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2013/03/06

diabetes

Mr Carnes has been admitted to hospital after being diagnosed with vitrine 1 Diabetes Mellitus. Diabetes Mellitus has pay off a very common disease. It is multi - systemic and occurs because of irregular return of insulin (Brown and Edwards 2005). Presently, it is theorised that the causal pathways to diabetes may include autoimmunity, viruses, genetics or environmental factors. (Brown and Edwards 2005) Mr Carnes has been diagnosed with type 1 Diabetes Mellitus and is therefore insulin dependent. This essay endeavours to explain the pathophysiology of casing 1 Diabetes Mellitus, describing why Mr Carnes has developed symptoms such as disadvantage of weight, tiredness, thirst, frequent urination, blurred vision and a high roue glucose level (BGL) of 29.7 mmol/L. Commonly, although controversially, a slew scale is used in a hospital setting, to stabilise patients BGLs (Insulin Sliding Scale Whats the Whole Controversy nigh 2009). This has been done in Mr Carnes case. A discussion on when and how the sliding scale used is included in this essay, since Mr Carnes will forever be insulin dependent. The New South Wales Therapeutic Advisory concourse Incorporated, suggests that in managing unstable patients, best practice involves intravenous insulin infusions kind of than subcut sliding scale injections.

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Management strategies for Mr Carnes must, however, include changes to his sedentary modus vivendi including a reduction in weight and recognition of his diabetic family history.

PATHOPHYSIOLOGY OF TYPE 1 DIABETES

Type 1 Diabetes Mellitus has often been called modern Onset Diabetes. This is because around half of the people with Diabetes Mellitus Type 1 develop the disease before adulthood. Type 1 Diabetes Mellitus has in any case been called Insulin Dependent Diabetes because, at some stage, depending on the patient, the use of insulin becomes a necessity for survival. These names are, however, misleading as they ignore the pathophysiology of the disease.
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