NR 228 week 2 (Assignment and Discussion

Diabetes NR 228 Case Study Assignment #1 Scenario You are the nurse working with Ann. Ann was recently diagnosed with diabetes mellitus type II, and she doesn’t seem to understand the disease process and its life-long effect on her. She states, “I believe I will soon be off all of these meds and daily shots, and I will be back to my usual self. I can’t wait” 1. What will be your initial response to Ann about diabetes mellitus and its management? Educate the patient on how to manage the disease process and how it will affect her lifestyle  After the diagnosis, A1C levels must be checked every 3months and an A1C goal/target will be determined by her doctor that varies depending on her age and other factors but mostly below 7%. An elevated A1C level may signal the need for a change in her medication, meal plan or activity level.  In addition to the test, BP, blood, and urine samples will also be taken periodically to check her cholesterol levels, thyroid function, LFTs, and kidney function  Regular eye and foot exams are also important  Managing a type 2 diabetes require weight loss, healthy eating, regular exercise, possible diabetes medication or insulin therapy and regular blood sugar monitoring 2. She asks, “What is the difference between the two main types of diabetes?” Type 1 diabetes: The body attacks the cells in the pancreas, which means it cannot make any insulin. Symptoms appear more quickly. Managed by taking insulin to control the blood sugar. Currently, there is no cure and what caused it is still idiopathic. This study source was downloaded by from CourseH on :22:49 GMT -05:00