Type 2 Case Study In Nursing

Diabetes affects approximately 408 million people worldwide, with an estimate of 90-95% of cases being Type 2 Diabetes. According to the World Health Organization (WHO), 25% of cases go undiagnosed before it is too late, causing this disease to be a silent but deadly killer (WHO, 2016). Diabetes is the seventh leading cause of death in the United States. However, with the correct education and management, Type 2 can be self-controlled and potentially reversed (Watson, 2016). There are several types of Diabetes, but Type 2 has become an epidemic that can be greatly avoided if proper screening and education is provided to clients. Poor lifestyle choices can lead to an excess level of fat, thus making it more difficult on the body to use insulin

The aim of this model is to help clients direct and carry out behaviors that maintain or improve their health with proper education and guidance (Younas, 2017). Quality nursing care is effective when there is an emphasis on the relationship between the client and the nurse. The focus should be placed on environmental modifications and acknowledgment of community resources that are available to help reach their goals. Along with the proper support and education, the client will be able to take responsibility by following a carbohydrate counting diet to achieve goals of weight loss and lower A1C levels. Learning the proper education on the causes of Type 2 diabetes can help the client continue to work on self-maintenance and regulation through self-care for their own lifestyle choices. Conversely, there will be a continual need for assistance and knowledge promoting self-care behaviors (Younas,

Clients who are educated and understand how different physical activities and certain nutrients, such as carbohydrates and fats affect their body, may be more responsive to making lifestyle changes. Carbohydrates are converted to blood glucose within 90 minutes after each meal, while fat consumption increases insulin resistance (Dyson, 2015). While there are many diets to help with diabetes, a recent systematic review and meta-analysis suggested that a short-term, controlled carbohydrate diet, indicated more consistent A1C levels and weight loss over those following the glycemic index that only focuses on one food at a time. Long-term studies are still being researched for continuity (Dyson, 2015). Keeping blood glucose levels near normal and consistent will help prevent long-term complications such as eye, heart, and kidney problems (Warshaw, 2011). Carbohydrate counting along with fat gram counting can be beneficial, but it is more of an art than a science. Keep in mind that each individual is unique and the key for this system to work is collecting data and analyzing how it will be successful. Finding the right amount of carbohydrates will depend on factors such as how active the client may be and types of medications the client is taking. A daily diary of foods eaten, blood glucose levels, and daily activity will be key factors along with the