Describe the use of insulin in type 1 diabetes versus type 2 diabetes
What will be an ideal response?
Insulin in type 1 diabetes is the main treatment for correcting the disturbances in fat and protein metabolism secondary to the lack of insulin production in the pancreas, which is responsible for promoting the entry of glucose into the cells to be used as a source of energy. Insulin dose, type, and frequency of administration are adjusted to maintain normal levels of glucose.
For type 2 diabetes, first line management is by diet and weight reduction. Oral hypoglycemic drugs are added if the patient is not optimally responding, and finally, insulin may be added to the regimen. In type 2, the beta cells are able to secrete insulin but the tissues are insensitive to its action. Insulin is still given to some patients as the amount of insulin produced is not enough to compensate for the insulin resistance.
You might also like to view...
What should the nurse do when a patient with osteomyelitis is admitted with an open wound that is draining?
a. Enforce a low calorie diet b. Initiate drainage and secretion precautions c. Frequently do passive ROM on the elbow d. Ambulate several times daily
When the nurse discovers a reddened area over a patient's hip, the first intervention should be to:
a. cover the area with an occlusive dressing. b. apply mild ointment with a cotton-tipped applicator. c. press the area gently to assess for blanching. d. rub gently to increase circulation.
After administering insulin detemir to a client with diabetes, the nurse suspects that the client is developing hypoglycemia based on assessment of which of the following? Select all that apply
A) Increased thirst B) Increased urination C) Headache D) Confusion E) Diaphoresis
The World Health Organization's definition of health includes which of the following? Choose all that apply
1) Absence of disease 2) Physical well-being 3) Mental well-being 4) Social well-being