Special cells in the pancreas produce a hormone called insulin to regulate metabolism. When this hormone is not present glucose cannot enter body cells and blood glucose levels rise. Hyperglycemia may result from this situation. This process is the development of diabetes mellitus. Type 1 diabetes, formerly called juvenile diabetes or insulin dependent diabetes mellitus, has two forms; immune-mediated and idiopathic. Type 1 diabetes accounts for 5-10% of cases in the United States. Research has shown that there is an inherited tendency for developing the disease; it may be triggered by environmental factors (Rosdahl & Kowalski, 2008). It also has an autoimmune component since antibodies to insulin and islet cells are present at the time of diagnosis (p. 1187). Because type 1 diabetes needs to be managed very carefully, are [Delete] carbohydrate counting and a low fat diet [“are”] the best way [Plural] to make sure that glucose and insulin are available in the right proportions. When diagnosed the goal is to achieve metabolic stabilization, restore body weight, and relieve symptoms of hyperglycemia.
Type 1 diabetics rely heavily on their diet to control their condition. It is just as important as accurately checking their glucose on a regular basis. A person with type 1 diabetes needs to find the right balance of foods [Should not be plural] choices to regulate their diet and control their glucose levels. If this is not achieved [Insert comma] long term complications for diabetes can arise which include; damage to the heart, blood vessels, kidneys, eyes, and nerves. Carbohydrate intake must be carefully coordinated with an exercise program and medication, this is imperative so that glucose and insulin are available in the right a...
... middle of paper ...
...i, G. (2011). Short Report: Treatment effects of meals with different glycaemic index on postprandial blood glucose response in patients with type 1 diabetes treated with continuous subcutaneous insulin infusion. Diabetic Medicine, 227-229. doi:10.1111/.1464-5491.2010.03176.x
Rosdahl, C.B., & Kowalski, M.T., (2008). Textbook of Basic Nursing (9th Ed.) Philadelphia, PA: Lippincott, Williams and Wilkins
Scavone, G., Manto, A., Gagliardi, L., Caputo, S., Mancini, L., Zaccardi, F., & Ghirlanda, G. (2010). Effect of carbohydrate counting and medical nutritional therapy on glycaemic control Type 1 diabetic subjects: a pilot study. Diabetic Medicine, Vol. 27, (477-479). doi:10.1111/.1464-5491.2010.02963.x
Thornton, H. (2009, June). Type 1 diabetes, part 1: An Introduction. British Journal of School
Nursing, Vol. 4, (No 5), 223-227. Retrieved from EBSCOhost database.
Type 1 diabetes develops when the beta-cells are killed off by the immune system. This is because an inflammation is caused which the immune system fights off, ultimately destroying all/majority of beta cells. The role of the beta cells is to produce insulin within the pancreas. The beta cells are signalled when to release insulin’s to certain parts of the body. A person with type 1 diabetes is likely to have lost 70-80%1 of their beta-cells mass which is why they must manually inject insulin into themselves to maintain a healthy blood glucose level. When the blood glucose level falls (hypoglycaemia) you begin to lose energy.
Type 1 Diabetes Mellitus is also referred to as insulin-dependent as the secretion of the hormone insulin by the pancreas is reduced to minor levels due to the destruction of the pancreatic beta cells by immune system of the body. Therefore, Type 1 Diabetes is an autoimmune condition due to the fact that the body is harming the pancreas with antibodies so beta cells cannot make any insulin for bloodstream to take in glucose. The fact that the cells in the body cannot take in glucose means that it builds up in the blood and hyperglycaemia occurs. This abnormally high level of blood glucose is able to harm the nervous system, tiny blood vessels in the kidneys, heart and the eyes. Type 1 Diabetes is fatal when left untreated as it then causes heart disease, kidney disease, damage to the nerves, stroke and
In 2009 the International Expert Committee, which consisted of experts from the American Diabetes Association (ADA), the European Association for the Study of Diabetes, and the International Diabetes Federation, released a report that recommended the use of Hemoglobin A1c (HbA1c) to diagnose diabetes (American Diabetes Association [ADA], 2013; International Expert Committee, 2009). HbA1c is a widely used marker of chronic glycemia, because it reflects an individual’s average blood glucose levels over a 2-3 month time period (ADA, 2013). Also, HbA1c is largely used as the standard biomarker for the adequacy of individuals’ glycemic management (ADA, 2013; Bao et al., 2010).
Journal of Continuing Education in Nursing, 44(9), 406. doi:10.3928/00220124-20130617-38. Torpy, J. M. (2011). The 'Standard' Diabetes. Jama, 305(24), 2592 pp.
Taylor, C. (2011). Introduction to Nursing. Fundamentals of nursing: the art and science of nursing care (7th ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.
Current theories link the cause of diabetes, singly or in combination, to genetic, autoimmune, viral, and environmental factors (obesity, stress). Regardless of its cause, diabetes is primarily a disorder of glucose metabolism related to absent or insufficient insulin supplies and/or poor utilization of the insulin that is available. The two most common types of diabetes are classified as type I or type II diabetes mellitus. Gestational diabetes and secondary diabetes are other classifications of diabetes commonly seen in clinical practice
Therefore, learning about the concept of diabetes in general is very important to prevent further complications of other critical diseases. It is best to understand and to stress out the importance of good nutrition, exercise, diet, healthy active lifestyle to the improvement for someone’s well being.
According to the American Diabetes Association, 28.5 million people in the United States have been diagnosed with diabetes. Out of that number, there are 215,000 children under the age of 20 with the disease. About 1 out of every 400 children and adolescents have diabetes. Diabetes is broken down into Type 1 and Type 2. Diabetes is a chronic condition that will require treatment for the lifetime of the patient. For this paper I will explain the differences between the two and focus on the treatment of Type 1.There are several different ways to manage Type 1 Diabetes. Fine needle syringe, insulin pen or insulin pump. Should the insulin pump be a required form of treatment instead of the other two options? To answer this question, the basis for the research paper will be on how well the insulin pump regulates the blood sugar over the other 2 types of treatments.
My former clinical instructor has DM1, and she taught us about carbohydrate counting, the importance of exercise, and what keeping up with insulin does. We did a carbohydrate counting project that we presented to the nurses and then to the patients. We made sure to an...
Glucose is a sugar that plays a big part in a human’s health and well-being. This sugar is a major source of energy for the body’s brain and cells. The Cells that receive energy from glucose help in the building of the body’s muscle and tissue. Although glucose may be important to the body too much of this sugar can cause a chronic condition called Diabetes. Diabetes, also known as Diabetes mellitus, is a chronic condition that is caused by too much sugar in the blood. This condition can affect all age groups. In fact, in 2010 a survey was taken by the National Diabetes Information Clearinghouse, on the number of newly diagnosed diabetes. Out of 1,907,000 people: 24.38% were ages 20-44, 55.17% were ages 45-64, and 20.45% were ages 65 and greater. Diabetes is a very serious condition, and it can be deadly if left untreated. This paper will help better educate the reader on the signs and symptoms, the testing process, and the management of diabetes.
Thesis: Diabetes type 1 is different from type 2 and if given the wrong treatment it could lead to devastating consequences.
Type 1 diabetes has a genetic onset that often occurs in adolescence (Porth, 2005). It is an autoimmune disease in which the insulin-producing beta cells within the liver are destroyed (Dorman, 1993). This causes a deficiency in insulin secretion, which ultimately leads to high blood glucose levels, also referred to as hyperglycemia (Guthrie & Guthrie, 2004). The mechanism for insulin deficiency leading to hyperglycemia is described in more detail in the following section and in Figure 1.
Taylor, C. R., Lillis, C., LeMone, P., & Lynn, P. (2011). Fundamentals of nursing: The art and science of nursing care (7th ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.
Potter, P. A., & Perry, A. G. (2009). Fundamentals of nursing (Seventh ed.). St. Louis, Mo.: Mosby Elsevier.
Nazarko, L. (2009). Causes and consequences of diabetes. British Journal of Healthcare Assistants, 3(11), 534-538. Retrieved from EBSCOhost.