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Type II Diabetes Case Study

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Goals for Type II Diabetes The HgbA1C optimal values for most patients with type 2 diabetes is seven percent or lower, which parallels to an average blood sugar of one hundred and fifty milligrams per deciliter. Until the patient A1C level is at seven or below, he should have his lab checked every three months until the correct adjustments have been made in his medication (American Diabetes Association, n. d.). With these results, the nurse practitioner can better adjust the treatment regimen of the patient. This test can also give the nurse practitioner a better idea of the likelihood that the patient can develop many other complications such as kidney failure, blurred vision associated with retinopathy, or many different types of neuropathies just to name a few (Grossman & Porth, 2013). Lipid density levels for patients should be below one hundred milligrams per deciliter. Blood pressure should be one hundred and …show more content…

A mixture of short acting and intermediate insulin has approximately similar onset and duration times as the mixture mentioned above, but its peak is more lengthy at anywhere between two and twelve hours (American Diabetes Association, n. d). Basal and Bolus Therapy Versus Mixed Insulin Some advantages of utilizing premixed insulin are it has only one co-pay and costs less. It is also ideal for a patient with a regular schedule and meal times, and with a low risk of hypoglycemia. Patients typically need fewer shots than those who use basal/bolus therapy. The disadvantages of mixed insulins are that the patient must keep a regular mealtime schedule since they are at a greater risk for hypoglycemia and nocturnal hypoglycemia. The patient may also have a need for in between meal snacks to keep their blood sugars steady (National Institute of Diabetes, n.

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Dosage Birth-10 years: Initial dose- 0.5 ml, followed by 0.5 ml IM at 1 month and 6 month after initial dose. 11-19 yrs: 0.5 ml followed by 0.5 ml IM at 1 month and 6 month after initial dose. Adult: 1 ml followed by 1 ml IM at 1 month and 6 month after initial dose, all types. Revaccination: a booster dose should be considered if anti-HBs levels < 10mlU/ml 1 to 2 month after third dose.

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332 Words | 2 Pages

In the dulaglutide 1.5 mg change in body weight was from 0.9-3.0 kg and 0.2-2.6 kg for dulaglutide 0.75 mg. 2 One of the study conducted in Hispanic/Latino patients receiving dulaglutide 1.5 and 0.75 mg to see the reduction in HbA1c. Hispanic/Latino patients receiving dulaglutide 1.5 mg had a reduction in HbA1c of 1.25%, and dulaglutide 0.75 mg had a reduction of 1.07%. Dulaglutide improved glycemic control with the potential for weight loss in Hispanic/Latino patients with T2D. Dulaglutide was well tolerated and had a low risk of hypoglycemia when used without insulin secretagogues or insulin.3 Dulaglutide is available as a single-dose automatic self-injecting device, which has a low volume, does not need reconstitution, and avoids patient handling of the needle. No dose adjustment requires based on weight, sex, age,

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ARSC Brittany Thomas received a compliment from an Ambetter member stating that Brittany was fabulous, patient, and kind. She also said Brittany was very helpful and she appreciated the service she received from her. Priscilla Veasley received a compliment from an Ambetter member who said that Priscilla is a very good employee, she doesn’t know her personally, but she has known her for a few days because she has been calling me every day to update me, she is so sweet, very good, we should be grateful to have an employee like that, she wishes to talk to her every time.   She is the sweetest thing ever.

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1069 Words | 5 Pages

6 for the next four weeks, providing ongoing support for Angela. A formal evaluation would take place at the end of four weeks. It was decided not to refer Angela to an occupational therapist regarding splinting at this stage but to evaluate the above plan of care and refer if there was no improvement in Angela’s spasm and pain. Four weeks after your initial visit to Angela with her MS CNS both you and the MS CNS are visiting Angela to evaluate the plan of care that was implemented.

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548 Words | 3 Pages

Moreover, I held the health education for them and helped them learn to use the blood sugar monitor correctly. I also presented several examples to explain the seriousness of exacerbating diabetes. Patients will have many complications, such as diabetic retinopathy, diabetic cardiomyopathy, diabetic nephropathy and etc. Furthermore, I demonstrated how the blood sugar monitors work face to face. Make them understand that it is very useful and convenient for them to know well their blood sugar level, what is more, to control their health at any

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873 Words | 4 Pages

There are approximately 350 million individuals living with DM worldwide. In the United States, the rate of T2DM has increased in individuals of AA descent with the prevalence rate escalating in the past 30 years and has quadrupled. AAs above 20 years of age are 1.7 times more likely to be diagnosed with DM than the Caucasians. They accounted for 10.8% of all individual with diabetes (CDC, 2015). A comparison of rates of diagnosis of diabetes mellitus by ethnicity and race disclosed that in 2010 the AAs diagnosed for diabetes were 13.2% of 29.1 million Americans (ADA, 2014).

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The flow sheet shown here is based on one developed by Family Health Associates, one of three Family Care Network pilot sites participating in a diabetes quality improvement project. Diabetes Flow Sheet Name: Date of Birth: HbA1c ≤ 7% (q 4-6 months) Date: Result: Date: Result: Blood pressure ≤130/85

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Show ADA Some Support! Purpose: I want to convince my audience to learn about the American Diabetes Association and to make healthy choices from the organization. Introduction: Today, I will talk to you about the American Diabetes Association (ADA) and what you can do to show your support.

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Diabetes can be divided in two types. Type 1 diabetes is known as insulin-dependent diabetes. It happens when your immune system destroys beta cells which are needed to produce insulin. And type 2 diabetes, similar to type one, except immune system doesn’t destroy the cells that generate insulin. Type 1 diabetes has no cure but it can be regulated with proper

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We will provide free glucose meters and strip to the individuals with diabetes to be able to measure their A1C level. We intend that this measurement will be done every two to three month to be able to determine their average blood level. According to the America diabetes association, the A1C level of diabetes patient is good to measure because it helps professionals to know how oxygen flow into the blood cells and also help to indicate the amount of sugar stick in the red blood cell (RBC). The goal for this measurement is help us know how well the patients are able to manage their diabetes by healthy

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1589 Words | 7 Pages

I was raised in the Black Hills of South Dakota. I grew up with an awareness that Native Americans, or “Indians,” were a minority in my home town of Rapid City, South Dakota. But in school, my only real contact with the Lakota was in basketball tournaments like the Lakota National Invitational. My parents took me to the largest Pow Wow in Western South Dakota every year where we watched the beautiful grand entry dancers and listened to the awe-inspiring drummers and Lakota singers performing traditional music. Toward the end of my middle school years, my mom, a family physician, started taking me to the Pine Ridge Reservation once a summer to drive around the town, eat at Subway, which is one of the only restaurants in the expansive reservation,

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620 Words | 3 Pages

Intravenous and sub-cutaneous insulin is administered to the patient until blood glucose is controlled and urine ketones are negative or trace. When the patient was able to eat food, intravenous and sub-cutaneous insulin was continued simultaneously for two hours to insure adequate plasma insulin levels and to prevent hypoglycemia (Del Carmen Garcia-Pascual, 2012). His potassium level was monitored every two hours and potassium was supplemented to treat the patient’s hyperkalemia. Insulin treatment, to lower blood glucose levels, caused the patient to develop hypokalemia. Hypokalemia can cause serious cardiac arrhythmias (Del Carmen Garcia-Pascual,

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841 Words | 4 Pages

After graphing this data, part two needed to be completed. To start, 5 different test tubes were filled with 3 drops of 5 different patients blood followed by 5 drops of deionized water. Next, 5 drops of Barium Hydroxide was placed in each tube to clear proteins and cell membranes for an accurate reading could be made. Blood Clots also interfere with the readings of glucose, so 1 drop of Heparin was placed in each tube to prevent blood clots. The tubes were mixed and centrifuged.

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1231 Words | 5 Pages

Erythopoietin boosts the red blood cells. It increases the body’s oxygen-carrying potential which is why it is more likely to have seizures, strokes, or even death. Insulin is believed to provide a competitive advantage because it delivers glucose faster throughout the body, this is very harmful and it can lead to insulin shocks, seizures, or permanent brain

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The essay aim to describe the care study of a 63 year old African Caribbean man who has type 2 diabetes and hypertension. This will demonstrate the related objective on how effective theoretical concepts underpin the used to evaluate shared decision making process in a systematic assessment, planning, and interventions that is appropriate for self care needs. As well as, complying with local, and national guidelines in practice. This instigate shared decision making embedding the NHS Constitution as a collaborative process of person centred care for healthcare professionals ensuring that patients have autonomy to full information regarding their treatment options and are fully involved in making decisions about their ongoing health care,

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