Ann is a 64-year-old diabetic who recently experienced the death of her mother. Now she is caring for her father, who is demanding and becoming confused. To complicate matters, Ann must care for her own teenage children and is working full time. For several weeks, Ann has noticed an increase in her blood sugar levels when she tests her late afternoon glucose. Explain why this is happening to Ann
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- Janice is being promoted to a new position at the corporate office in New York City. Living in the Midwest her entire life, Janice is looking forward to the change of pace and location and is looking for places to live. One of the features she is looking for in her new neighborhood is a community well suited to help manage her type 2 diabetes. What should Janice look for to assist her in managing her type 2 diabetes?Ms. Jones is 60 years old and obese. She has been diagnosed with type 2 diabetes and will be started on glyburide. She is very nervous about this diagnosis and concerned that she will need to give herself “shots.” a. Explain the difference between diabetes mellitus type 1 and type 2. b. How does glyburide help decrease blood sugar levels? What are the key teaching points for patients taking oral antidiabetic agents? (nursing)If Elaine is diagnosed with Diabetes Mellitus Type II, which of the following is NOT true? Her body cells have likely become insulin resistant. She will need to make lifestyle changes, including changes to her diet and exercise routine. If she does not treat her condition, she could develop metabolic ketoacidosis. Insulin injections will likely be required.
- Elaine’s doctor recommends supplementing her lifestyle changes with medication. Which of the following statements is true regarding diabetes treatment? Diabetes Mellitus Type II is always treated with insulin injections. For patients with insulin resistance, medication to increase cell sensitivit can reverse the problem. Medication to stop the pancreas from producing insulin is effective. Even though Elaine's symptoms are mild, her doctor will recommend a permanent insulin pump because of her age.Mr. North is 62 years of age and has recently been diagnosed with Type 2 diabetes. Define Type 2 diabetes (Diabetes Mellitus) and list two facts about it not found in the book. What lifestyle changes are required to assist a resident with blood sugar control? Explain at least three common future complications of this condition.Janice is requesting an opportunity to regain control of her diabetes through lifestyle changes rather than initiating insulin therapy. How can she increase her likelihood of success using technology?
- “You are a nurse in an acute care hospital. Your new patient JD is in the hospital for fractures. His chart showed he has type 2 diabetes with HbA1c of 8.0%. JD’s sister came in to visit at lunch and brought him a Big Mac (3 slices of bread) with large fries on the side in addition to a bag of potato chips and a bottle of orange juice. You are concerned about the high carbohydrate content of the meal and discussed this with JD and JD’s sister. JD’s sister said, “I know my brother has diabetes, so I didn’t bring him soda or dessert.” JD said “I really love my carbs, but I know I should avoid all carbs to make my sugar low. Doctor said something about my ‘A1c’. Do you know what that is about?” Both JD and his sister said they would like to learn more about diabetes and diet.” Q1. Please explain to JD why he needs carbohydrates and describe the 2 functions of carbohydrate. Please explain to JD and his sister what the HbA1c test is and how to use A1c level to categorize normal blood…A doctor has three patients who he suspects may be diabetic. On two occasions, each patient was administered a sugar test (i.e., was asked to consume a very sugary beverage) and their blood sugar levels were monitored for 120 minutes according to the graphs shown below. a) Which of the three patients does not have diabetes? How do you know? b) Which of the three patients has Type I diabetes? How do you know? c) Which of the three patients has Type II diabetes? How do you know?Researchers are making advances in diabetic research. List and explain the advances that may be helpful to Jack.
- Mr. M is a patient with type I diabetes mellitus. He presents with dizziness, rapid breathing, confusion, and weakness. You find out that he forgot to inject his normal dose of insulin this morning. Will his blood glucose concentration be normal? Explain. Your colleague suggests that Mr. Montez needs to ingest some sugar. Is this going to help him? Why or why not?Charles is a diabetic with Alzheimer's disease and often forgets whether he has injected insulin or not. He is in the emergency room today because of heart abnormalities and is found to have hypoinsulinemia. You would also expect his blood analysis to show: A. hypokalemia B. hyperkalemiaFatima is a 43 year old lady with a diagnosis bipolar affective disorder and usually manages her Type 1 diabetes with minimal support. She is currently hypomanic and reports that she has not slept for more than 3 hours in the last 5 days. A) Explain your understanding of Type 1 and 2 diabetes. B) Why might Fatima's current hypomanic presentation present additional risks to her physical health? C) What interventions would you suggest in this situation? Please justify your answer.