...Student number 213059356 HND 701 pathophysiology of Diabetes Assignment 1 Word count 2130 Student name Trevor Clemens Student number 213059356 Page 1 of 17 Student number 213059356 Many aspects must be taken into consideration in attaining knowledge and understanding of diabetes, it is not just a metabolic process. There are multiple risk factors that precipitate the metabolic process leading to a diagnosis. The following analyses relevant data in relation to pathophysiology, presenting signs, symptoms and underpinning principles of Type One Diabetes Mellitus (T1DM) and Type Two Diabetes Mellitus (T2DM), their prevalence and incidence, metabolic abnormalities and associated risk factors are also examined. Diagnostic criteria is also examined along with advantages and disadvantages of differing testing screen methods and results. The Australian Bureau of Statistics (ABS), Australian Health Survey 2012, reported that in 2011 – 12 the prevalence of all reported diabetes was at 4.0% (875,400 people) and had remained the same as the 2007/’08 period. Of these people 12.4% had T1DM, 85.3% had T2DM while the remaining 2.3% had diabetes of another kind. Tanamas S, et al. (2013) stated that the prevalence of type two diabetes in peoples over the age of 25 years in Australia is 7.4% and that a further 7.4% remain undiagnosed. The dominance of western lifestyles and diets has contributed to a dramatic rise in obesity within the population. It is contended...
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...Glucose Regulation Glucose Regulation Case Study What point should the nurse focus on regarding the importance of foot care for patients with type 2 diabetes mellitus? Educating the patient on how the disease process affects the feet can lead to proper self-care. Blood vessels in the feet become compromised, causing a decrease in potential blood flow circulation. Motor neurons are compromised as well causing a decrease in pain sensation. Patients should be taught to examine feet including between the toes and under feet routinely. As irritation to the feet can occur due to multiple reasons patients need to be proactive about preventing this. Patients with diabetes take twice as long to heal wounds and unfortunately due to the deficit in motor neurons may not realize they have it and worsen the wound leading to potential gangrene. Clipping the toenails is just as important due to the decreased sensitivity and for the potential of a cut. Finally patients will experience dry and potentially cracked feet, moisturizing with help prevent this with the exception of between the toes. A recommendation would be to see a podiatrist on a daily basis if available (Ignatavicius & Workman, 2013). What specific eye and visual complications should the nurse describe to Ms. Jackson, and what recommendations for visual care should be provided? There are several eye complications that can occur, the three most common are glaucoma, cataracts, and retinopathy. Glaucoma occurs as...
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...Diabetes [Name of Author] [Name of Institution] Question 1 The key area which must be considered for conducting initial assessments for Jazminder is the identification of hyperglycemia. It is recommended that her glucose concentrations for plasma must be measured. A two-hour post load glucose test or an FPG test is recommended by the International Diabetes Federation (IDF) and WHO for patient susceptible of developing diabetes. Assessment of diabetes is also done through HbA1c in which the hemoglobin HbA1c is measured. This area of assessment has particularly been deemed important by the International Expert Committee (2009). Measurement of HbA1c enables the healthcare providers to assess the blood glucose concentration. The WHO and ADA (2010) has also associated the HbA1c as the major test for diagnosing diabetes. Jazminder is doubtful that she might develop diabetes because her sister has developed recently. However, apparently there is no symptom for the presence of diabetes in diabetes. According to Saudek et al (2008), asymptomatic people may be at the higher risk of developing diabetes. In particular, for people ≥45 years of age, the screening is necessary. Jazminder must be evaluated for HbA1c, 2-h OGTT, and FPG to get appropriate results. It has been recommended by the IDF that it relies over the healthcare provider to decide which screening must essentially be done for respective patient cases. However, the FPG remains the test suggested in almost every...
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...Diabetes Diabetes mellitus, or often referred to as diabetes, is a metabolic disease in which a person has high blood sugar. This can happen either because the body does not produce enough insulin, or because the cells in the body do not respond to the insulin that is produced. Insulin is the hormone that unwinds the cells of the body, allowing glucose to enter and fuel them. Type 1 diabetes results from the body’s failure to produce insulin. This type of diabetes is usually diagnosed in children and young adults. Another name for this type of diabetes is juvenile diabetes. Type 2 diabetes is the most common form of diabetes. In this type either the body does not produce enough insulin or the cells ignore the insulin the body produces. Another type of diabetes is Gestational diabetes, which only occurs in women because it shows up during pregnancy. (Schütze, Rix, Laws, Passey, Fanaian & Harris, 2012) Diabetes can be a serious lifelong disease; which can lead to heart attacks, kidney failures, blindness, and even death. Type 1 diabetes also known as juvenile diabetes is characterized by the body’s immune system destroying insulin-producing cells in the pancreas. Insulin helps the body store Glucose (sugar) in the body. This being said the body cannot regulate blood sugar, and glucose levels rise in the body. Type 1 diabetics need to regulate their blood sugar by taking insulin shots and like both forms of diabetes regulating what is eaten. Because their body is not...
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...Teaching plan for a new-onset juvenile diabetic Introduction Diabetes causes chronic health conditions and comorbidities, and if left untreated it has negative health consequences for individuals and also nation’s economy. According to a 2014 report from Centers for Disease Control and Prevention (CDC) conducted in 2012 that diabetes affects more than 29.1 million Americans and of them 8.1 million are undiagnosed (CDC,2014). The estimated cost of Diabetes in the United States in 2012 was 245 billion dollar that includes medical cost, disability, and premature death (CDC, 2014). According to Healthy People 2020, diabetes is the seventh leading cause of mortality, lowers life expectancy by up to 15 years, increase the risk of heart disease, kidney failures, blindness, and so forth (U.S Department of Health and Human Services, 2014). Type I diabetes is one of the most common endocrine diseases of childhood which is why it is also called juvenile onset diabetes. It is an autoimmune disease where the beta cells of the pancreas are destroyed resulting in the inability of insulin production. People with type I diabetes need to take insulin daily to regulate their blood sugars (Lamb, 2015). Background and Importance of Research Diabetes is a severe and chronic disease that causes chronic disabilities. The inability of the pancreas to produce insulin results in abnormally high blood sugar levels. Over years, high blood sugar levels can damage...
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...1 NURS 1442 Cohort: 9/13 PGT Leader: Debbie Dorsett Submission Date: 25th August 2015 Word Count: 3250 This essay will be exploring a patient pathway in a clinical environment. The pathway to be investigated is the national diabetes pathway from the National Institution for Health and Care Excellence (NICE), which was published in February 2015 (NICE, 2015). I will also exploring local agendas and guidelines that are available from a local trust. I will be exploring one patient in particular, who cannot be named for confidentiality reasons, in accordance with the Nursing and Midwifery Councils (NMC, 2008) the code of conduct governing patient confidentiality, (NMC, 2008). Diabetes is growing in the United Kingdom (UK) at an alarming rate, (Diabetes UK, 2012). In 2010, evidence showed that approximately 3.1 million people in the UK aged over 16 years old have diabetes. By 2030, this figure is estimated to rise to 4.6 million, (National Health Service [NHS], 2014). It is important as an adult nurse, that I understand the pathway of diabetes as individuals with the condition are at risk of developing further health complications (Diabetes UK, 2012). This includes conditions such as heart disease, stroke and blindness (Diabetes UK, 2012a). A pathway is a “foreseen care placed in an appropriate time frame, written and agreed by a multidisciplinary team. It has locally agreed standards based on evidence where available to help a patient with a specific condition or...
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...Nursing care plans for Diabetes Mellitus Submitted by lifenurses on Monday, 4 January 2010 2 Comments Nursing care plans for Diabetes Mellitus, Diabetes mellitus is a disorder in which the level of blood glucose is persistently raised above the normal range. Diabetes mellitus is a syndrome with disordered metabolism and inappropriate hyperglycemia due to either a deficiency of insulin secretion or to a combination of insulin resistance and inadequate insulin secretion to compensate. Diabetes mellitus occurs in two primary forms: type 1, characterized by absolute insufficiency, and the more prevalent type 2, characterized by insulin resistance with varying degrees of insulin secretory defects. Diabetes mellitus is a group of metabolic diseases characterized by elevated levels of glucose in the blood (hyperglycemia) resulting from defects in insulin secretion, insulin action, or both (ADA], Expert Committee on the Diagnosis and Classification of Diabetes Mellitus, 2003. Causes for Diabetes Mellitus The cause of both type 1 and type 2 diabetes remains unknown, although genetic factors may play a role. Diabetes mellitus results from insulin deficiency or resistance. Insulin transports glucose into the cell for use as energy and storage as glycogen. It also stimulates protein synthesis and free fatty acid storage. Insulin deficiency or resistance compromises the body tissues’ access to essential nutrients for fuel and storage. The resulting hyperglycemia can damage many of the...
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...female reproductive organs. Costochondritis vs Angina Pectoris vs Myocardial Infarctions. Rheumatoid arthritis Gout lab findings Week 3 Fluid Balance and Edema Electrolyte imbalances of sodium, potassium, calcium, and magnesium. Intra and Extra cellular concentrations of sodium and potassium as related to osmotic balance. Know the physical signs/symptoms of electrolyte imbalances including hyper and hypo natremia, kalemia, and calcemia. SIADH lab and imaging findings Diabetes insipidus lab and imaging findings Week 4 Topic 4 Acidosis and Alkalosis Know your acid-bases! Week 5 Topic 5 Cardiovascular Causes of Fatigue Cor-pulmonale, cardiomyopathies Week 6 Topic 6 Thyroid, Adrenal, Liver Fatigue Hashimoto’s thyroiditis vs. DeQuervain vs. nodular goiter vs. secondary hypothyroidism Cirrhosis, Addison disease lab tests and hormone responsible. Is it high or low? Week 7 Topic 7 Bleeding as Indicator of Disease Pathophysiology of Disseminated Intravascular Coagulation Pathophysiology of Hemophilia Ulcers Week 8 Topic 8 Fever and Chills Beta-hemolytic streptococcus and Rheumatic fever signs/symptoms and lab findings (and Infective Endocarditis). Acute lymphocytic leukemia, Acute myelogenous leukemia, Chronic myelogenous leukemia, Hodgkin lymphoma, Burkitt lymphoma, Multiple Myeloma signs, symptoms, and lab findings Glomerulonephritis, mononucleosis Week 9 Topic 9 Respiratory...
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...Summary The common-sense model of self-regulation of health and illness was developed in the 1980s by Howard Leventhal and his colleagues (Diefenbach & Leventhal, 1996). It was based on Leventhal’s research from the prior decade that studied the effect of fear in relation to health related behaviors. The theory has various titles such as the, Self Regulation Theory, Common Sense Model of Illness Representation or Leventhal’s Theory (Hale et al, 2007). For ease of communication it will be referred to as the Common Sense Model (CSM). It’s primary goal and function is to explain how a person processes an illness threat. The CSM is centered on the individual and his or her idea of health and illness. It works under the premise that the individual is “an active problem solver.” CSM also theories an individual’s representation of the illness will be the primary cause of their actions and behavior and the process of illness representation will lead the individual to make common sense health behaviors. (Diefenbach & Leventhal, 1996). Self-regulation is the processing of information by a patient regarding their health and the actions that an individual takes to return to a normal state of health. A stimuli such as a symptom of an illness or a diagnosis starts a three-phase feedback cycle of self-regulation. First, the individual constructs a cognitive “representation” of the illness. Secondly, the individual acts and “copes” with the illness. In the third stage, the...
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...Individual Wellness Change Project The client I selected for this project is a 70 year old female. This client resides in a household with her husband, and adult son. Retirement has not equated with rest and relaxation for my client as she also takes care of two of her adult brothers in poor health. Three granddaughters have been the source of joy for her as they’ve grown from precious infants to teenagers. My client also assumes the role of family matriarch for her other nine siblings. With many demands for time and attention, I predicted the needs assessments to direct us towards stress management. The results we received sent out project in another direction. With my initial prediction of the focus needed being on stress management, I had my client complete the Holmes and Rahe Stress Scale (Holmes and Rahe, n.d.) first. In spite of numerous responsibilities and various family members always seeking advice, her score was only a 16. Scores below 150 represent only a slight risk of illness due to stress. The one area where stress does affect my client is in her sleeping habits. Many nights she experiences insomnia while contemplating current family situations, and consequentially suffers from fatigue. My client’s concern over taking care of everyone else leaves little time for her to focus on herself. The remainder of our assessments helped to point out what she already knew about her nutrition and physical activity levels. The results of the LiveWell assessment...
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...DIABETES TEST KIT MANUFACTURING INDUSTRY ANALYSIS STRATEGIC MANAGEMENT 1 SECTION A | GROUP 9 IIM RAIPUR Submitted by: Anshoo Saini 15PGP008 Gautham Balaji 15PGP015 Isha Tayal 15PGP018 Koundinya Niggamadda 15PGP026 Piyush Gaurav 15PGP037 Shekhar Suman 15FPM009 Index Industry Definition…………………………………………………………………………………………………………………………….2 Industry Activities 2 Similar Industries 2 Market Participants 2 Porter’s Five Forces Analysis 3 PESTEL Analysis 4 Industry Outlook 5 Products & Markets 6 Future Outlook 7 Competitive Landscapes, Success factors and Business Locations 7 Major Companies 8 Strategic Recommendations 10 Industry Analysis Industry Definition This industry develops and produces blood glucose meters and testing supplies that help users monitor blood glucose levels. Most manufacturers also develop other medical devices. Industry Activities * Diabetes market research * Glucose meter monitoring research and development * Glucose meter * Glucose meter accessory Similar Industries * Dental Laboratories * Diagnostic & Medical Laboratories * Dialysis Equipment Manufacturing * Health & Medical Insurance * Hearing Aid Manufacturing * Medical Device Manufacturing * Medical Instrument & Supply Manufacturing * Ophthalmic Instrument Manufacturing * Pacemaker Manufacturing * Robotic Surgery Equipment Manufacturing * Syringes & Injection Needle Manufacturing ...
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...Diabetes Mellitus Machelle Van N140 Instructor’s Name November 5, 2012 Diabetes Mellitus According to the Australian Institute of Health and Wellness, “Diabetes Mellitus is a chronic condition in which the body makes too little of the hormone insulin or cannot use it properly” (pg. 1, para 1). The pancreas produces insulin which helps glucose to enter cells through the bloodstream; the sugar is then converted into energy. Diabetes is uncontrollable when there is a build-up of glucose in the bloodstream, and there is not enough glucose entering the cells. If left untreated, diabetes can cause damage to the brain, kidney disease, heart disease, stroke, and complications to other parts of the body. Diabetes often appears in childhood or adolescence. Etiology The disease affects more than 20 million Americans and more than 40 million Americans have pre-diabetes that can lead to type 2 diabetes. In type 2 diabetes, the cells become resistant to the action of insulin, and the pancreas is unable to produce enough insulin to overcome the resistance. Three Major Types of Diabetes Type I Diabetes | Type 2 Diabetes | Gestational Diabetes | Diagnosed in childhood or adolescence; the disease can occur in adults. | Common than type 1 diabetes; makes up many of the disease. | Develops at any time during pregnancy. | The body cannot produce insulin. | Occurs frequently in young people, and adulthood. | Women are at a higher risk of developing type...
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...fully developed and their may be some ethical concerns concerning this form of treating disease. In your research consider the following points: 1. What is gene therapy? 2. What are the advantages of gene therapy as opposed to conventional therapy for some disorders? 3. What procedures are used in gene therapy, eg., what is a vector? 4. Are there some types of cells which are more suitable for gene therapy than other types? 5. What are some conditions in humans which could be potentially treated with gene therapy? 6. Are there any conditions in humans which are being successfully treated with gene therapy on a routine basis? 7. Does gene therapy have any practical potential? 8. What is diabetes? How many kinds of diabetes are there and what are the differences between them? 9. Are there any ethical concerns surrounding gene therapy? 10. References of all your research sources are required. There are no marks allocated for Part 1, but you will need the information obtained in Part 1 to answer the questions in Part 2. PART 2 Part 2 is an ‘open book’ examination BUT only original, personal, individual hand written notes will be allowed into the examination to be...
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...I. Introduction Diabetes is on the rise in the United States and the resultant health problems are leading to visits to physicians’ offices and hospitals more than ever before. Diabetic neuropathy, a debilitating nerve disorder which can affect almost any part of the nervous system, occurs in nearly 50 percent of patients with diabetes. Diabetic peripheral neuropathy is found in 12 percent of insulin dependent diabetics and 32 percent of those who are not, equaling approximately 3 million people in the United States. (Chen et al. 2007) The number of patients with other neuropathies, such as autonomic, proximal, and focal, comprises the other 1 million diabetic neuropathy patients, most of whom suffer in pain from the dysfunction of the nervous system. (Chen et al. 2007) This disorder’s elusive nature is such that it can not only present in any part of the body but it can be completely without symptoms that the average patient would report to their physician. Since the patients themselves are less likely to naturally disclose their suffering through their assumption that their symptoms are not relevant to their diabetic condition, the physician’s role in the diagnosis and recognition of this disorder is even more critical. II. Definition and Types of Diabetic Neuropathy The most common type of diabetic neuropathy is peripheral, considered, more generally, sensorimotor. Peripheral neuropathy causes pain or loss of feeling in the toes, feet, legs, hands, and arms....
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...important part of the body. If someone has diabetes he/she is more likely to have to foot problems. Diabetes can damage your nerves. This, in turn, may make you less able to feel an injury or pressure on the skin of your foot. You may not notice a foot injury until severe damage or infection develops. This may led to gangrene in the through simple injuries eventually amputation will be the final choice. So a diabetes patient always has to wear specialized footwear that can protect the foot in more sophisticated way. Diabetes changes your body's ability to fight infections. Damage to blood vessels causes because of diabetes results in less blood and oxygen getting to your feet. Because of this, small sores or breaks in the skin may become deeper skin ulcers. The affected limb may need to be amputated when these skin ulcers do not improve, get larger, or go deeper into the skin. Worldwide, 50% of all leg amputations happen to people living with diabetes. In India, an estimated 50,000 amputations are carried out every year due to diabetes related foot problems. By employing reconstructive and corrective footwear, to remove the high pressure points, a large number of such amputations can be prevented. Thus the patient can lead a near normal life, free from complications. WHO predicts that developing countries will bear the brunt of diabetes epidemic in the 21st century. Currently, more than 70% of people with diabetes live in low- and middle income countries. ...
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