The study found that triglycerides and low-density lipoprotein levels were significantly higher in patients with diabetes than in controls, while high-density lipoprotein levels were significantly lower in patients with diabetes. The researchers thus found that in Ethiopians with diabetes mellitus, dyslipidemia occurs more frequently than in controls. Because of this, the researchers recommended periodic screening for dyslipidemia in all Ethiopian patients with diabetes. They also suggested the need for other studies to assess the potential negative effect of dyslipidemia and obesity on morbidity and mortality in Ethiopians with diabetes (Siraj et al. 706-710). The rise in childhood obesity has been linked to a rise in diabetes both in childhood and in later life, leading to speculation that there may be an increase in Type 2 diabetes in the next few years. A study by Eva M. Vivian finds a rise in Type 2 diabetes in children and adolescents worldwide. Vivian also notes that changing a child's living environment to include physical activity and to provide a well balanced, low fat, high fiber diet are important steps for the maintenance of a desirable body weight and for improving insulin sensitivity. Doctors also recommend maintaining euglycemia with metformin, sulfonylureas, thiazolinediones, and insulin. Vivian also states that effective treatment of co-morbid problems such as hypertension and dyslipidemia can decrease the risk of cardiovascular complications. She further finds that the prevalence of type 2 diabetes in children will continue to rise until effective measures are taken to prevent obesity for this age group....
To this end, parents shod ensure that children have a well balanced low fat, high fiber diet combined with physical activity to promote weight loss or maintenance, improve insulin sensitivity, and decrease the risk of diabetes and cardiovascular disease. Drug therapy is needed for children who cannot achieve satisfactory glycemic control through physical activity and diet alone. The primary reasons for the increase in diabetes among children are a sedentary lifestyle and a high calorie diet (Vivian 297-306).
Diabetes Concept Concept Map: Type 2 Diabetes Mellitus Pathology Aetilogy Pathophysiology Pathogenesis Risk Factors: Weight, Race, Inactivity, Family history, Fat distribution, Age Prevention: Execrise, Eating habits, Regular checkups Diagnosis: Glycated hemoglobin (A1C) test Random or fasting blood sugar test Oral glucose tolerance test Structural Changes: Potential brain structure changes Myocardial degradation Circulation changes Possible amputation Pancreatic changes Signs and Symptoms: Increased thrist, Frequent urination, Increased hunger, Weight loss, Fatigue, Blurred vision, Frequent infections, Sores/slow healing, Darker skin Prognosis: If untreated: Heart disease, Stroke, Kidney disease, Dialysis, Blindness, Amputation Treatment Blood sugar monitoring, Exercise, Healthy eating habits, Possible medications / insulin therapy Functional Chnages: Chnages to kidney function, Changes to pancreas
Some patients feel helpless, hopeless, depressed, isolated from others, belittled, and do not know how to seek appropriate help from others (Rutter 2004). Socially supportive arrangements were addressed as the attributes of socially legitimate roles which provide for the meeting dependency needs without loss of esteem. Socially supportive environments were presented as pattern interpersonal relationships mediated through shared values and sentiments as well as facilitate the performance of social
The development of new antidiabetic agents -- for example, insulin analogs and incretin-based therapies -- has led to new treatment strategies that will allow those patients with Type 2 DM to achieve target HbA1c levels (2011). However, he notes that there are many factors that can interfere with the ability of some patients to reach metabolic targets (2011). Clinical data shows that HbA1c concentration, blood pressure, and serum levels
In cases where glycemic control is not achieved by dietary adjustments, commencing insulin therapy is strongly recommended. It is also essential to monitor the fetal health using ultrasound screening to avoid any complications during delivery of the baby. Regular monitoring of maternal glycemic levels and proper obstetric care should greatly help in reducing the potential health complications associated with diabetes during pregnancy. Bibliography 1) Alana Bluman Jincoe, (2006), 'Diabetes: Monitoring maternal
Bckground -- Diabetes mellitus is also known as Type II Diabetes, or non-insulin-dependent diabetes (adult onset diabetes in certain cases). The disorder is due to a number of variables that are present in the modern, developed world -- sugary foods, fast foods, lack of exercise, etc. It is characterized by higher than normal blood glucose levels that play havoc with insulin deficiency and resistance. Insulin resistance means that cells do
Gestational Diabetes Mellitus: Implications for Pre-Screening and Type II Diabetes Gestational Diabetes Mellitus Implications for Pre-Screening in Type II Screening of patients for the condition of "gestational diabetes mellitus" is considered to be an extravagance from the perspective of Lepercq (2004) who considered Universal Screening to be "contentious." However due to the 6.4% mortality rate due to untreated diabetes mellitus as well as the know birth defects and maternal health effects there are those
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