Patients With Type 2 Diabetes Mellitus - 878 Words

Cynthia is a 65 year old African American female diagnosed with type 2 diabetes mellitus, diabetic peripheral neuropathy, hypertension, kidney disease, hyperlipidemia and hypothyroidism. She is on glipizide 5 mg po daily to treat her type 2 diabetes. Cynthia revisited the clinic soon after the initiation of the treatment with symptoms of shakiness, sweating, chills, clamminess, lightheadedness and moderately severe headache. In this case study, Cynthia is exhibiting the symptoms of hypoglycemia as she is on sulfonylurea therapy. Sulfonylureas, such as glipizide commonly used as a second-line of therapy in patients with Type 2 Diabetes Mellitus (T2DM), promote insulin release independent of prevailing glucose value and as a result,†¦show more content†¦Impaired cognitive function can cause harmful and cumulative long-term effects on intellectual function, particularly in young children. The most common risk factor for the occurrence of hypoglycemia is the aggressiveness of th erapy applied to achieve glycemic control. The other factors include, antecedent hypoglycemia, alcohol, increased glucose utilization, decreased glucose production, female sex, sleep, duration of diabetes, age and progressive insulin deficiency were also associated with an increased risk of hypoglycemia in patients with T2DM. Multiple risk factors are associated with precipitation of hypoglycemia in the general population. When it comes to elderly patients with diabetes, the problem of hypoglycemia is a major concern. Hypoglycemia is an expected side effect of sulfonylurea. Hypoglycemia unawareness is a major cause of severe hypoglycemia in patients with T2DM. Hypoglycemia awareness in patients can bring better results in managing hypoglycemic events. Symptoms of hypoglycemia become progressively less intense over the time or diminish. Management of hypoglycemia consists of strategies such as prevention of hypoglycemia, use of therapeutic agents with low or no occurrence of hypoglycemia and treatment of hypoglycemia. It is important for the patient to understand and agree to adhere to treatment plan in terms of both medication and lifestyle modification. Self-monitoring of the glucose is veryShow MoreRelatedFactors Affecting Prevalence And Treatment Outcomes Of Patients With Type 2 Diabetes Mellitus1005 Words   |  5 PagesFactors Affecting Prevalence and Treatment Outcomes of Patients with Type 2 Diabetes Mellitus in Rwanda Introduction Diabetes mellitus is a chronic metabolic condition in which the pancreas no longer produces enough Insulin (impaired insulin secretion) or cells stop responding to the insulin that is produced (insulin resistance) resulting in increased blood glucose (â€Å"Endocrine System.† Internal Medicine Clinical Treatment Guidelines. Republic of Rwanda Ministry of Health, 2012 ). SymptomsRead MoreEffects Of Diabetes Education Programs On Reducing The A1c Of Patients With Type 2 Diabetes Mellitus1025 Words   |  5 PagesResults yelled peer- reviewed articles that pertain to research surrounding diabetes education programs in reducing the A1C in patients with type 2 diabetes mellitus. Each article was evaluated based on its applicability to the research question on this paper. The pattern used in selecting the articles included for evaluation can be found in the Appendix 1. The research strategies included key terms like diabetes, type 2, education, age, program, research, adult, and A1C. The search began withRead MoreSelf-Care of Patients with Newly Diagnosed Type-2 Diabetes Mellitus1152 Words   |  5 Pagesthe patients with newly diagnosed type-2 diabetes mellitus. The related literature is presented under the following sub headings. Section A:Literature related to various aspects of type-2 diabetes mellitus. Section B:Literature related to self-management skills of patients with type-2 diabetes mellitus. Section C: Reviews related to effectiveness of diabetes education on newly diagnosed patients with type-2 diabetes mellitus. SECTION A: LITERATURE RELATED TO TYPE-2 DIABETES MELLITUS Diabetes is aRead MoreDiabetes Mellitus : The Leading Chronic Disease1102 Words   |  5 PagesDiabetes Mellitus Diabetes mellitus is one of the leading chronic diseases that can cause high rates of morbidity and mortality worldwide. Diabetes mellitus is characterized by hyperglycemia due to a lack of insulin, insulin resistance, or both. The four main types of diabetes mellitus include type 1 diabetes mellitus, type 2 diabetes mellitus, gestational diabetes mellitus, and other specific types (Darby, 2015, 824). A high rate of periodontal disease has been reported with type 1 and 2 diabetesRead MoreDiabetes Mellitus Essay1600 Words   |  7 Pages Diabetes Mellitus Type 2 In Children INTRODUCTION: Diabetes is not a single disease it is a multifactorial group of syndromes all characterized by an increase in the level of blood glucose that occurs due to lack of presence of insulin. Mainly, the less release of insulin leads to excess deposition of glycogen which is a peptide hormone synthesized by the pancreas and plays a role in raising the level of glucose in blood. (Mycek, 2007). Diabetes is usually divided into two types, insulin dependentRead MoreHypothesis : Bariatric Surgery Offers Better Glycemic Control For Patients With Type 2 Diabetes Mellitus1850 Words   |  8 PagesAbstract Hypothesis: Bariatric surgery offers better glycemic control for patients with Type 2 Diabetes Mellitus in comparison to standard therapies of diet, exercise, and pharmaceuticals. Methods: A retrospective literature research was conducted using several scholarly databases to collect and review information relevant to the hypothesis. The search engines included but were not limited to Google Scholar, PubMed, MedlinePlus, and ClinicalTrials.gov. The research was not limited by country of originRead MoreInterview A Registered Nurse From Georgia University Medical Center Essay878 Words   |  4 PagesI gained valuable information about a disease that she mentioned she sees commonly in her in-patient unit. The disease she noted was diabetes mellitus. During the interview, she gave me information about the disease in terms of its causes, its frequency, and the reason she decided to identity this disease. When speaking with healthcare provider Denead Buoy, RN, MSN, she explained that diabetes mellitus is a condition in which one has elevated blood glucose levels due to an inadequate insulin productionRead MoreDiabetes Mellitus And The Long Term Complications1385 Words   |  6 Pagespaper is to give a general idea of diabetes mellitus, epidemiology, role factors and complications that arise from it, comparing and exhibiting the distinctions between type I type II diabetes, the people who are in jeopardy of developing diabetic renal diseases and hypertension due to the complications identifying the general pathogenesis of diabetes mellitus the long term complications that may transpire. Epidemiology of Diabetes Mellitus Diabetes Mellitus is one of the very prevalent metabolicRead MoreType Ii Diabetes Mellitus. â€Å"In 2010, An Estimated 25.81470 Words   |  6 PagesType II Diabetes Mellitus â€Å"In 2010, an estimated 25.8 million people in the United States had diabetes mellitus, of which approximately 1 million have type 1 diabetes and most of the rest have type 2 diabetes † (Papadakis et al., 2014) That means that in 2010 about 24.8 million people suffered from type 2 diabetes. Diabetes mellitus is impaired insulin secretion and variable degrees or peripheral insulin resistance leading to hyperglycemia (Porter, Kaplan, 2011). Type II diabetes has become moreRead MoreDiabetes Mellitus As A Chronic Metabolic Disorder Essay1622 Words   |  7 Pages Chapter - 23 Diabetes Diabetes Mellitus is a chronic metabolic disorder that prevents the body to utilise glucose completely or partially. It is characterised by raised glucose concentration in the blood and alterations in carbohydrate, protein and fat metabolism. This can be due to failure in the formation of insulin or liberation or action. Since insulin is produced by the p cells of the islets of Langerhans, any receding in the number of functioning cells will decrease the amount