Literature review
In the past decades, people have been aware of diabetes although not to such extent being experienced today. These conditions have become more relevant due to lack of physical activity and unhealthy eating habits that leads to fluctuations in insulin levels. Recent research on this topic shows that all patients with diabetes could benefit from the same therapeutic treatments such as medical nutrition therapy and physical activity.
For all types of diabetes, the first goal of MNT is to assist attain and maintain metabolic normality, this not only include blood glucose, but also lipid and lipoprotein levels.6-14 Even though, there is no known cure for diabetes type 1, the recommendations to get rid of their symptoms do not vary significantly, besides the use of medication. In fact, there are multiple studies that have found that nutritional therapy is an integral component for the treatment of diabetes by normalizing glucose levels, helping maintain weight, and avoiding complications such as other related health concerns.13-16 Recent research, especially on randomized clinical therapy shows that observing a good nutrition really works well in prevention than in the treatment of diabetes. In a study by Rossi and colleagues, 130 patients were randomized to compare a Diabetes Interactive Diary (DID) with standard carbohydrate counting in terms of metabolic and weight control. Of the 130 patients, 11 dropped out. However, they discover that DID is at least as effective as traditional carbohydrate counting education, allowing dietary freedom for a larger proportion of type 1 diabetic patients making it safe, requiring less time for education, and is associated with lower weight gain.14 Other studies have also demonstra...
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...Medical nutrition therapy is essential for the treatment of diabetes; however, monitoring of a dietitian is empirical. As we could see, there is overwhelming evidence that shows that diabetes can be preventable, managed and sometimes reversed through activity and diet changes. Current research results, show significant results in the prevention and treatment when is maintain on a regular basis for all types of diabetes. Since complementary alternative medicine consumption is on the rise, it is desirable to improve our knowledge concerning their potential effects and adverse effects, especially in conjunction with prescription medication. Given the complexity of pharmaceutics in patients with chronic diseases, among them patients with Diabetes Mellitus, the use of supplementary medicine cannot be ignored if it can be prevented and treated with simple food and exercise.
For this evaluation of a clinical practice guideline I chose to evaluate a guideline that was published in 2012 and that addressed the use of oral medication in the treatment of Type 2 Diabetes (Appendix B). People who have received a diagnosis of Type 2 Diabetes Mellitus (T2DM) are facing a long term treatment plan. Diabetes mellitus is a chronic metabolic disorder that results from a problem with insulin in the body. T2DM is growing in prevalence and is a cause for concern. There are several co-morbidities that can be linked to poorly controlled blood sugar levels such as cardiovascular disease, peripheral vascular disease, renal failure, and a decrease in eyesight. If blood sugar levels can be maintained at a normal to near normal limits the patient has a decreased risk of experiencing these comorbidities. Because of this it is important for the healthcare practitioner to evaluate all treatment methods available and the evidence that supports the efficacy of recommending this treatment to our patients. I used the AGREE II tool in evaluation of this guideline (Appendix A).
Diabetes is a disease in which a person’s body in unable to make or utilize insulin properly which affects blood sugar levels. Insulin is a hormone that is produced in the pancreas, which helps to regulate glucose (sugar) levels, break down carbohydrates and fats, and is essential to produce the body’s energy. The CDC (2013) offers reliable insight, summarized here, into the different types of diabetes, some causes, and health complications that may arise from the disease.
Every action of my day, every bite of food and every amount of exercise affects my health. I have had Juvenile Diabetes for thirteen years, and now I have decided to take on the task of not only managing my own health, but other’s as well. Managing my diabetes has not always been a huge struggle for me, but with the new stress of nursing school, it is becoming a balancing act between school and my own health.
Exercise can be used in conjunction to dietary control when diet alone is not maintaining appropriate glucose levels. The American Diabetes Association recommends participating in both aerobic (walking at a fast pace, swimming laps, playing tennis) and resistance training exercises (free weights or weight machines, resistance bands, wall-sits) .However, it is still controversial to endorse exercis...
Diabetes and uncontrolled sugar levels is now the seventh leading cause of death in the United States, and the number one cause of adult onset blindness, lower limb amputations and kidney failure (healthy people citation). Additionally, those diagnosed diabetes have an amplified risk of having a heart attack and an overall increased mortality rate, both of which are proportional to 1.8 times greater than those not afflicted with diabetes (Healthy people). Obviously, without proper glycemic control, these number can be a much higher ratio; consequently, it is imperative proper health promotion measures are
According to the CDC, diabetes is becoming more common and has more than tripled from 1980 through 2011, from 5.6 million to 20.9 million (Diabetes public health resource, 2013). Type two diabetes can be managed through diet and exercise. Type two diabetes is a condition formerly called ‘adult-onset’ or ‘non insulin-dependent’ where the body doesn’t
The figure also shows that one in every eleven adults suffers from diabetes under the Sun. The facts and figures researched in this report clearly shows that diabetes has become one of the most common diseases, and we need more doctors and scholars who can make continuous and serious efforts to come up with a better medicine or treatment for diabetes.
Because we are all physiologically the same there are factors that must be addressed in all Diabetics
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...
Schulze, M. B., & Hu, F. B. (2005). PRIMARY PREVENTION OF DIABETES: What Can Be Done and How Much Can Be Prevented?. Annual Review of Public Health, 26(1), 445-467.
Diabetes affects 18.2 million people in the United States. It is often referred to by doctors as diabetes mellitus and described as, “… a metabolic disease in which the person has high blood sugar …” (Collazo- Clavell et all. 2009), either because the insulin is inadequate or the body’s cells don’t respond well to the insulin. The health and economic consequences of diabetes are considerable. The majority of people that have diabetes live in low and middle income countries, where the prevalence of the disease is high. There are three types of diabetes that are called type 1, type 2, and gestational diabetes. Although diabetes is a disorder, it can lead to other diseases such as heart attack, kidney failure or death. A person that has diabetes has to maintain a healthy lifestyle, by eating the right diet, controlling their blood sugar level, and be optimistic.
Diabetes Mellitus is a chronic health condition in which the level of glucose in the blood is higher than usual. Type 1 diabetes occurs when the pancreas does not create enough insulin and type 2 diabetes occurs when insulin is produced, but is not adequate in lowering blood glucose levels or there is resistance to the insulin (Edwards, 2007, p. 9). Diabetes mellitus is the leading cause of end-stage kidney disease, foot and leg amputations, and new cases of blindness in the United States (Ignatavicius & Workman, 2010, p. 1465-66). People with type 1 diabetes are required to take insulin to manage their glucose levels. People with type 2 diabetes are usually prescribed oral medications such as sulfonylurea agents, meglitinide analogues, or biguanides to help control their glucose levels. Twenty to 30% of people with type 2 diabetes require insulin therapy as well (Ignatavicius & Workman, 2010, p. 1471). In addition to medication therapy, diet and weight control can help manage both type 1 and type 2 diabetes. Because diabetes mellitus can cause such severe complications, it is important that people with diabetes understand the importance of certain health and lifestyle choices, such as their diet and weight to manage their disease. Patients with diabetes mellitus should pay special attention to the amount of carbohydrates, protein, fat, and minerals that are included in their diet. Monitoring these components of their diet, along with weight management, can help control their diabetes mellitus.
2. Orogastric: This route is used when NG is contraindicated, and to prevent sinusitis. It is tolerated well by the sedated patients but not in awake patients.
Imagine not being able to have a snack or candy whenever you want to in a day. Many people have to watch what they eat, especially diabetics because of lack of insulin in their bodies. They have to watch their sugar intake daily and also keep up with insulin shots. Diabetes is a life long disease which isn’t easy to have without new technological advancements. The rapid growth of technology has made health care more successful, specifically in the advancements for the cure and treatments of diabetes.
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)