Question

I need to write a final paper for my managed care course. I chose to do mine on diabetes and managed care as I am a type 1 diabetic. However, I need some ideas for this paper on what to write regarding diabetes and the relation to managed care.

Answer 1

Type 1 diabetes mellitus is a nearly absolute deficiency of insulin( primary beta cell destruction); if insulin is not given, fats are metabolized for energy, resulting in ketonemia(acidosis)

ASSESSSMENT

Polyuria

polydipsia

polyhagia

hyperglycemia

blurred vision, slow wound healing, vaginal infections, weakness and paresthesias,

signs of inadequate circulation to the feet, signs of accelerated atherosclerosis(renal, cerebral,cardiac, peripheral)

INSULIIN

INSULIN is used to treat type I and 2 diabetes mellitus when diet, weight control therapy

and oral hypoglycemic agents are failed to maintain satisfactory blood glucose levels

COMPLICATIONS OF INSULINE THERAPY

local allergic reactions

insulin lipodystrophy

insuline resistence

dawn phenomenon

somogyi phenomenon

DIET

THE diabetic client's diet should take into account weight, medication, activity level, and other health problems.

Day to day consistency in timing and amount of food intake help control the blood glucose levels

carbohydrate counting my be a simpler approach for some clients ;it focus on the total gram of carbohydrate eaten per meal

incorporate the diet into individual client needs, lifestyle, and cultural and socioeconomic patterns

EXERCISE

EXERCISE lowers the blood glucose level, encourages weight loss, reduces cardiovascular risks, improves circulation and muscle tone,decreases total cholesterol and triglyceride levels, and decrease insulin resistance and glucose intolerence.