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Essay Available:
Pages:
1 page/β‰ˆ275 words
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4 Sources
Style:
APA
Subject:
Health, Medicine, Nursing
Type:
Essay
Language:
English (U.S.)
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MS Word
Date:
Total cost:
$ 4.86
Topic:

Endocrine Disorders: Hypothyroidism

Essay Instructions:

Scenario 3: Type II DM
A 55-year-old male presents with complaints of polyuria, polydipsia, polyphagia, and weight loss. He also noted that his feet on the bottom are feeling “strange” “like ants crawling on them” and noted his vision is blurry sometimes. He has increased an increased appetite, but still losing weight. He also complains of “swelling” and enlargement of his abdomen.
PMH: HTN - well controlled with medications. He has mixed hyperlipidemia, and central abdominal obesity. Physical exam unremarkable except for decreased filament test both feet. Random glucose in office 333 mg/dl.
Diagnosis: Type II DM and prescribes oral medication to control the glucose level and also referred the patient to a dietician for dietary teaching.
Question:
1. How would you describe the pathophysiology of Type II DM?

Essay Sample Content Preview:

Endocrine Disorders- Scenario 4: Hypothyroidism Scenario 3: Type II DM
Name
Department
NURS 6501
Instructor
Due Date
Endocrine Disorders- Scenario 4: Hypothyroidism
1. How would you describe the pathophysiology of Type II DM?
In diabetes mellitus, there are high blood glucose levels. Alterations in the glucose metabolism are related to poor insulin action or/and poor hormone secretion in type II diabetes mellitus (DM). The first phase in DM 2 is glucose intolerance or pre-diabetes, and an individual then has insulin resistance and a deficit of insulin secretion. In DM 2, there is insulin resistance and impaired insulin secretion, where insulin becomes less effective in regulating glucose release and stimulating its uptake (Marieb, Mitchell & Smith, 2015). Insulin levels increase to maintain higher glucose levels.
There is a genetic predisposition, metabolic and environmental factors affecting insulin, and risk of DM II. Obesity is an environmental factor associated with insulin resistance, and genetic predisposition is associated with deranged insulin release. Additionally, obesity is common in people with diabetes type II compared to type I diabetes (VanMeter & Hubert, 2018). Insulin resistance results to lower glucose uptake and hyperglycemia (high ...
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