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Road to the Black Sea-v1.37.iso.Diabetes is the sixth leading cause of death in the U.S. It is estimated to affect 8.6 million people, more than any other chronic disease. It is the leading cause of blindness, renal failure, and amputations. It increases risk for cardiovascular and neurologic diseases. A nurse’s responsibilities include assessment and care of patients with diabetes, the care of patient related to the use of complementary/alternative health practices, and the care of the diabetic patient’s family.
There are 2 main types of diabetes. Type 1 Diabetes is an autoimmune disease in which the body attacks its own pancreas, which results in a need for daily insulin shots and a lack of the hormone insulin. Type 2 Diabetes is a chronic disorder in which the pancreas does not produce enough insulin or the body tissues are resistant to its action. The symptoms of type 2 diabetes include increased thirst, frequent urination and hunger. Although these symptoms can occur with an impaired liver function, most people with type 2 diabetes have no significant liver involvement.
When a person is diagnosed with diabetes, it is important to have a clear understanding of the disease and what is being done to treat it. The nurse should be aware that diabetes care should be ongoing and targeted to assist the patient in having long-term management of his or her disease.
One of the goals of diabetes care is to maintain the blood glucose level as close to normal as possible, which is usually defined as a fasting blood sugar of less than or equal to 105 mg/dl. The urine glucose level is usually elevated.
A major complication of diabetes is the development of kidney disease. Damage may be seen in the blood vessels, nerves, or glomerular cells of the kidney. It can lead to loss of kidney function, which may require dialysis or the transplantation of a new kidney.
A person with diabetes can prevent diabetes-related complications by maintaining normal blood glucose levels and receiving an appropriate diet, exercise, and a special diet. Many people with diabetes require insulin injections, and some require oral medications. Insulin injections, which can be daily
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