The Effects Of Slight Obesity On Diabetes

9. Which of the symptoms that Y.L. reported today led you to believe she has some form of neuropathy?

America is truly the Fast Food Nation, besieged with unhealthy, but tantalizing food choices on a regular basis.

The subject with type first and type second diabetes who does not receive standard care, comply with the prescriptions or poorly controlled metabolism regarded by the test physician.

Management of hypoglycemia consists of strategies such as prevention of hypoglycemia, use of therapeutic agents with low or no occurrence of hypoglycemia and treatment of hypoglycemia. It is important for the patient to understand and agree to adhere to treatment plan in terms of both medication and lifestyle modification. Self-monitoring of the glucose is very

History of present illness: 50 year old African American female presents to the clinic today to follow up on her Diabetes. Patient diagnosed with Diabetes in 2000. Last Diabetes checkup three months ago. Patient reports that she takes all of her medications as prescribed. Patient is currently on metformin and Lipitor. Patient denies any episodes of hypoglycemia. Patient denies experiencing symptoms of polyuria, polydipsia, and polyphagia. Patient reports that she has been checking her

According to the American Diabetes Association (2016), more Americans die each year from diabetes than from AIDS and breast cancer combined. As a result, researchers have extensively studied the causes, treatments, and interventions for diabetes. Despite efforts to ameliorate its effects, diabetes remains a prevalent danger in society. In 2014, 7% of U.S. adults were living with diagnosed diabetes (Centers for Disease Control and Prevention [CDC], 2016). In Louisiana that number was even higher - 10.4% of adults have been diagnosed with diabetes. Breaking it down by age group, however, in Louisiana 3% of people aged 18 and 44 have been diagnosed, and 15.2% of people 45-64. (Centers for Disease Control and Prevention [CDC], 2015a). Several studies have predicted future rates of diabetes, both in the United States and worldwide - nearly all of these studies reached a similar conclusion: rates of diabetes will continue to rise (Boyle et al., 2001).

Diabetes mellitus type 2, hemoglobin A1c has improved. As noted above, her creatinine did go up to high of 1.5. We did hold the dose of her metformin and when her creatinine did get better, we did decide to decrease the dose to 500 mg b.i.d., given that her hemoglobin A1c was excellent at 6.0. I think we are safe to do this. I would rather have her hemoglobin A1c be higher given her renal insufficiency.

At the present time, the patient has two of the risk factors for heart disease, genetic predisposition, and obesity. The first risk factor, genetic disposition, is non-modifiable, however, the second, obesity, is a modifiable risk factor. The nursing diagnosis that can be applied in this situation is imbalanced nutrition: more that body requirements, evidenced by weight is more than 20% over ideal for height and frame, triceps skinfold >25mm in women and, sedentary lifestyle. The desired outcome for this individual is to demonstrate a change in eating patterns to attain desirable body weight with optimal maintenance of health, as well as to initiate and maintain an individually appropriate exercise program. Nursing interventions for this client should be (1) determine client’s desire to lose weight, (2) review usual daily caloric intake and dietary choices, (3) establish a realistic weight-reduction plan with the client, (4) encourage client to maintain a food diary that includes when and where eating takes place and the circumstances and feelings around which the food was eaten, and (5) refer to dietitian or weight management program (Doenges, Moorhouse, & Murr,

Alicia Cordova is 5 feet 3 inches tall. And currently weigh 155 pounds; she was pregnant for her second child when she developed gestational diabetes .After pregnancy her blood glucose went back to normal. Mrs Cardova was advised to exercise regular, maintain a healthy weight, and to get regular checkups. However, she has not been able to maintain a healthy weight; she states that she does not overeat, and she exercises regularly. She goes to the gym because she wants to lose weight; however, she is concerned about the effects of diabetes and the possibility that she might need to take insulin injections. She also voice her concerns about her overweight husband and children, and they are not very active. Mrs Cordova was referred to a dietician by her physician.

Ramirez should also be taught that skipping doses of her medication is not appropri-ate. Since she is experiencing GI problems with this medication we can try to switch her to a different type of oral medication or she can take 2 different oral antidiuretic medications at lower doses. The options will have to be discussed with her provider. Since she is having financial problems that do not allow her to buy her insulin we can suggest that she applies to a program that might help her pay her insulin or that it can cover all of the cost. He can ask a social worker to speak to Mrs. Ramirez about all of the financial help that is offer for people that need help buying their medications. Part of our nursing teaching also requires us to teach our patients the importance of checking their blood glucose levels often to prevent episodes of hypoglycemia or hyperglycemia. We must also teach them the sign and symptom of hypo/ hyperglycemia and what to do in each situation. For instance, if their blood glucose is <70 they should be told that they need to consume 15g of carbs and recheck their blood glucose in 15 minutes. Some of the foods that they can consume in this situation are: 1 cup of whole milk, 4 oz. of juice, 5-6 hard candies and 3-4 glucose tablets. It is also important to teach the family about the signs and symp-toms of hypo/ hyperglycemia and what to do in such situation. Patient should also be told that inspecting their feet daily is highly

The exam may show stunted or failure to grow, intense low blood sugar, enlarged liver gout, inflammatory bowel disease,

First, a creatinine blood draw was obtained for one patient because of his history of renal failure. The patient was present at the hospital before and his current health care provider believes he needs a CAT scan but the hospitalist on duty did not want to do anything until the patient’s creatinine levels came back. These values “diagnose renal function” because creatinine is eliminated from the body by the kidneys (Pagana & Pagana, 2014, p. 191). Therefore, a high amount of creatinine in the body will indicate the kidneys’ inability to excrete this product. Second, glucose levels were measured in all diabetic patients who came into the ER. Since glucose is a form of sugar, increased levels will leave the patient with a high sugar content in their blood. Some patients cannot withstand glucose levels above a certain number. Therefore, the test results of this blood draw will indicate if the patient needs insulin to decrease their glucose

The prevalence of diabetes in America continues to grow. Information gathered from The Centers for Disease Control and Prevention (CDC) acknowledge that in the United States, one out of every eleven people has been diagnosed with diabetes and that one out of every four people are diabetic but not aware of it. Research has also shown that the medical costs and lost wages for those who have been diagnosed with diabetes is greater than two hundred billion dollars and that the mortality rate for diabetics is fifty percent higher than non-diabetics (Centers for Disease Control and Prevention, 2014). These alarming statistics show the increased need for essential education concerning the pathophysiology of diabetes as well as the treatment, benefits of diet, exercise, and what to do when something goes awry. This need was the determining factor for using diabetes education for the Health Information Technology (HIT) project.

Juanita has come into the clinic because she is concerned with her weight and body image. She is also concerned with how her mother with view her not eating her ethnic meals. It has been established that Juanita is indeed obese by her body mass index (BMI) of 30kg/m2. The nursing diagnosis statement is: Obesity, related to caloric consumption and activity level, as evidenced by BMI of 30kg/m2.

Obesity in the United States has more than doubled over the past four decades. Prevalence of obesity cause many other disease such as diabetes and heart issues. Obesity can be described as a health condition of a person or people of a population that have excess body fat. Diabetes is a disease related to high level of blood sugar in the blood. Obesity and diabetes are among disease that have direct relationship with each other. As obesity increase in a population, diabetes increases too. Jennifer B.Marks, Professor of Medicine at the University of Miami Miller researches in “Obesity in America: it’s getting worse”, Roger Z. Joanne a public health provider in the Obesity Action Coalition group researches in “Obesity and type 2 Diabetes”, Eckel H. Robert, Professor of Medicine in Colorado University researches in “Obesity and Type 2 Diabetes: What can be Unified and What needs to Be Individualized”, and Obesity Society group researches in “Your weight and diabetes”, mention that while obesity and diabetes have different definition in medical process, the reason why people become obese and diabetic as well as how to prevent them is same. Eating larger portion size than what the body needs , lack of physical activity, and putting foods without good quality in diet are the major reasons that people become obese.