Diabetes Mellitus (Dm) Term Paper

Pages: 2 (877 words)  ·  Bibliography Sources: 0  ·  File: .docx  ·  Level: College Senior  ·  Topic: Criminal Justice - Corrections

Recommend testing for ketones in all urine samples from patients with type 1 DM who exhibit persistent, rapid, and marked fluctuation in their degree of hyperglycemia.

DKA is acute metabolic changes in the body due to lack of insulin or poor response to insulin due to stress or illness. It is characterized by hyperglycemia, ketosis, and acidosis, leading to osmotic diuresis and dehydration.

Since Kusuf also has been diagnosed with Ketosis and Acidosis, the key to treatment of DKA is volume repletion, insulin therapy, and specific metabolic corrections.

One of the first steps in managing type 1 DM is diet control. According to the ADA policy, the diet treatment is based upon nutritional assessment and treatment goals. Diet recommendations should be made in view of the patient's eating habits and lifestyle.

Diet management includes education about the timing, size, frequency, or composition of meals to avoid hypoglycemia or postprandial hyperglycemia. All patients on insulin should receive a comprehensive diet plan that includes a daily caloric intake prescription; recommendations for amounts of dietary carbohydrate, fat, and protein; and how to divide calories between meals and snacks. A professional dietitian should be involved to create the individual diet plan.

In these patients, the caloric distribution is important; a recommended distribution consists of 20% of daily calories for breakfast, 35% for lunch, 30% for dinner, and 15% for late evening snack.

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The minimum protein requirement for good nutrition is 0.9 g/kg/d (range = 1-1.5 g/kg/d), but a reduced protein intake is indicated in cases of nephropathy.

Fat intake should be limited to 30% or less of the total calories, and a low-cholesterol diet is recommended.

Patients should consume sucrose in moderation and increase their fiber intake. In some cases, midmorning and midafternoon snacks are important to avoid hypoglycemia.

Term Paper on Diabetes Mellitus (Dm) Is a Assignment

Also, Yasaf should begin to exercise regularly. Exercise is an important aspect of diabetes management. Patients should be encouraged to exercise regularly. Educate the patients about the effects of exercise on the blood glucose level. If patients are planning to participate in rigorous exercise for more than 30 minutes, they may develop hypoglycemia. To prevent hypoglycemia, they either can decrease the insulin by 10-20% or can have an extra snack. These patients must maintain their hydration status during exercise.

If Yasaf follows these steps than he will have a greater chance of deterring his diabetes from complicating his life in the future. Though common in young children of his age, and especially among white children, such cases can be detrimental to mental health as well as the obvious physical symptoms. Such a diagnosis, for Yasaf and for… [END OF PREVIEW] . . . READ MORE

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