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Nursing - Case Study Example

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Type II diabetes mellitus is not usually managed with insulin because the pancreas still has the capacity to produce enough amounts of the substance to prevent the breakdown of fat and accompanying production of ketone bodies (Smeltzer & Bare, 2006). The major problem with this…
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Nursing
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Nursing

Download file to see previous pages... With the patient’s history of allergy to sulfa drugs, cross- sensitivity may occur with the use of the sulfonylurea drug because of its sulfa- chemical components. Thus, metformin should be considered as the first- line treatment for mild to moderate type II overweight diabetics (Craig & Stitzel, 1997). Meanwhile, weight loss and dietary modifications remain to be the most effective treatment in every case of type II diabetes mellitus (Smeltzer & Bare, 2006). While the patient may have been prescribed with an oral antihyperglycemic agent, it is best to emphasize the importance of weight and diet control as part of patient teaching. In addition, general hygiene, foot care, and prevention of injuries and infection should also be discussed to prevent complications.
Ideally, the use of antihyperglycemic medications should be temporarily stopped when hyperglycemia is attributable to infection and surgery because of the effect of stress hormones like epinephrine, glucagon, and cortisol on glucose control (Smeltzer & Bare, 2006). Frequent monitoring and possible use of insulin can be considered even for those who do not usually need ...Download file to see next pagesRead More
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