Diabetes is considered a self care disease and Mr. A was told many times over the last two years that he might prevent complications of his disease and maybe even reverse it if he lost weight and became more active…
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Though he has no peripheral vascular disease at this time, he feels some tingling in his toes and notices that he does not always feel when he stubs them, like he used to. He realizes that his diabetes is getting a little worse but thinks he is doing pretty good and does not seem to understand what might happen next. He thinks he might have to start taking some medication this time and he is worried he might have to take insulin. He is also worried about his blood pressure as his father had a stroke about his age.
Type 2 diabetes is a disease in which there is excess sugar in the blood or hyperglycemia. This comes in association with relative insulin deficiency. Many people with Type 2 are overweight and older. However, recently with obesity becoming a major health issue all over the world, type 2 is being discovered in young adults as well as children. The metabolic abnormalities that lead to type 2 diabetes are, insulin resistance, deranged secretion of insulin by the pancreatic beta cells, and increased glucose production in the liver (Porth & Matfin, 2007).
People with type 2 diabetes can have too much insulin, normal amounts of insulin or too little insulin. The problem of insulin resistance initially stimulates the beta cells to produce more insulin but eventually the beta cells become tired and fail. This causes not only elevated postprandial blood glucose levels but also an increased level of glucose production by the liver. Often it is heard from patients that they have metabolic syndrome. Evidence shows that people with type 2 diabetes often have other issues that contribute to a syndrome (Moshang, 2005). The abnormalities that are part of this syndrome are obesity, high levels of triglycerides and low levels of high density lipoproteins, hypertension, systemic inflammation, abnormal fibrinolysis, abnormal function of the vascular endothelium, and macrovascular disease (Porth, et.al. 2007).
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(Case Study: A Patient With Type 2 Diabetes Study)
“Case Study: A Patient With Type 2 Diabetes Study”, n.d. https://studentshare.org/miscellaneous/1565736-case-study-a-patient-with-type-2-diabetes.
It is established that “autoimmunity is the predominant effecter mechanism” for the development of the illness (Van Belle, Coppieters, & Von Herrath, 2011, p. 79). Van Belle, Coppieters, and Von Herrath (2011) suggest that while autoimmunity may create the potential for developing the illness, it is environmental factors that hold the true causality.
Diabetes Case Study of Angelo Reyes in the Neighborhood Introduction Understanding diabetes is not easy. A lot of questions are emerging to the patient themselves or to the family members. Fear arises from lack of understanding of the nature of the disease and finding the answers to these questions as well as supplementing the family with the right knowledge is the first step to manage the long-term complications of diabetes.
(Brashers 2006, cited in National Diabetes Data Group and the World Health Organization, undated). Epidemiology of the Disorder In the United States, around 25.8 million people are identified to have diabetes, and out of these, about 7.0 million belong to the criteria of undiagnosed population for diabetes.
It is further explained by Dea et al. (2011) that initially obesity causes insulin resistance and it is the same that advances into DM2 (p.42). The procedure delineated by the American Academy of Pediatrics and American Diabetes Association has been explained in this article by referring to the screening of children conducted for obesity as a potential risk related to type 2 diabetes (Dea et al., 2011, p.44).
A case study is a detailed analysis of a person or group, especially as a model of medical, psychiatric, psychological, or social phenomena. The case study is one of several ways of doing social science research. Other ways include experiments, surveys, multiple histories, and analysis of archival information.
One is insulin resistance, and the other is progressive depletion of insulin reserve. Several studies have shown that once daily or twice daily insulin regimen started early on disease in type 2 diabetes with or without oral antihyperglycaemic agents serve to prevent hypoglycaemic events, to aid weight loss, and to produce better glycaemic control measured by blood glucose and glycosylated haemoglobin levels provided the patient can be educated and persuaded to accept insulin injections and an appropriate lifestyle modification.
Considering the case of A.K. who is a 64 year-old Japanese patient, this study will explain the patient’s laboratory test results in relation to etiology and pathophysiology of metabolic syndrome.
Obesity could lead to the development of
eases with age, memory, and language but the judgment capacities remain intact as well as the mental status of a patient; thus, any change in the mental status of an aging client should never be viewed as normal (Brunner, Smeltzer, Bare, Hinkle & Cheever, 2009, 1850). For
Type II diabetes mallitus is a familial disease in some cases where it runs in families. In such cases, it is most commonly a result of weight gain. Obesity is a major risk factor for type II diabetes mallitus in those