Nursing Practice Knowledge Research Paper

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Discussion #1 Diabetes (either type 1 or type 2) can cause many problems for the patient when the disease is uncontrolled. Please choose one of the problems associated with diabetes and describe what happens to the body to cause the problem. Examine what causes the problem in the patient with diabetes and create a teaching strategy for a patient who is at risk for the problem. Include the types of Insulin in your post, Lantis, Lispro, Regular and Intermediate acting and illustrate how evidence-based practice can improve outcomes. Justify your answers and cite your references.

Type 1 diabetes is an autoimmune disease that destroys the insulin-producing beta cells in the pancreas such that it produces only a little or no insulin. Accounting for 5 to 10% of diabetes in the U.S., the disease occurs primarily in children and young adults. Prior to the discovery of insulin in 1921, everyone with type 1 diabetes died just a few years following diagnosis. People with type 1 diabetes must take insulin daily and the doses must be balanced through activity and types of foods eaten.

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Blood glucose levels must be checked frequently and several times each year, a laboratory test known as A1C is conducted to get an average blood glucose level over a two or three-month period.

Insulin types include the following: regular (Humulin R, Novolin R), NPH insulin (Novolin N, Humulin N), Lente insulin Ultralente insulin, Novolog (Insulin aspart) Humalog (Insulin Lispro), Apidra (insulin glulisine recombinant), Lantus (insulin glargine recombinant), Levemir (insulin detemir recombinant), Insulin comes in three different forms-vials, prefilled syringes, and cartridges. The cartridges are to be used in a pen-like device that simplifies injection. Regular human insulin (Novolin R, Humulin R) is available in vials, cartridges, and prefilled syringes.

A symptom of uncontrolled diabetes is blurred vision. When a person with diabetes experiences prolonged high blood glucose levels, the lens of eye can absorb glucose so much that its shape is changed and this causes changes in vision. Control of blood glucose levels through proper levels of insulin prevents damage from occurring......

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