia, irritation, excessive hunger, restless, diaphoretic and depression. He told me that he did not like to walk and do any activity besides going to his job. I brought some articles about how eating healthy, taking his medication, and regular exercise has shown to prevent, slow down the progressive process on type 2 diabetes. I suggested to him to start walking around his neighborhood, and later he could find a support group of friends can walk together with. For instance, Lewis, Sharon, Margaret Heitkemper, and Linda Bucher. "Medical-Surgical Nursing: Assessment and Management of Clinical

Consider J.M. J. M. a 43-year-old Hispanic female with type 2 diabetes, with lipid abnormalities and hypertension. LDL 174, HDL 52 and Triglycerides 32, A1C 9.3, microalbumin 32, and fasting blood glucose of 216 with average glucose variance of 200mg/dl, blood pressure 145/89, morbidly obese at 262 pounds. She has been diabetic for 10 years and has not seen an educator since her diagnosis. She previously danced for exercise, but has not done so in a while to work and family obligations. She has three children age 16, 14 and 10. She is married and the primary source of income for the family, which presents significant stress. J.M. presents with numerous comorbidities that contribute to the development of cardiovascular disease. Current medications

While it has been briefly touched upon in the previous section that the goal of weight loss should be disease prevention priority #1, it is essential that the patient also work to rein in his diabetes in order to reduce his A1C, reduce any extrapolation that the disease may place on his other conditions, and reduce the chance of diabetic neuropathy, vision issues, slow wound healing, etc. While this health promotion plan may seem

The United States is also improving education programs such as The National Diabetes Education Program, opening large originations, and improving national diabetes patient magazines, such as, Diabetes Forecast, Diabetes Health, and Diabetes Self-Management. There is also support group’s people can attend, either through internet or face to face to help with diabetic complications one may be having. A person seeking help to solve their diabetic problems can also talk to their doctor, diabetes educator, dietitian, or any member of a health care team to help solve any diabetic issues they may be experiencing. There is no right or wrong way when it comes to solving diabetes. Diabetes is basically a guessing game, what works for someone may not work for another diabetic. This is why it is important to try new methods every once in a while to see if the new method works better than the current method a person may have been using. If a diabetic is experiencing too many diabetic highs, try adjusting your insulin intake. Same if a diabetic is experiencing too many diabetic lows, try decreasing the insulin intake. Although, if a diabetic is adjusting their insulin intake it is very important to talk to your diabetic educator or health care provider to let them know the changes you’re trying. It is also very important for a diabetic to check their blood glucose levels more frequently during this new change. Checking the glucose levels more frequently will be able to tell the diabetic if the changes are positive of negative to their

Now I will apply my theoretical lens to a clinical situation I experienced a few weeks back. I will begin by illustrating the clinical situation involving a 48-year-old Hispanic patient who I had the opportunity to care for. This patient was diagnosed with pre-diabetes type 2 in 2007. Since then, he has not taken the necessary actions to keep his glucose within normal ranges. The patient continued to live an unhealthy lifestyle and eat his favorite foods, which he said were “Tacos and many Corona beers”, at family reunions. His days consisted of working in the construction field from 5:00AM to around 6:00PM, every day of the week except Sunday. Next he said that he has never taken the necessary actions to perform any kind of physical activity except for all the walking that he has to perform each day at his job. “I came home from work, took a shower and lay in bed; I did not have the mental neither the body strength to go to the park or do weights,” he stated when I was performing an assessment on him. Unfortunately, he had come to the emergency room and was now in the Medical Surgical unit, after one of his toes was infected and drainage was coming out of it. When I first came to his room, he was nervous and scared. After I greeted him, he did not respond to my greeting, “Hello, how are you?” His face did not have a friendly smile toward me. I felt that my patient was questioning my very presence in the room, since I was just a

Reason for Referral: Mrs. R was misdiagnosed with Type two diabetes a few years ago. She was re-tested and found to have Type one. The misdiagnosis by her general practitioner (GP) caused her to lose weight, become anemic, depressed, and unable to sleep as a result of taking the wrong medications. It has taken her two-and-a-half-months to have an appointment with an endocrinologist to find out she was misdiagnosed. She has been diabetic for at least 9 years.

Stroke is a world wide common disease with its occurrence depending on multiple risk factors involved, one of which is high blood cholesterol and LDL level, it is thought that lower cholesterol level decreases the incidence of cerebrovascular ischemia (doc3.pdf) which has been concluded from many clinical trials conducted for the purpose of understanding the adverse effects of statins, drugs that have been manufactured primarily for the purpose of controlling blood cholesterol level, statins are defined as a family of drugs that control and inhibit cholesterol production by acting through binding to 3-hydroxymethyl-3-glutaryl coenzyme A (HMG-CoA) reductase, by this mechanism the end result will be a lower LDL level in the blood which in turn benefits the outcome of many states of disease including cardiovascular disease and stroke (doc1.pdf-[1])