Diabetic neuropathy

Diabetic Ketoacidosis (DKA) and Hyperosmolar Hyperglycemic State (HHS) Diabetic ketoacidosis (DKA) is an acute, life threatening condition where blood glucose levels exceed 300 mg/dL resulting in the breakdown of body fat for energy, which leads to accumulation of ketones in the blood and urine…

damage proteins which, if isn’t dealt with efficiently, can damage tissues. In particular, damage to small blood vessels are a diabetic complication which can cause problems with the retina in the eye, even leading to blindness, and circulation which can lead to gangrene and other infections. Other consequences of high blood glucose are damage to nerves called neuropathy which is caused by blood supply loss, nephropathy or damage to kidneys causing patients to need dialysis, and higher chances…

diabetes is a medical condition characterized by autoimmune destruction of beta islets cells in the pancreas, resulting in impaired insulin production and hyperglycemia. Patients often present for the first time to the emergency department with diabetic ketoacidosis – this potentially fatal condition is characterized by metabolic acidosis, ketoacids in the serum and urine, severe dehydration, cardiovascular instability, and respiratory distress. If left untreated, patients will typically die.…

This amount is too low to deliver enough energy for the body’s activities. The condition Diabetic ketoacidosis (DKA) can occur if glucose levels in the body are consistently high. This can happen when a severe lack of insulin means the body of the patient cannot use glucose for energy, and therefore the body starts to break down other body tissue…

chronic hyperglycaemia causes a range of macro- and microvascular complications. Macrovascular damage leads to increased prevalence of heart disease, stroke and peripheral vascular disease whereas microvascular complications can cause diabetic retinopathy, neuropathy and nephropathy(1). Over the past 30 years, the prevalence of diabetes mellitus (DM) has rapidly increased as a consequence of obesity, lack of exercise and an ageing population and estimates show that this “diabetes epidemic” will…

glucose is the sugar that the body makes from the food in the diet. When there is a large amount of sugar in the blood, it is known as hyperglycemia. There are several complications that come with type II diabetes. One of the complications is neuropathy which is numbness and pain from nerve damage and usually occurs in the feet. Ketoacidosis, also known as DKA, is another complication. This is where the body produces a lot of ketones which is a chemical produced when there is…

Ms. RS is a 95 y/o African-American female seen and evaluated at Hartford Nursing and Rehab Facility for monthly renewal. Resident was sitting in her wheelchair in her room. She was pleasant on approach and she was able to verbalize her needs. Resident did not appear to be in any acute distress at this time. She states that she feels better that last week, but occasionally experiences cramps in her lower legs. She states that has similar episodes in the past that resolve in a few days. She…

Acute complications of diabetes include diabetic ketoacidosis (DKA), hyperosmolar hyperglycemic nonketotic syndrome (HHS), and hypoglycemia. DKA and HHS occurs when there is insufficient insulin to transport glucose into the cells. The difference between DKA and HHS is that in HHS an individual has just enough insulin to prevent ketoacidosis but not enough to prevent osmotic diuresis, hyperglycemia, and extracellular fluid depletion (Robbins, Shaw, & Lewis, 2010). DKA is more common in type 1…

legitimate methodology to pharmacies this chemical and truly synthesize it as a drug. This compound alone can be used to treat diabetes and has the potential to replace insulin regimen injections of diabetic patients. Compounds like charantin are becoming common alternative medicine techniques for diabetics and they are free from any of the side effects of insulin or other pancreatic regulating drugs. It is a natural chemical and is effective at the same time. None of the effects of synthesized…

Regarding Gabapentin 100mg #30, CA MTUS Chronic Pain Medical Treatment Guidelines state that Gabapentin has been shown to be effective for the treatment of diabetic painful neuropathy and post-herpetic neuralgia and has been considered as a first-line treatment for neuropathic pain. The patient has chronic neuropathic lower back pain, which radiates down her right leg. Medical necessity of Gabapentin has been substantiated. Recommend certification. Regarding Hydrocodone 5/325mg #90 and Ultracet…