In the initial stages of the disease, type 2 diabetes is treated with Metformin only, and insulin is not needed. In later years, insulin treatment is often needed. Please help explain the progression of the disease, describing the initial role of Metformin as a drug, and the eventual need for insulin.
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In the initial stages of the disease, type 2 diabetes is treated with Metformin only, and insulin is not needed. In later years, insulin treatment is often needed. Please help explain the progression of the disease, describing the initial role of Metformin as a drug, and the eventual need for insulin.
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- Type- 2 diabetes mellitus is: 1.both a secondary pathology and usually the result of inappropriate hormone secretion 2.both a secondary pathology and usually the result of abnormal target cell responsiveness 3.usually the result of inappropriate hormone secretion 4.a secondary pathology 5.usually the result of abnormal target cell responsivenessComplete the following statements about diabetes. Not all choices will be used.e. Given her recent diagnosis, Julia finds it difficult to administer an appropriate amount of insulin. Before every meal, Julia carries out the following procedure. 1. Measures her blood glucose level 2. Estimates the mass of glucose in her meal 3. Injects the quantity of insulin required to metabolise the amount of glucose in her meal. She then measures her blood glucose level again two hours after her meal. Julia records all this information on an app on her smartphone. The chart below was obtained from the app on her smartphone after 24 hours. ii. Concentration (mmol/L) i. 30 25 20 15 5 0 10 Blood glucose before eating Insulin injected Blood glucose two hours after eating Breakfast Lunch Dinner Dessert Identify the meal estimated by Julia to contain the lowest amount of glucose and give a reason. Suggest two reasons why Julia's blood glucose level was 15 mmol/L in two hours after dinner.
- A client with T2DM is admitted to the medical unit with pneumonia. The client’s oral antidiabetic medication has been discontinued and the patient is now receiving insulin for glucose control. Which of the following statements best explains the rationale for this change in medication? Question 73 options: a) Insulin administration will help prevent hypoglycemia during the illness b) Acute illnesses like pneumonia will cause increased insulin resistance c) Infection has compromised beta cell function so the client will need insulin from now on d) Stress-related conditions such as infections induce a hypermetabolic stateCompare and contrast the pathophysiology and treatment of type I versus type II diabetes.In addition to symptoms of diabetes, all the following are criteria recommended by the American Diabetes Association for use in the diagnosis of Diabetes Mellitus EXCEPT: O Random plasma glucose concentration > 180 mg/dL. O Fasting plasma glucose > 126 mg/dL. O 2-Hour glucose > 200 mg/dL during a 2 hour post prandial glucose test O Hemoglobin A1C > 6.5%
- How does Type-2 Diabetes occur? Explain the pathophysiology and give its laboratory diagnosisOne of the indications for prescribing nateglinide is:A. Depletion of pancreatic beta-cellsB. Significant postprandial hyperglycemiaC. Tendency to develop lactic acidosisD. Resistance to sulfonylureasE. Insulin resistanceDiscuss the aetiology and pathogenesis of type 2 diabetes mellitus. In your answer, make clear the term ‘insulin resistance’ by providing an example to illustrate your understanding of this occurrence. Determine whether the C-peptide test would be useful in diagnosing type 2 diabetes
- A nurse is educating a patient with newly diagnosed type 2 diabetes mellitus about self-management of their condition. Which of the following pieces of advice is most critical for the nurse to convey to the patient to prevent acute complications?A) Inspect your feet daily for any cuts, blisters, or sores.B) Maintain a regular exercise routine, aiming for at least 150 minutes of moderate aerobic activity per week.C) Monitor your blood glucose levels at home using a glucometer.D) Make dietary changes to include a variety of fruits, vegetables, and whole grains.The patient has a history of diabetes mellitus type 1. What effect might her prednisone prescription have on her diabetes? What actions are needed to reduce this effect?Answer the following in 2-3 sentences. 1. What effect does insulin have on glycogen metabolism? 2. What effect does glucagon have on blood glucose level? 3. What organ is the source of insulin and glucagon? 4. The hormone epinephrine generates a second messenger. Explain 5. Compare the target tissues for glucagon and epinephrine.