Type 2 Diabetes Mellitus (T2DM) is a chronic disease that is modifiable and preventable through diet and exercise. The incidence of T2DM is propagated by a sedentary lifestyle and excessive caloric intake. Maintenance of a desirable body weight, diet, and exercise are the mainstay therapy for T2DM (Buttaro, Trybulski, Bailey, & Sanberg-Cook, 2013). I have chosen Shannon, a 30 year old single African American female who is newly diagnosed with T2DM for my health promotion paper. Shannon is obese with a Basal Metabolic Index (BMI) of 32 and HbA1c of 9.8 %. She is otherwise healthy with no known medical problems. When I first met Shannon, she was petrified of her diagnosis and the accompanied symptoms (polyruria, polydipsia, fatigue, blurry vision and paresthesia of fingers and toes) and stated "I have to do something with my weight this time, I am scared!". During this initial clinic visit, we discussed T2DM disease process, its management, and complications. Shannon was very receptive of the information and is looking forward to her diabetic education class at Harper Hospital. Two mutually agreed health promotion goals that are simple, attainable, realistic and sustainable were developed for Shannon. First, we agreed on a normal or near normal fasting and two hour postprandial blood glucose levels within 6 weeks of her diagnosis. Second, we agreed on the importance of adhering to a healthy well balanced diet and incorporation of an exercise regimen to help her lose weight by one to two pounds per week. Our second goal can be achieved by decreasing her current caloric intake by 500 kcal/day (with the final goal being 1500 kcal/day), limiting intake of carbohydrates (160-240 g/day), protein (40-60 g/day), saturated fat (<... ... middle of paper ... ...red to Harper Hospital diabetic education program at end of the clinic visit. Week 2- Phone conversation for 30 minutes. Shannon shared her learning of the diabetic education program and I was told how informative and helpful it was. She learned how to properly use her personal glucometer machine and diet regimen for diabetic as well. I commended her determination. I suggested downloading an "APP" on her mobile device called "My Fitness APP" to keep log/diary of her daily activities. Week 3- Shannon was very happy to inform me that her diet and exercise are working. She lost 3 lbs already. She takes a 30 minute walk during her lunch breaks and has joined a fitness club. I suggested signing up for fun activities at the gym like aerobics exercises or Zumba classes. Week 4- During our phone conversation, she was stressed at work and did not feel like
Diabetes mellitus (DM) is one of the most common chronic illnesses nationwide, impacting approximately 29.1 million Americans. DM poses as a significant public health concern as its’ prevalence steadily increases diabetes poses as an enormous public health challenge because it steadily increases every year (ADA, 2014). The more common type of diabetes is type 2 which is the progressive failure of pancreatic beta cells. Type 2 diabetes leads to hyperglycemia and insulinopenia. Well over 90% of patients
Diabetes mellitus is an abnormality in the regulation of the blood glucose and the storage of nutrients evidence by the resistance to the actions of the insulin or an absolute deficiency of insulin. Diabetes mellitus is classified into four clinical classes. Included are type 1 DM and type 2 DM. Other categories comprehend gestational diabetes mellitus and other specific types of diabetes and these can occur secondary to other conditions. The insulin resistance and the metabolic syndrome is a problem
Introduction Type 2 diabetes mellitus (T2DM) is one of the most common diseases with a high incidence and prevalence throughout the world. It affects nearly 4% of the world's population and this percentage will supposedly be increasing up to 5.4% by year 2025 (Chaudhary et al., 2012). Among diabetic patients a high prevalence of coronary heart disease is observed at a relatively young age. Thus, risk factors for atherosclerosis must be defined and avoided in patients with diabetes mellitus. Abnormality
Diabetes mellitus type 2 is a serious chronic health condition that affects a significant proportion of the Indigenous Australian population. Diabetes impacts Indigenous Australians at a younger age than their non-Indigenous counterparts and results in more serious health complications and earlier deaths (HealthInfoNet, 2015). According to the World Health Organization, the determinants of health are ‘the conditions in which people are born, grow, work, live, and age, and the wider set of forces
Introduction Diabetes Mellitus is a disease of the endocrine system primarily differentiated between type 1 and type 2. Type 1 diabetes occurs when the pancreas is unable to produce insulin and was previously seen in the younger generation which is no longer the case.1 Type 2 diabetes is the more prevalent of the two types and involves elevated blood sugar levels due to the insufficient production of insulin. Risk factors that make an individual higher risk for type 2 diabetes include increasing
The Effectiveness of Patient Education in the Management of Type 2 Diabetes Mellitus According to the American Diabetes Association (ADA), Diabetes Mellitus continues to rise in the United States with almost 30 million children and adults having diabetes. Approximately 90-95% of those diagnosed are diagnosed with Type 2 Diabetes Mellitus. (ADA, 2014) The need for further patient education by medical-surgical nurses has increased due to the rising number of diabetic patients. Glucose control is important
INTRODUCTION Diabetes mellitus is a group of metabolic disorders which is characterized by hyperglycemia due to insulin deficiency or resistance or both reasons. (1) According to that diabetes mellitus can be divided as type I and type II. This is common and its incidence is rising, 171 million people had diabetes in 2000 it is expected this condition to be doubled in 2030. It is spread in all the countries and therefore has become a major burden upon healthcare facilities. (2) “To manage diabetes, patients
diabetic patients and develop recommendations to improve portfolio of services, and achieve more adherence to pharmacological treatments and long-term modifications in the lifestyle of our patients. Each year more and more people are diagnosed with type 2 diabetes, which has alerted health workers in search of new methodologies to approach these patients to reduce the likelihood of developing complications in the future or even prevent the death of these patients. Bad eating habits, lack of exercise and
Diabetes mellitus type 2 is an endocrine disorder that causes impaired use of carbohydrates while enhancing the use of proteins and lipids. This is called insulin resistance, in which the pancreas cannot make enough insulin to keep blood glucose levels normal, or the body is unable to use what is produced. The impairment causes blood glucose level to rise higher than normal. There is no cure for type 2 diabetes mellitus and it is life threatening when left untreated. Signs and symptoms of this
Annotated Bibliography The incidence of type 2 diabetes is also increasing in this rural area. Many American adults are obese and the rising number of adults also have Type II diabetes mellitus. Should adults worry about the growth of obesity and diabetes. Crawford, A., Cole, C., Couto, J., Daskiran, M., Gunnarsson,C., Haas, K., & Schuett, R. (2010). Prevalence of obesity, type 2 diabetes mellitus, hyperlipidemia, and high blood pressure in the United States: findings from the GE Centricity Electronic
Background: According to Ahmed AM, a member of faculty in the Medicine department at University of Bahr Elghazal, “Clinical features similar to diabetes mellitus were described 3000 years ago by the ancient Egyptians. The term "diabetes" was first coined by Araetus of Cappodocia (81-133AD). Later, the word mellitus (honey sweet) was added by Thomas Willis (Britain) in 1675 after rediscovering the sweetness of urine and blood of patients (first noticed by the ancient Indians). It was only in 1776
Type II Diabetes Mellitus: An Emerging Epidemic Diabetes mellitus is a group of metabolic disorders characterized by inadequate insulin secretion by the pancreas or cellular destruction leading to an insulin deficiency. Depending on the cause of the insulin shortage, diabetes can be subcategorized into type I and type II. Type I diabetes (T1DM) is usually mediated by the destruction of b-cells in the pancreas resulting in decreased insulin production and secretion. Type II diabetes (T2DM) is the
In today’s society diabetes mellitus has become a prevalent issue, especially because it is affecting our youth in increasing numbers. Diabetes is defined as “a complex disorder of carbohydrate, fat, and protein metabolism that is primarily a result of a deficiency or complete lack of insulin secretion by the beta cells of the pancreas or resistance to insulin ("DM," 2013, p. 522). The number of adults diagnosed with diabetes has significantly increased from the 1980s to today, as well as the number
The Importance of Exercise with Type 2 Diabetes Mellitus Today, type 2 diabetes mellitus is becoming more and more of a health issue for millions of people across the globe (Nadeau & Iyer, 2014). It is projected that, by 2025, over 300 million people in the world will have type-2 diabetes (Waryasz & McDermott, 2008). Type-2 diabetes is a condition in which the body builds up resistance to insulin meaning that the glucose in the blood cannot be effectively taken in by the insulin. This occurrence
Interventions: Managing Diabetes Problem Introduction Diabetes is a disease that affects everyone. I too have been affected my father side of the family has diabetes in it. Diabetes has no cure and it is something you have to deal with for the rest of you life. With the support of nursing you can help patient become compliant with this diseases, which will help them less complication in life. Background Information With the current literature research diabetes a growing among patients