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 the lymphatics and bloodstream. These autoantigens cause the activation of T-cytotoxic and autoantibodies toward these cells, thereby causing the destruction of the beta cells, which significantly decreases insulin secretion (Jones, Braashers, & Huether, 2012). This type of DM is considered juvenile diabetes. …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,
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 the lymphatics and bloodstream. These autoantigens cause the activation of T-cytotoxic and autoantibodies toward these cells, thereby causing the destruction of the beta cells, which significantly decreases insulin secretion (Jones, Braashers, & Huether, 2012). This type of DM is considered juvenile diabetes. …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,