Care of the Child with Diabetes Mellitus Type 2 (DM2) - Case Study Example

Comments (0) Cite this document
Abstract The research article by Dea et al. (2011) has explored the various conditions that lead to type 2 diabetes including obesity (p.42-48). Citing American Diabetes Association (2000), Dea et al. (2011) have said that obesity in children can raise the risk of type 2 diabetes (p.42)…
Download full paperFile format: .doc, available for editing
GRAB THE BEST PAPER91.4% of users find it useful
Care of the Child with Diabetes Mellitus Type 2 (DM2)
Read TextPreview

Extract of sample "Care of the Child with Diabetes Mellitus Type 2 (DM2)"

The research article by Dea et al. has explored the various conditions that lead to type 2 diabetes including obesity (p.42-48). Citing American Diabetes Association (2000), Dea et al. (2011) have said that obesity in children can raise the risk of type 2 diabetes (p.42). 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). But it is also reminded that not all children who are overweight are prone to type 2 diabetes (Dea et al., 2011, p.45). Life style modification including a controlled diet regime is recommended along with medication for obese children who develop type 2 diabetes (Dea et al., 2011, p.47-48). The role of the nurse in this whole scenario is also elaborated in this article (Dea et al., 2011, p.48). The tasks of a nurse in this context are explained as “patient care, patient and family education, and case management” (Dea et al., 2011, p.48). Taking note of the risk factors, routine BMI monitoring, and imparting education to the patient and the family on how to change life style are the major steps that come under the duties of the nurse (Dea et al., 2011, p.48). Generally, it is the complex nature of the causes type 2 diabetes and the consequences that involve many co morbidities that is stressed in this article (Dea et al., 2011, p.42-48). The study carried out by Fortmeier-Saucier et al. (2008) has revealed a direct connection between type 2 diabetes and obesity in the sample examined, that is, Mexican American children. This research has taken a direct course towards linking BMI and higher lipid levels to obesity and then obesity to type 2 diabetes in children (Fortmeier-Saucier et al., 2008). The study conclusively showed that 90% of Mexican American children in the sample taken for this study were obese and 75% of them were having at least a lipid value of 2 (Fortmeier-Saucier et al., 2008, p.142-145). Fortmeier-Saucier et al. (2008) have thus attempted to provide a “physiological marker” for type 2 diabetes in children (p.147). There is enough evidence to suggest that Diabetes Mellitus type 2 (DM2) in younger people correspond with the increased prevalence of obesity among them (Dea et al., 2011;). Pointing out that occurrence of type 2 diabetes in younger people “has now reached epidemic proportions”, Dea et al. (2011) have revealed the connections between this disease and obesity and have also called for more research to find out further comorbidities (p.42-48). Another study that tested the BMI and lipid levels of Mexican American children who were suffering from type 2 diabetes found out that 90% of these children were having BMI that indicates obesity (Fortmeier-Saucier et al., 2008). Both these studies have contributed to the evidence based practice of pediatric nurses. Viewed from the perspective of evidence-based practice in pediatric nursing, these and similar research findings form the basis of the administration of nursing care (Brown et al., 2009, p.372). It is these research evidences that help nurses to find “the gold standard for the provision of safe and compassionate healthcare” in nursing care (Brown et al., 2009, p.372). Especially, in pediatric nursing care, “education in finding and assessing evidence, (and) access to evidence” can enhance the quality of nursing care to great extent (Brown et al., 2009, p.374). The benefit of evidence-based practice is enhanced outcomes in the health and the process of curing of the patient (Brown et al., 2009, p.376). In the research article by Dea et al. (2011), there are many points of relevance covered that could lead to evidence based practice in pediatric nursing. For example, first and foremost, the cause-effect relationship between obesity and type 2 diabetes in children is well-established in this article with the support of previous research done on the same topic (Dea et al., 2011). An authentic method to measure and identify obesity is put forth in the form of BMI by the researchers (Dea et al., 2011, p.42). The standards for measuring BMI as is suggested by credible agencies have been delineated as well (Dea et al., 2011, p.44). This information could be used by pediatric nurses to identify potential patients. The significance of the issue is stressed by noting that, “over the past 20 years, the prevalence of T2DM among pediatric patients newly diagnosed with diabetes has increased significantly” as the figures showed a “2% to 4% range” in 1992 and “8% to 45% of newly diagnosed children >10 years of age” in recent studies (Dea et al., 2011, p.43). By identifying the “risk factors” that lead to type 2 diabetes, this study has provided the nurses with core areas of early preventive intervention (Dea et al., 2011, p.43). The steps in the evolution of a health condition towards type 2 diabetes is described as starting from beta “cell failure” and progressing towards “insulin resistance”, and the identification of these steps could help the nurse to decide the stage of progression of the disease and plan intervention strategies accordingly (Dea et al., 2011, p.44). Further the conditions that could be described as prediabetes and diabetes are explained, again an information that could be very useful in the evidence-based practice in a nurse’s profession by imparting ways to identify which child is prone and to what extent (Dea et al., 2011, p.44). The symptoms of the disease in young children and the challenges that are linked with diagnosis are also presented by this study (dea et al., 2011, p.45). Knowledge of the same could be made use of by pediatric nurses in their evidence-based practices to keep alert of the possible errors in diagnosis. The treatment options and necessary life style modifications summarized by this article are helpful for the pediatric nurses to lead the patient, once diagnosed, towards scientific management of the disease and also monitor the progress of the same (Dea et al., 2011, p.45). Departing from the normal option of medication, thus the pediatric nurse will be capable of applying a combination of options to ensure maximum effectiveness of care. The article has suggested that the options could include “medical nutritional therapy”, “glycemic control”, “oral agents” and insulin (Dea et al., 2011, p.46-47). A “routine care” regime is also set forth which the pediatric nurse could adopt and modify according to patient-specific needs (Dea et al., 2011, p.47). In this manner, this article has contributed to the evidence based practices in pediatric nursing care by ensuring that the nurses have all the scientific information needed to anchor their care options on research evidences. Along with that evidence for the relevance of close monitoring in all stages for comorbidities is also presented (dea et al., 2011, p.46). Whereas, the research findings of Fortmeier-Saucier et al. (2008) have also made similar conclusions by taking BMI and lipid levels as indicators of obesity and then finding the link between obesity and type 2 diabetes through their measurements. By making the measurements in accordance with the standards set by American Academy of Pediatrics, this study has provided pediatric nurses with dependable data that helps in identifying potentially obese children (Fortmeier-Saucier et al., 2008, p.144). The statistical importance of the findings with respect to the lipid levels has been stressed by this study, thereby giving the pediatric nurses the information required to associate obesity with type 2 diabetes while trying to convince patients and their families of the need for life style modifications and medication (Fortmeier-Saucier et al., 2008, p.145). The racial and demographical aspect of the obesity-type 2 diabetes connection is also revealed by this study (Fortmeier-Saucier et al., 2008, p.145). This information provides the pediatric nurses, a better framework within which potential patients could be identified and monitored. The need for cost-effective intervention strategies, in view of the socio-demographic and racial aspects involved, could be understood by the nurses in this event, through the evidences presented. The conclusions presented by this study could be used the nurses also as “physiological marker”s that could be crucial in diagnosis and treatment of type 2 diabetes (Fortmeier-Saucier et al., 2008, p.147). References Brown et al., (2009 January 1). Nursing practice, knowledge, attitudes and perceived barriers to evidence-based practice at an academic medical center, Journal of Advanced Nursing, 65 (2), 371-381. Dea et al., (2011 January/February). Pediatric obesity & type 2 diabetes, American Journal of Maternal Child Nursing, 36 (1), 42-48. Fortmeier-Saucier et al., (2008 September). BMI and lipid levels in Mexican American children diagnosed with type 2 diabetes, Worldviews on Evidence-Based Nursing, 5 (3), 142-147. Read More
Cite this document
  • APA
  • MLA
(“Care of the Child with Diabetes Mellitus Type 2 (DM2) Case Study”, n.d.)
Care of the Child with Diabetes Mellitus Type 2 (DM2) Case Study. Retrieved from
(Care of the Child With Diabetes Mellitus Type 2 (DM2) Case Study)
Care of the Child With Diabetes Mellitus Type 2 (DM2) Case Study.
“Care of the Child With Diabetes Mellitus Type 2 (DM2) Case Study”, n.d.
  • Cited: 0 times
Comments (0)
Click to create a comment or rate a document

CHECK THESE SAMPLES OF Care of the Child with Diabetes Mellitus Type 2 (DM2)

Diabetes Mellitus- Type II

..., & Parikka, 2001). The body mass index is a factor in the type 2 diabetes mellitus. Body mass index (BMI) of obese individuals is significantly different from lean individuals. Normal BMI 18-25. While overweight individuals have a BMI of 25-30, obese individuals have a BMI of 30 or more (Weinstein, et al., 2004). Increase in BMI more than 30 signifies that an obese individual is more likely to be affected with diabetes and therefore enough concern needs to be taken with increasing BMI as it is also a factor predisposing to diabetes mellitus. DIAGNOSIS AND TREATMENT OF DIABETES MELLITUS:...
8 Pages(2000 words)Essay

Type 2 Diabetes

...control early in the course of the disease. Traditional diabetic management is conducted by specialist diabetes services. As desired by DOH, there is a recent shift of responsibility for routine diabetes management to primary care. As a result, it is quite feasible that nurses in primary care may resume initiating care with insulin therapy in type 2 diabetics (Edelman, S., Dailey, G., Flood, T., Kuritzky, L., and Renda, S., 2007).. Prevention is increasingly seen as a major strategy for combating diabetes mellitus type...
30 Pages(7500 words)Coursework

Dietary Management of Type 2 Diabetes Mellitus

...Dietary Management of Type 2 Diabetes Mellitus Introduction Diabetes mellitus is an illness of chronic nature that requires life-long continuing medical care and self-management education for the patients in order to prevent acute complications as well as to reduce the risk of long-term complications thereof. There is a large body of evidence available that supports a range of interventions in controlling diabetes mellitus, and issues include many a things other than simply having an adequate glycaemic control. Type 2 diabetes has a long...
7 Pages(1750 words)Research Paper

Type 2 diabetes mellitus

...TYPE 2 DIABETES Type 2 diabetes TYPE II DIABETES MALLITUS 2 Abstract Diabetes mallitus is a disease in which there are high levels of blood sugar in affected individual. It is also called as Non-Insulin Dependent Diabetes Mallitus or Adult Onset Diabets. This disease results due to a defect in the functioning of insulin in the body. It can either be in a form of insulin deficiency, or insulin resistance. Type II diabetes mallitus is a familial disease in some cases where it runs in...
3 Pages(750 words)Essay

Diabetes mellitus type 2

...healthy, nutritious food and conduct lots of physical exercise in addition to visiting medical care for progressive checkups and insulin therapy. Diabetic patients are very vulnerable hence, they require lots of education on diabetes mellitus type 2 (Dunning, 2013). Through education, patients will not only be able to acquire more knowledge on the disease but also will be in a better position to medicate themselves at their homes in case they do not have somebody to oversee them. References Dunning, T. (2013). Care of People with Diabetes: A Manual of Nursing Practice. Chichester, West Sussex: John...
8 Pages(2000 words)Essay

Diabetes mellitus type II care and management

...of glyburide-metformin combination tablet in patients with type 2diabetes.” Journal of the Chinese Medical Association 70 (11), 473-80. Dansinger, M. (2015). Diabetes and infection. Retrieved from “Follow-up Care.” (n. d). In Lehigh Valley Hospital. Retrieved from _care “Glyburide and Metformin (Oral Route).” (n. d). In Mayo Clinic. Retrieved from ...
6 Pages(1500 words)Term Paper

Type 1 Diabetes Mellitus

...Type Diabetes Mellitus Nursing work April 22, A newly diagnosed case of type diabetes can spark a range of emotions including anger, sadness and grief. However, it is not a death sentence because the patient can still lead a healthy and productive life as long as he or she takes their medications. The patient in the above case is still experiencing anger and denial from the new diagnosis. The RN can help this patient cope with the diagnosis by first educating the patient about type 1 diabetes and its impact on the patient’s body. By so doing, the patient will understand that the illness is a result of the lack of insulin...
1 Pages(250 words)Coursework


...TYPE 2 DIABETES MELLITUS TYPE 2 DIABETES MELLITUS Diabetes has become a serious threat to various populations around the world. This has been due to the new cases of diabetic people and also deaths as a result of the condition. There are two types of diabetes. However, one type known as type 2 diabetes has become common in the society. It occurs when the body is unable to manufacture enough insulin to perform functions optimally, or it may occur when the cells in the body...
2 Pages(500 words)Assignment

Diabetes Mellitus Type 2

...such as the HbA1c test combined with the fasting blood glucose test. However, it is advisable that health practitioners assess the historical background of patients, e.g. by assessing if the condition has ever been reported in the lineage or through checking for physical insulin injection marks on the skin. References Fischetti, N. (2015). Correlates among perceived risk for type 2 diabetes mellitus physical activity and dietary intake in adolescents. Pediatric Nursing, 41(3). Van Esch, S. M., Heideman, W. H., Cleijne, W., Cornel, M. C. & Snoek, F. J. (2013). Health care providers’ perspective on using family history in the prevention of...
2 Pages(500 words)Case Study

Diabetes Mellitus Type 2

...of Bioinformatics and cheminformatics, seeks to identify the efficacy of drugs on aging populations. According to recent research, Sirtuins have been linked to the process of regulation of aging, transcription, apoptosis and stress resistance (Khadori, 2015). The drug facilitates the regulation of metabolic processes including cellular defence mechanisms. The incorporation of Sitruin treatment provides detrimental effects in the management of the disease particularly amongst the aging populations. Primary-Care Follow-up for Diabetes Mellitus Type 2 T2DM requires continual medical care and patient self-management education so as to...
12 Pages(3000 words)Essay
sponsored ads
We use cookies to create the best experience for you. Keep on browsing if you are OK with that, or find out how to manage cookies.

Let us find you another Case Study on topic Care of the Child with Diabetes Mellitus Type 2 (DM2) for FREE!

Contact Us