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Type 2 Diabetes - Coursework Example

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Diabetes type 2 patient load is increasing at a rapid pace in our society. The healthcare delivery system based on specialized diabetic care clinics is hardly being able to tend quality healthcare services adequately to this population. The pathophysiology of type 2 diabetes is unique in the sense that with disease two factors combine to worsen the prognosis…
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Type 2 Diabetes
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Download file to see previous pages This protocol is difficult yet possible in the general practice setting even by the nurse practitioners if they can be trained and a framework of guidelines delineating the protocol is provided. This work looks forward to development of a protocol of insulin administration after examining the pros and cons of the disease and its treatment.
Diabetes mellitus is the most common endocrine disease characterized by metabolic abnormalities. This author being a nurse engaged independent prescribing in the area of general practice has come across many diabetic patients. Diabetes can be dangerous in the sense that it can lead to many potentially debilitating complications involving eyes, kidneys, nerves, and blood vessels. This author has come across patients during clinical practice with varied presentations. Whatever may be the mode of diagnosis, persistently elevated plasma glucose in the fasting state would lead to the diagnosis of diabetes mellitus even if the patient is symptomatic (Saudek,C.D., Derr, R.L., and Kalyani, R.R., 2006).
From this author's experience, a venous plasma glucose ...
Diabetes can be dangerous in the sense that it can lead to many potentially debilitating complications involving eyes, kidneys, nerves, and blood vessels. This author has come across patients during clinical practice with varied presentations. Whatever may be the mode of diagnosis, persistently elevated plasma glucose in the fasting state would lead to the diagnosis of diabetes mellitus even if the patient is symptomatic (Saudek,C.D., Derr, R.L., and Kalyani, R.R., 2006).
1.1. Diagnosis
From this author's experience, a venous plasma glucose concentration of 140 mg/dL in at least two separate occasions or plasma glucose concentration of 200 mg/dL 2 hours following ingestion of 75 g of glucose would constitute a diagnosis of diabetes mellitus (Barr,R.G., Nathan, D.M., Meigs, J.B., and Singer, D.E., 2002).
1.2. Classification
Diabetes is classically classified into many clinical syndromes. The term type 2 is known also as non-insulin dependent diabetes mellitus. Type 2 diabetes mellitus is not exactly insulin independent throughout its course; eventually, all of the patients would end up needing insulin for therapy (Copeland, K.C., Becker, D., Gottschalk, M., and Hale, D., 2005).
1.3. Clinical Presentation
Clinically, in my practice, I have seen many patients that presented in the middle life or later. In fact, more than 90% patients are of the type 2 variety. Symptoms begin gradually in the typically overweight patient, and as I recollect, most diagnoses were made in the clinic when an asymptomatic patient was found to have elevated blood sugar level on laboratory investigation. From some records in patients who had been previously diagnosed, I have seen that these patients ...Download file to see next pagesRead More
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