Hypoglycemic Depression in Diabetics
My desire to obtain information related to the causes and effects of depression during Hypoglycemic (low blood sugar) reactions in diabetics has been of interest to me because of my own experiences with Type I diabetes. I have been an insulin dependent diabetic since the age of 17. I must explain that Type I diabetes was previously called insulin-dependent diabetes mellitus, or juvenile-onset diabetes. Type I diabetes develops when the body's immune system destroys pancreatic beta cells, the only cells in the body that make the hormone insulin that regulates blood glucose. This form of diabetes usually strikes children and young adults, who need several insulin injections a day or an insulin pump to survive. In my case I must inject a combination of two insulins, one long acting and one short, in order to maintain control over the blood sugar levels in my body. In addition Type I diabetes may account for 5 percent to 10 percent of all diagnosed cases of diabetes. There are risk factors for type I diabetes including autoimmune deficiencies, genetic and environmental factors, heart disease and even stroke.
In my case, I was misdiagnosed as having some sort of a stomach ailment at 17, which eventually caused me to progress into a diabetic coma for 4 days. I woke up blind in the hospital, and did not regain my eyesight for 3 months. This traumatic experience, the lifestyle changes, and my diabetic management over the years have changed drastically.
I have experienced hundreds of low blood sugar reactions over my "career" of 35 years with this disease. In addition there have been many traumatic depressions dur...
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...ugar episodes. I have trained myself to attempt to think about the fact that I am experiencing a temporary depression, and that I will survive, and all is not lost.
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eating disorder characterized by self-starvation and excessive weight loss (NEDA). This disorder plays severely against Diabetes Mellitus type 1 because in order to manage the blood sugars accurately and reduce the risk of becoming hyperglycemic or hypoglycemic, diet plays an important role. This patient that is anorexic will need to have intense teaching and education/ therapy sessions in collaborations to go over the importance of managing a healthy lifestyle, to adequately control their glucose levels
and implementation of new studies diabetes can be reduced among the populations. We as a people need to realize this epidemic and all get together and beat it. Restaurants need to stop putting chemicals and unnecessary fats in their food. Not only diabetics but everyone should educate themselves on what is going in your body when you eat. Also, exercising and getting off the couch, in children, needs to be addressed and that alone would help reduce diabetes in the younger population. I can’t stress
secretion of insulin results on impaired metabolism of glucose, carbohydrates, proteins and fats which then result to hyperglycemia and glycosuria. Hyperglycemia is the most frequently observed sign of diabetes and is considered the etiologic source of diabetic complications both in the body and in the eye. On the other hand, glucagon is the hormone that opposes the act of insulin. It is secreted when blood glucose levels fall. There are two types of diabetes. The type 1 and type 2 diabetes. Type 1 diabetes
those that become aroused from the sympathetic gestures that they receive. Works Cited Hamilton, James C., and Holly N. Deemer. “Excessive Reassurance-Seeking as Self-Regulatory Perseveration: Implications for Explaining the Relation between Depression and Illness Behavior” Psychological Inquiry Vol. 10, No. 4 (1999): 293-297 JSTOR Web. 12 Nov. 2013. Samaan, Zainab, Erin Hoh, and Glenda MacQueen. “Factitious Disorder Presenting as Type 1 Diabetes Mellitus” BMJ Case Reports (2009). ncbi.nlm.nih
My interest in this topic is a result of recent experiences with Diabetes Mellitus, Type 1 (DMI), especially with the following two instances: a young adult patient admitted at the hospital following a DKA episode during one of my nursing rotations and one of my instructors with type 1 diabetes. Also, my father was diagnosed with type 2 diabetes, this has increased my eagerness to study and explore more about the disease. During one of my rotations, I was assigned a young adult patient who had run
OUTCOME/GOAL STATEMENT: Short Term: Pt will verbalize feelings of concern regarding at home maintenance of self with SO prior to discharge. Long Term: (after discharge) Pt will work with home health care giver to relief frustration and avoid further depression. Bibliography: REFERENCES: Brunner, L.S. & Suddarth, D. S Textbook of Medical- Surgical Nursing, 1988 6th ed. J. B. Lippincott Company, Philadelphia Doenges, M. E. & Moorhouse, M. F. Nursing Care Plans 3rd ed. 1993 F.A