In: Nursing
Diabetes Mellitus Type 1
The following questions regarding Diabetes Mellitus Type 1 shown below need answers...
Alterations in Health (Diagnosis)-
Pathophysiology Related to Client Problem-
Health Promotion and Disease Prevention-
ASSESSMENT:
Risk Factors-
Expected Findings-
Safety Considerations-
Laboratory Tests-
Diagnostic Procedures-
PATIENT-CENTERED CARE:
Nursing Care-
Therapeutic Procedures-
Medications-
Client Education
Inter-professional Care-
Complications-
the information must have credible sources
· Alterations in Health (Diagnosis)-
Untreated diabetes signs include loss of weight, polyuria (increased urination), polydipsia (increased thirst), and polyphagia (increased hunger). Symptoms of type 1 diabetes can grow rapidly (weeks or months). Over time, complications of type 1 diabetes can affect the body 's main organs, including the heart , blood vessels, nerves, eyes and kidneys. Hold blood sugar level as the chance of certain complications may be significantly reduced. In the end, symptoms of diabetes can be impaired or even life-threatening
· Pathophysiology Related to Client Problem-
T1DM is the product of the autoimmune destruction of the endocrine pancreatic β cells which results in insulin deficiency. The cycle of this autoimmune destruction follows the involvement of one or more environmental factors in genetically susceptible individuals and typically progresses over several months or years, in patients who are asymptomatic and euglycemic but who have strong autoantibodies. After a long latency time, symptomatic hyperglycemia and diabetes supervene which represents the large percentage of β cells that need to be killed or dysfunctioned first before overt diabetes becomes evident.
· Health Promotion and Disease Prevention-
Two main approaches for reducing diabetes incidence, i.e. behavioral measures and medications (pharmacotherapy), have been tested. These seek to improve the profile of the diabetes mellitus risk factor. The action is the topic of the modifiable risk factors.
Nutrition
Physical Activity
Lifestyle Interventions
· ASSESSMENT:
Forms for diagnosis include: check with glycated hemoglobin (A1C). This blood test shows the average amount of blood sugar for the past two to three months. It measures the percentage of blood sugar in red blood cells (hemoglobin) that is bound to the oxygen carrying protein
Risk Factors-
• Blood glucose control insufficient
• Lack of commitment to regulate diabetes
• Drug control
• Deficient diabetes care know-how
• Lack of diagnostic acceptability
• Stretch
• Deficiency of or excess insulin
· Expected Findings-
The most common signs of type 1 diabetes mellitus (DM) are polyuria, polydipsia, and polyphagia, along with lassitude, nausea, and blurry vision.
· Safety Considerations-
• Promise to control your diabetes. ...
• Don't stumble. ...
• Keep cholesterol and blood pressure in check. ...
• Timing regular physical and eye examinations. ...
• Stay updated on your vaccinations. ...
• Clean your teeth. ...
• Keep your feet ready. ...
• Get Pressure Control
· Laboratory Tests-
Check plasma fasting glucose (FPG). Blood is taken overnight in the morning after a fast. The blood sugar levels usually remain between 70 and 100 milligrams per deciliter (mg / dL). Diabetes is diagnosed when the level of sugar in the fasting blood is 126 mg / dL or greater.
Check for oral glucose tolerance (OGTT). Blood sugar is based on 75 grams of glucose two hours after drinking. Diabetes is diagnosed if a blood sugar level of 2 hours is 200 mg / dL or greater.
The blood glucose test is random. A blood sugar of 200 mg / dL or higher at any time of the day associated with diabetes symptoms is necessary for the diagnosis to take place.
(Glycohemoglobin) Hemoglobin A1C. This test tests the mean amount of glucose over the two or three months preceding it. Diabetes is diagnosed if the level of hemoglobin A1C is 6.5 percent or greater
· Diagnostic Procedures-
Type 1 diabetes is diagnosed by a combination of symptoms, age and blood testing of a individual. The blood tests include sugar level tests and tests for other substances. Check plasma fasting glucose (FPG). Blood is taken overnight in the morning after a fast.
· Nursing Care-
Priority 1: Assess risk factors for clients
Determine healthy blood glucose.
Assess for necrotic tissues covering the wound of the client.
Assessing and recording skin condition surrounding bite.
Priority 2: Reduce and rectify risk factors for clients
Inform patients about the significance of pursuing recommended diabetic medication
Clean the wound dressings and change them as indicated.
Drug prescribing and tracking routine.
Priority 3: Promote wellness
Examine the current diet and nutritional needs of the client.
Educate the client about proper care for the bite.
Educate yourself on the importance of consistently following diabetic treatment.
· Therapeutic Procedures-
• Insulin Taking
• To list carbohydrates, fat and protein
• A regular control of blood sugar
• Eat balanced diets
• Eat regularly to hold a healthy weight
· Medications-
Insulin
Biguanides
Sulphonyl ureas
Glitazones
Alpha amylase inhibitors
· Client Education
• Learn the basics of diabetes and its management
• Consider how diabetes products such as blood glucose meters, insulin pens, insulin pumps and continuous glucose monitoring should be used
• Adopt healthier eating habits through nutrition education, including meal preparation, weight loss techniques and other nutritional therapy related to diseases
• Build problem-solving skills and techniques for self-managing diabetes
• Track blood glucose and learn how to interpret the tests, and react appropriately
• Understand how their drugs function, including their action, side effects, effectiveness, toxicity, dose prescribed and more
• Build competencies to tackle challenging conditions
· Inter-professional Care-
A team approach to diabetes treatment will help people deal better with the overwhelming array of problems that diabetes will cause. People with diabetes may reduce their risk of microvascular complications, such as eye disease and kidney disease; macrovascular complications, such as heart disease and stroke; and other complications of diabetes, such as nerve damage, through:
Management of their ABCs (A1C, reducing blood pressure , cholesterol and smoking).
According to an individualized meal schedule.
Getting involved in regular physical activity.
Do not use tobacco.
Taking prescription medicines.
Tackling the demands of a complex chronic illness effectively
· Complications-
Complications of diabetes are divided into microvascular (due to damage to small blood vessels) and macrovascular (due to damage to bigger blood vessels). Microvascular complications cause damage to the eyes (retinopathy) leading to blindness, renal failure (nephropathy) and nerves (neuropathy) leading to impotence and diabetic foot disorders (Including serious, amputative infections).Macrovascular risks include heart attacks , strokes and inadequate blood supply to the legs.