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Case Study Diabetic

In: Other Topics

Submitted By veedubb2010
Words 1153
Pages 5
Case Study
NSG/340
March 3, 2015
Sandra Gilderson, MSN/Ed, RN

Case Study
Y.L. laboratory result The fasting glucose is over the limits, fasting should be no more 126. HgbA1c is over limits and should be less than 6.5 or 7 the most. Her cholesterol demonstrates hyperlipidemia with low HDL. UA demonstrates glycosuria which represents a degree of damage in the kidneys. The lab result presented is not within normal range and patient is also at risk for heart disease.
Methods for diagnosis First one can do a spot test using a fasting plasma glucose test and is found to be positive if it is greater than 126. Secondly, an order of two-hour glucose test known as oral glucose tolerance test greater than 200 is positive for diabetes. Lastly if the random glucose plasma level is tested and found to be greater than 200, with demonstrated symptoms such as polyuria, polydipsia, or polyphagia diabetes can be diagnosed.
Functions of insulin Insulin is responsible for assisting the body in the storage of fat by taking lipids from blood into the cells. Additionally, it is responsible for the regulation of glucose by transporting glucose from the blood into the muscles, and liver. Insulin also aids in gluconeogenesis
Type1 vs Type 2 DM Type 1 is known to be caused by the autoimmune destruction of the beta cells within the pancreas leading to diabetes. Type 2 is a progressive destruction of the beta cells due to increased glucose levels, leading to a decreased production of insulin over time. Type 1 diabetics require exogenous insulin. However, type 2 have some endogenous supply of insulin but may require additional coverage to reduce glucose levels.
Risk factors Risk factors include a positive family history, obesity, poor diet with a sedentary lifestyle, being of African American, Hispanic, Native American or Asian background, gestational diabetes, previous...

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