Case Study Of Diabetes Mellitus

962 Words 4 Pages
Discussion Post
Week Eleven
NURS6531, N-8 Diabetes Mellitus (DM) is a disease process that affects much of the United States (U.S.) population. DM occurs when the body has trouble regulating the amount of glucose in the blood stream. As an advanced practice nurse (APN), one must be able to diagnose, treat, and educate patients about DM. The purpose of the paper is to evaluate a case study for a patient with DM and explain the factors that impact the treatment and education strategies for the individual.
Diabetes Mellitus DM is categorized into either diabetes mellitus type I or II. People can have a genetic predisposition to DM type I. In DM type I autoantigens form on the insulin-producing beta cells of the pancreas that circulate in
…show more content…
However, most people have risk factors consisting of age, obesity, physical inactivity, hypertension, and family history. Metabolic syndrome is a collection of disorders such as dyslipidemia, prehypertension, elevated fasting blood glucose, and obesity. These factors are a precursor for patients acquiring DM type II. However, genetic predisposition and obesity lead to increased serum level of adipokines, increased level of inflammatory cytokines, free fatty acids, and decreases the activity of amylin, ghrelin, beta cell mass, and function causing insulin resistance. Insulin resistance increases the demand of insulin synthesis, thereby causing hyperglycemia (Jones, Brashers, & Heuther, …show more content…
According to the American Diabetes Association (2016), being overweight is having a BMI of above 29.9 and increases the risk of DM II, heart disease, and stroke. Weight loss, physical activity, and diet changes increase the chance of normal blood glucose levels in types I and II DM (Joslin Diabetes Center, 2016). Therefore, losing weight is a fundamental component in S.A. being able to control her disease. She has consulted a bariatric surgeon in hopes of one day getting gastric bypass surgery. However, she must first get her HbA1C levels under seven percent. S.A. reports that she eats a well-balanced diet most days, but does eat foods high in fat and carbohydrates occasionally. The APN, patient, and I talked about steps to ensure healthy eating. Utilization of a shopping list will help her in buying only healthy and necessary food products. According to the ADA (2016) products such as lean meats, whole grains, and fresh fruits are essential for building a healthy plate. Also, avoidance of aisles containing high-fat food and snacks is

Related Documents