Diabetes and drug treatments discussion- with responses 

Diabetes and drug treatments discussion post with responses

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The common feature in all types of diabetes is that they result from the body’s inability to produce enough insulin, resulting in high blood sugar (Petersmann et al., 2019). Type 1 diabetes is a genetic disorder that often shows up early in life where the pancreas does not make or produce little insulin. Type 2 diabetes occurs later in life and is often associated with lifestyle choices such as diet and lack of physical activeness, or being overweight. Type 2 diabetes impairs the body’s regulation and use of sugar (Petersmann et al. 2019). Gestational diabetes occurs during pregnancy, where a hormone made by the placenta prevents the body from using insulin, resulting in insulin resistance. Juvenile diabetes is a condition in which the immune system destroys the cells that make insulin in the pancreas. Juvenile diabetes is most prevalent in children and young people (Petersmann et al., 2019). Based on the differences in the causes, the various types of diabetes would warrant varying treatment regimens.

For this discussion, I narrow down on type 1 diabetes. As pointed out, this is a genetic disorder that arises due to low insulin levels or no insulin by the body. Insulin glulisine is the most common medication used to treat type 1 diabetes (Katsarou et al., 2017). This medicine works to replace the insulin that the body produces. Insulin glulisine regulates blood sugar levels in the exact mechanism as regular insulin. The proper way of administering the drug is intravenously or using an insulin pump. It is recommended that patients consume healthy carbohydrates, more proteins, fruits, and vegetables to complement insulin glulisine. Frequent monitoring of blood glucose is also recommended when using the medication. Diabetes and drug treatments discussion post with responses

Short and long term impact of type 1 diabetes

The major short-term impact of type 1 diabetes is hyperglycemia which is low blood glucose that drops severely below level. In the long term, type 1 diabetes can affect major organs in the body, such as heart and blood vessel conditions, nerve damage, and skin and mouth diseases (Katsarou et al., 2017). In addition, it can lead to pregnancy complications. Some of the common side effects of insulin glulisine are that its usage can result in rash, itching, swelling of the face, trouble breathing, and chest pains.

Katsarou, A., Gudbjörnsdottir, S., Rawshani, A., Dabelea, D., Bonifacio, E., Anderson, B. J., … & Lernmark, Å. (2017). Type 1 diabetes mellitus. Nature reviews Disease primers, 3(1), 1–17.

Petersmann, A., Müller-Wieland, D., Müller, U. A., Landgraf, R., Nauck, M., Freckmann, G., … & Schleicher, E. (2019). Definition, classification and diagnosis of diabetes mellitus. Experimental and Clinical Endocrinology & Diabetes, 127(S 01), S1-S7 Diabetes and drug treatments discussion post with responses

6 months ago

RE: Week 5 Discussion post

COLLAPSE

Happy New Yeaxx

I enjoyed reading your posting this week. I think you thoroughly explained the difference between T1DM, GDM, and T2DM. While researching this topic I found a great article that discuss

T1DM women who become pregnant and have to triple their insulin dosage because their bodies become insulin resistant in the last trimester. The article also discuss the increased risk of

cardiovascular issues during pregnancy for mothers diagnosed with T1DM. In the last half of pregnancy, women with diabetes are more prone to developing pregnancy-induced hypertension

and an excessive amount of amniotic fluid. High blood glucose levels in late pregnancy can also increase the risk of stillbirth. Women with preexisting diabetes are asked to take low dose

aspirin daily, starting at the beginning of the second trimester to decrease the chance of developing preeclampsia (Durnwald, 2020). I will link the article below, I’m sure you will enjoy it. I also found a great article that discuss the predictability of insulin absorption when administered in the abdomen versus the arm or leg. As a provider with a newly diagnosed type 1 school age

diabetic patient, how would you education this patient on managing their condition?

References

American Diabetes Association. (2018). Pharmacologic approaches to glycemic treatment: Standards of medical care in diabetes-2018. Diabetes Care, 41(Supplement 1), S73-S85. Retrieved from http://care.diabetesjournals.org/content/41/supplement_1/s73.full-text.pdf

Durnwald, C. (202). Patient education: Care during pregnancy for women with type 1 or 2 diabetes.Wolter Kluwer UpToDate. Retrieved from: https://www.uptodate.com/contents/care-during-pregnancy-for-women-with-type-1-or-2-diabetes-beyond-the-basics

Rosenthal, L. D., & Burchum, J. R. (2021). Lehne’s pharmacotherapeutics for advanced practice

nurses and physician assistants (2nd ed.) St. Louis, MO: Elsevier Diabetes and drug treatments discussion post with responses

6 months ago

RE: Week 5 Discussion post

COLLAPSE

Happy new year to you too xx, Many thanks for your positive comments. Insulin is better absorbed from the stomach as compared to the leg or arm (Tandon et al., 2015). For such a school-going child, I would recommend for him or her to rotate the injection sites to minimize a scenario whereby on injection site will be excessively injected (Patil et al., 2017). Reference Patil, M., Sahoo, J., Kamalanathan, S., Selviambigapathy, J., Balachandran, K., Kumar, R., … & Ajmal, K. (2017). Assessment of insulin injection techniques among diabetes patients in a tertiary care centre. Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 11, S53-S56. Tandon, N., Kalra, S., Balhara, Y. P. S., Baruah, M. P., Chadha, M., Chandalia, H. B., … & Wangnoo, S. K. (2015). Forum for injection technique (FIT), India: the Indian recommendations 2.0, for best practice in insulin injection technique, 2015. Indian journal of endocrinology and metabolism, 19(3), 317. Diabetes and drug treatments discussion post with responses

6 months ago

RE: Week 5 Discussion post

COLLAPSE

Corrected response

Happy New Year to you too xx

Many thanks for your positive comments. Insulin is better absorbed from the stomach as compared to the leg or arm (Tandon et al., 2015). For such a school-going child, I would recommend for him or her to rotate the injection sites to minimize a scenario whereby on injection site will be excessively injected (Patil et al., 2017).

References

Patil, M., Sahoo, J., Kamalanathan, S., Selviambigapathy, J., Balachandran, K., Kumar, R., … & Ajmal, K. (2017). Assessment of insulin injection techniques among diabetes patients in a tertiary care centre. Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 11, S53-S56.

Tandon, N., Kalra, S., Balhara, Y. P. S., Baruah, M. P., Chadha, M., Chandalia, H. B., … & Wangnoo, S. K. (2015). Forum for injection technique (FIT), India: the Indian recommendations 2.0, for best practice in insulin injection technique, 2015. Indian journal of endocrinology and metabolism, 19(3), 317. Diabetes and drug treatments discussion post with responses

For this Discussion, you compare types of diabetes, including drug treatments for type 1, type 2, gestational, and juvenile diabetes.

Reference: American Diabetes Association. (2019). Statistics about diabetes. Retrieved from http://diabetes.org/diabetes-basics/statistics/

To Prepare

  • Review the Resources for this module and reflect on differences between types of diabetes, including type 1, type 2, gestational, and juvenile diabetes.
  • Select one type of diabetes to focus on for this Discussion.
  • Consider one type of drug used to treat the type of diabetes you selected, including proper preparation and administration of this drug. Then, reflect on dietary considerations related to treatment.
  • Think about the short-term and long-term impact of the diabetes you selected on patients, including effects of drug treatments.

By Day 3 of Week 5

Post a brief explanation of the differences between the types of diabetes, including type 1, type 2, gestational, and juvenile diabetes. Describe one type of drug used to treat the type of diabetes you selected, including proper preparation and administration of this drug. Be sure to include dietary considerations related to treatment. Then, explain the short-term and long-term impact of this type of diabetes on patients. including effects of drug treatments. Be specific and provide examples.

By Day 6 of Week 5

Read a selection of your colleagues’ responses and respond to at least two of your colleagues on two different days who selected a different type of diabetes than you did. Provide recommendations for alternative drug treatments and patient education strategies for treatment and management.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link, and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!

Main Posting

Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources.

Supported by at least three current, credible sources.

Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.

Does not respond to the discussion question(s) adequately.

Lacks depth or superficially addresses criteria.

Lacks reflection and critical analysis and synthesis.

Does not represent knowledge gained from the course readings for the module.

Contains only one or no credible sources.

Not written clearly or concisely.

Contains more than two spelling or grammatical errors.

Does not adhere to current APA manual writing rules and style.

Main Post: Timeliness

First Response

Second Response

The response exhibits critical thinking and application to practice settings.

Communication is professional and respectful to colleagues.

Responses to faculty questions are answered if posed.

Provides clear, concise opinions and ideas that are supported by two or more credible sources.

The response is effectively written in standard, edited English.

Participation

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