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Introduction to diabetes
Diabetes is the inability of the body to control the blood sugar level. High blood sugar levels are known as hyperglycemia this is
controlled by the hormone insulin. So having diabetes means there is interference with the creation and secretion of insulin. There
three types of diabetes
Type 1 diabetes
This first type of diabetes is known as Type 1 diabetes, what it means is that the person
with it is insulin dependent mellitus or has juvenile diabetes. It can be called juvenile
because of the age it is often acquired. It is not common to get Type 1 diabetes when
you have past your mid 20's.
This type of diabetes is also known as autoimmune disorder. That means the body
destroys cells that produce the insulin the reason for this is that it thinks that it is
harmful to the body. The cells are called the beta cells that are found in the islet cells
and are found in the pancreas. When the insulin producing cells get destroyed blood
sugar levels are not able to be regulated by the body so insulin has to be injected into
the body to perform this function.
Type 2 diabetes
The second type of diabetes or Type 2 diabetes, which is sometimes also known as
adult onset diabetes, this is because it was commonly found to occur in later life. It is
caused by insulin resistance. Beta cells in the pancreas continue to produce insulin but
the body needs more insulin than secreted to process the glucose or the insulin is less
effective in converting glucose into glycogen and thus reducing the blood sugar level.
It is not completely verified why Type 2 diabetes happens, being overweight seems to be
a common condition of most people that have Type 2 diabetes. There is a theory that a
lifestyle of eating unhealthy foods with out taking regular or adequate exercise could
contribute to causing this disease. it is also believed that type 2 diabetes can be hereditary, although the most documented advice on avoiding
type 2 diabetes is to lose weight, eat healthily and do more exercise.
Symptoms for diabetes Type 2
It is important to be aware that you could have diabetes and diabetes related problems without symptoms.
Type 3 diabetes
Third type of diabetes is Gestational diabetes this is acquired during pregnancy and is the product of hormonal changes in the body during the
pregnancy stage and also hereditary genes. this type 3 diabetes usually stops after childbirth.
CONCLUSION
The most common type of diabetes is type 2 diabetes it is estimated that 90% of diabetics suffer the type 2 diabetes ailment. There is also more
information on how to avoid and prevent type 2 diabetes than any of the others. Exercising more regularly and eating a healthy, balanced diet can
help considerably reduce the chances of getting diabetes. And if you have diabetes, exercise and healthy eating can make it less intrusive to your
lifestyle.
I. Biographic Data
Name: E.R.
Address: Tatalon, Quezon City
Gender: Male
Religious Affiliation: Roman Catholic
Marital Status: Married
Room and Bed #: 216A Occupation: none
Chief Complaint: Wound in the right foot
Provisional Diagnosis: Gangrene of the big toe and distal plantar area ®
Attending Physician: Dr. Nelson Dy / Emil dela Rosa
D . 1987 D . 1983
f a the r m o the r
he a rt o ld
a tta c k age
e ld e s t d a ug the r so n
so n a s thm a / w e ll/
w e ll/a liv e a liv e a liv e
V. Physical Assessment
2. Skin Color Healthy appearance Pallor and weak in appearance Due to patient’s present health
condition he is experiencing
weakness and this is one of the
signs and symptoms of diabetes
mellitus II.
7. Non-verbal Behavior
Cooperative, no distress noted Cooperative, no distress noted
No abnormalities noted
Measurements
1. Temperature 36.5 – 37.5 37.1 C Normal
2. Pulse Rate 60 – 120 bpm 73 bpm Normal
3. Respiratory Rate 14 – 24 bpm 23 bpm Normal
4. Blood Pressure 120/70 mmHg 110/70 mmHg Normal
5. Weight 45 kg
6. Height 153 cm
Pancreas
The islets of Langerhans are destroyed in type I diabetes mellitus. This occurs probably as a consequence of a genetic susceptibility,
followed by the onset of autoimmune destruction triggered by some environmental factor such as a viral infection. Heavy lymphocytic
infiltrates appear in and around islets. The number and size of islets are eventually reduced, leading to decreased insulin production
and glucose intolerance.
The islets of Langerhans are normal in number or somewhat reduced with type II diabetes mellitus. Fibrosis and deposition of amylin
polypeptide within islets are most characteristic of the chronic states of type II diabetes.
XI. Prioritized List Nursing Problem