According to the CDC, over 29 million Americans (9.3% of the population) has diabetes and 86 million are living with prediabetes, making diabetes the seventh leading cause of death in the United States. For an NP, a significant percentage of your patients will be dealing with diabetes, and so it is critical that you be proficient at diagnosing and treating it, as well as educating your patients about it.
Research the following terms and their relevance in regards to diabetes and to metabolic syndrome:
- Nephropathy
- FBS >100
- Decreased glucose uptake in peripheral tissue
- Neuropathy
- BP > 130/85
- Increased glucose reabsorption in kidneys
- Peripheral vascular disease
- Trigs > 150
- Microvascular disease
- Increased lipolysis of the fat
- Decreased incretins of the gut
- HDL < 40 in men, < 50 in women
- Retinopathy
- Cerebrovascular disease
- Waist >35″ in women, >40″ in men
- Brain neurotransmitter dysfunction
- Increased hepatic glucose production
- Increased glucagon secretion by alpha cells
- Coronary artery disease
- Impaired insulin secretion by beta cells
- Macrovascular disease
Create a flowchart using symbols (boxes, shapes, and arrows) that illustrates the following:
- Which of the terms comprise metabolic syndrome?
- Which of the terms comprise the ominous octet?
- Categorize which complications are associated with microvascular disease and document both a subjective and objective component you would do to assess for each complication identified.
- Categorize which complications are associated with macrovascular disease and document both a subjective and objective component you would do to assess for each complication identified.
Expert Solution Preview
Introduction:
Diabetes is a chronic disease that affects millions of people in the United States. As medical professionals, it is essential to be proficient in diagnosing and treating diabetes, as well as educating patients on the condition. In this assignment, students will research various terms related to diabetes and metabolic syndrome and create a flowchart illustrating the different complications associated with the disease.
1. Which of the terms comprise metabolic syndrome?
– FBS >100
– BP >130/85
– Trigs >150
– Waist >35″ in women, >40″ in men
– HDL <40 in men, <50 in women
2. Which of the terms comprise the ominous octet?
– Decreased glucose uptake in peripheral tissue
– Increased glucose reabsorption in kidneys
– Increased lipolysis of the fat
– Decreased incretins of the gut
– Increased hepatic glucose production
– Increased glucagon secretion by alpha cells
– Impaired insulin secretion by beta cells
– Brain neurotransmitter dysfunction
3. Categorize which complications are associated with microvascular disease and document both a subjective and objective component you would do to assess for each complication identified.
Complications associated with microvascular disease:
– Nephropathy (subjective: proteinuria, objective: elevated serum creatinine)
– Neuropathy (subjective: numbness/tingling, objective: decreased reflexes)
– Retinopathy (subjective: decreased vision, objective: fundoscopic exam)
4. Categorize which complications are associated with macrovascular disease and document both a subjective and objective component you would do to assess for each complication identified.
Complications associated with macrovascular disease:
– Peripheral vascular disease (subjective: intermittent claudication, objective: absent pulses)
– Cerebrovascular disease (subjective: weakness/numbness, objective: hemiplegia)
– Coronary artery disease (subjective: chest pain, objective: EKG changes)
Expert Solution Preview
Introduction:
Diabetes is a chronic disease that affects millions of people in the United States. As medical professionals, it is essential to be proficient in diagnosing and treating diabetes, as well as educating patients on the condition. In this assignment, we will research various terms related to diabetes and metabolic syndrome and create a flowchart illustrating the different complications associated with the disease.
1. Which of the terms comprise metabolic syndrome?
– FBS >100
– BP >130/85
– Trigs >150
– Waist >35″ in women, >40″ in men
– HDL
