Question

You are discharging a 48 year-old female patient recently diagnosed with Type 2 Diabetes.  The patient has a complex medical history, including a BMI> 30, HTN, triglyceride level- 191 mg/dL, and shortness of breath. Which education points would you focus on related to her recent diagnosis and possible development of Metabolic syndrome.

explain in summary

Answer 1

The patient 48yeasr female Type 2 diabets with comlex medical hystory, her history shows she showd be very much careful on her health, Diabetes is a chronic disease that requires a person with diabetes to make a multitude of daily self-management decisions and to perform complex care activities. Diabetes self-management education and support (DSME/S) provides the foundation to help people with diabetes to navigate these decisions and activities and has been shown to improve health outcomes (1–7). Diabetes self-management education (DSME) is the process of facilitating the knowledge, skill, and ability necessary for diabetes self-care. Diabetes self-management support (DSMS) refers to the support that is required for implementing and sustaining coping skills and behaviors needed to self-manage on an ongoing basis

Evaluating patient needs:

Evaluating medical needs Identifying the patient’s concerns Evaluating knowledge- and skill deficits associated with the patient’s illness Identifying the patient’s attitude and expectations Evaluating previous experiences

education points would you focus on related to her recent diagnosis and possible development of Metabolic syndrome.

explain in summary

few health measure are very much important

1. Regular Blood sugar monitoring

2. BP Monitoring regularly

2. Diet management is important role and should be given diet chart

3. medication as per doctor order as well if insulin advice, The teaching of the technique of injection of insulin by the patient and a family member is the most important part of the educational program, Initially, the technique of injection is taught and then the calculation of the required units of insulin, the selection of sites, and the way of handling the equipment in order to prevent contamination and injuries

4. Regular walking as much possible

5. The patient if smoking should be urged to stop smoking and abstaining from alcohol

6. Probably the most important intervention is an exercise because it can lower body weight, cholesterol, blood pressure, and blood glucose at the same time

7. Sleep health and hygiene should also be discussed with patient, apnea and sleep deprivation can lead to the development of metabolic syndrome

7. Ensure you are in touch with your doctor and in case of any complications or health issues

Risk factors for Type 2 diabetes include:

• Family History of diabetes is associated with an increased chance of developing type 2  diabetes.  If your parents, brothers, or sisters have diabetes, your risk increases.
• Obesity and particularly carrying weight on the abdomen is a risk factor.  Obesity can promote insulin resistance and reduce the use of insulin.
• People over the age of 45 have an increased risk because as people age, they are less able to process glucose appropriately.
• High blood pressure increases the risk of developing diabetes.  The mechanism is unclear, but it appears that the higher the blood pressure, the worse the insulin resistance.
• High cholesterol increases the risk of developing diabetes.  Insulin resistance is associated with low HDL levels or good cholesterol, and high triglyceride levels.
• Inactive people or people who do not exercise regularly are at an increased risk for diabetes.  They may have higher blood sugar levels from lack of exercise.  Exercise helps to move glucose out of the bloodstream.
• Women who developed gestational diabetes during pregnancy or delivered a baby weighing over nine pounds have an increased risk of developing type 2 diabetes later on in life.
• Women with Polycystic Ovary Syndrome (PCOS) have an increased risk because of irregular hormone production that can cause insulin resistance and diabetes.

Metabolic syndrome is an accumulation of several disorders, which together raise the risk of an individual developing atherosclerotic cardiovascular disease, insulin resistance, and diabetes mellitus, and vascular and neurological complications such as a cerebrovascular accident. Metabolic disarrangement becomes a syndrome if the patient has any three of the following:

• Waist circumference more than 40 inches in men and 35 inches in women

• Elevated triglycerides 150 milligrams per deciliter of blood (mg/dL) or greater

• Reduced high-density lipoprotein cholesterol (HDL) less than 40 mg/dL in men or less than 50 mg/dL in women

• Elevated fasting glucose of l00 mg/dL or greater

• Blood pressure values of systolic 130 mmHg or higher and/or diastolic 85 mmHg or higher

Metabolic syndrome has serious implications on an individual’s health and healthcare costs. It is necessary to recognize the rising prevalence of metabolic syndrome in America as through intervention the progression of the syndrome can be halted and potentially reversed