Type 2 Diabetes Type 2

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Type 2 Diabetes Mellitus Type 2 Diabetes Mellitus A 55-year-old female patient has had Type 2 DM for 20 years and she has questions about diet control of her blood sugars. She states that she does not eat “sugar” but reports that after eating she notes that her blood sugars elevate dramatically. Discuss how you would explain to the patient the reason for her post prandial blood sugar spikes even if she does not eat “sugar” at each meal. Type 2 diabetes is the most common form of diabetes affecting many Americans. It can develop due to obesity, genetics, illness, trauma, or myocardial infarction (Terry & Weaver, 2011). In type 2 diabetes, either the body does not produce enough insulin or the cells ignore the insulin. Insulin is…show more content…
A multisystem approach is necessary when assessing a patient with diabetes. It’s important to obtain a family history along with dietary habits and trends in blood sugar. Although this patient has been a diabetic for twenty years, ongoing education regarding diet, exercise, monitoring blood sugar, foot care, and medication is needed. It may also be necessary to refer the patient to a registered dietician to formulate a diet specific to the patient. References Bell, L. (Ed.). (2008). AACNs scope and standards for acute and critical care nursing. Aliso Viejo, CA: American Association of Critical-Care Nurses. Lewis, S. M., Heitkemper, M. M., & Dirksen, S. R. (2010). Medical-surgical nursing: Assessment and management of clinical problems (8th ed.). St. Louis: Mosby. Porth, C. M. (2008). Pathophysiology: Concepts of Altered Health States. [VitalSource Bookshelf]. Retrieved from http://digitalbookshelf.southuniversity.edu/books/9781451107494/id/P37-210 Shoulders-Odom, B. (2008). Management of patients after percutaneous coronary interventions. Critical Care Nurse, 28 (5), 26-39. Terry, C. L., & Weaver, A. L. (2011). Care of the patient with endocrine disorders. In J. Morita, & B. Kearns (Eds.), Critical care nursing (pp. 311-352). :

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