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Diabetes Mellitus-2 Soapie

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Submitted By bprem
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Primary Medical Diagnosis: Diabetes mellitus 2.
Relevant Pathophysiology: Type-2 diabetes mellitus is a heterogeneous syndrome characterized by an abnormality in carbohydrate and fat metabolism. The cause of type-2 diabetes are multifactorial and include both genetic and environmental elements that affect beta cell function and tissue (muscle, liver, adipose tissue, pancreas) insulin sensitivity. A number of factors have been suggested as possibly linking insulin resistance and beta cell dysfunction in the pathogenesis of type-2 diabetes. A majority of individual suffering from type-2 diabetes are obese, with central visceral adiposity. Therefore, the adipose tissue should play a crucial role in the pathogenesis of type-2 diabetes.
Medications related to medical diagnosis: My patient is taking Lantus insulin 6 units every day at night before she goes to bed, and my patient is also taking Glimepride 4 mg everyday by mouth.
Subjective: my client told me that she had been diabetic for almost 25-30 years. She also told me that she feels dizzy most of the time. She said that she spends most of time in bed by taking plenty of rest.
Objective: I seen my client became tired really soon. For example, after taking shower she feels tired and goes to bed.

Evidence Based Research Related to Medical Diagnosis:
1. Diabetes Mellitus type-2
2. Prevention of complications of diabetes Oral therapies for T2D.
Nursing Diagnoses (prioritized):
(1) Fluid volume deficit r/t osmotic diuresis AEB polydipsia and sweet taste of urine.
(2) Imbalanced nutrition less than Body requirements r/t insufficiency of insulin, decreased oral input AEB consuming very less vegetables and fiber in the diet.
(3) Risk for infection related to hyperglycemia AEB polydipsia, polyuria, and polyphagia.
#1 nursing diagnosis: fluid volume deficit r/t osmotic diuresis AEB polydipsia and sweet

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