Diabetes Mellitus Type 2: A Case Study

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Diabetes Mellitus, Type 2 is a metabolic disorder that is related to increased glucose levels in the blood, which is known as hyperglycemia. Insulin under typical function aids in carrying glucose from the body’s bloodstream into cells. However, in DM II, insulin production is hindered, insulin receptors are more resistant, and/or there is an inappropriate secretion of glucagon. This causes glucose to increase in the blood since there are not enough functioning insulin receptors to help transfer glucose to cells. Chronic elevated glucose levels damage small blood vessel resulting in peripheral neuropathy, retinopathy, and acceleration of atherosclerosis. The elevated levels also impair immune function and wound healing ability (Lippincott Williams & Wilkins, 2011). FA was diagnosed with DM 250.00 in …show more content…

The patient does not report to have any polyuria, polydipsia, or polyphagia, however, was noted to have been eating a bag of candy that was given by the family. No urinalysis was ordered by the provider for he and the RN observed no unusual urination habits. FA’s glucose level presented as 8.6% when the normal level is below 6%, and that could possibly be due to his eating habits for the CNA had stated that FA was a “chocoholic”. Elevated glucose levels may cause the patient to have “changes in consciousness” (Lippincott Williams & Wilkins, 2011). However, upon conversing with FA, he was alert and oriented and even was stating, “I am very strong!” in Spanish, and telling jokes. Tachycardia may also be a symptom of DM II, and on the day of my

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