Sunday, March 28, 2010

Can someone give me 2 Nursing Diagnosis related to Diabetes Mellitus? Patient has an ulcer on right toe and il

Can someone give me 2 Nursing Diagnosis related to Diabetes Mellitus? Patient has an ulcer on right toe and il
Identify the nursing diagnostic category Related to: identiify 2 factors/etilogies AEB or AMB: identify 3 signs or symptoms
Diabetes - 2 Answers
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1 :
1. altered skin integrity 2.impaired circulation RLE
2 :
I like the two above me but to add to those: Risk for infection r/t ulcer on rt toe I guess I would need to know more about the patient: age? how long with DM? Compliant?

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Wednesday, March 24, 2010

name the hormone that is deficient in type one diabetes mellitus. how could you use this hormone to (continued?
to determine if the disease was type one or two
Biology - 1 Answers
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1 :
Insulin. In type I diabetes, injecting the individual with insulin would yield a rapid decrease in blood sugar levels. This is because they are lacking the cells which produce insulin, not the insulin receptors. On the other hand, in an individual with type II diabetes, there would be little to no change in blood sugar levels after the injection. This is because they have desensitized insulin receptors, though they still have the capability to produce insulin.

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Saturday, March 20, 2010

looking for a web site under a name of american doctor for diet control and controling diabetes mellitus

looking for a web site under a name of american doctor for diet control and controling diabetes mellitus?
his name probably starts with M and the site contains a lot of information about health diet and combating cholestrol , high blood sugar as well as healthy food
Diet & Fitness - 1 Answers
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1 :
I would suggest mayoclinic.com there is alot of info there

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Tuesday, March 16, 2010

Are Glycosuria and Diabetes (mellitus or Insipidus) related

Are Glycosuria and Diabetes (mellitus or Insipidus) related?

Biology - 5 Answers
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1 :
Of course.
2 :
i am type 1 diabetic, i have never heard of Glycosuria
3 :
Glycosuria is a feature of diabetes mellitus but not of ... be found to be the cause * In cases of lithium-related diabetes insipidus, ...
4 :
glycosuria and diabetes mellitus r related. but glycosuria and diabetes insipidus r not related. IN diabetes theres raised bld glucose level either due to total lack of insulin(type1) or insulin resistance(type 2). and bcoz of raised bld glucose theres excess pourin in urine.that is glycosuria. in diabetes insipidus thers loss of body water in form of urine bcoz theres deficiency of a hormone (ADH) that absorbs water frm kidney preventin it frm bein excreted.no relation between diabetes insipidus and glucose for tht matter
5 :
Diabetes mellitus leads to dysregulation of glucose control in the body. One feature of diabetes mellitus is the fact that excessive glucose in the blood leads to the leakage of glucose into the urine which is known as glycosuria. Diabetes insipidus is related to a problem associated with antidiuretic hormone, either its production in the hypothalamus or its ability to act at the kidney, leading to the production of large quantities of non-concentrated urine. Diabetes insipidus and diabetes mellitus, though they have similar names are not related.

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Friday, March 12, 2010

Which is NOT a leading cause of death in the United States? Pneumonia, heart attack, stroke, diabetes mellitus

Which is NOT a leading cause of death in the United States? Pneumonia, heart attack, stroke, diabetes mellitus?
please answer
Diet & Fitness - 1 Answers
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1 :
They are ALL at the top or near. But Pneumonia is the least common of those. Not a good test question though.

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Monday, March 8, 2010

In diabetes mellitus the circulation is poor

in diabetes mellitus the circulation is poor.?
Name 2 things which contribute to the poor circulation. Thank you!!
Diabetes - 6 Answers
Random Answers, Critics, Comments, Opinions :
1 :
Smoking and your sugars been to low and to high
2 :
poor kidney function. cycle of constant thirst/urination. upsets balance of electolytes, etc. w/o sufficient fluid- blood pressure drops, and blood flow to extremities suffer. causing neuropathy.
3 :
Poor nutritional habits contribute to poor circulation in Diabetes as does low blood glucose levels. Also after time small blood vessels become damaged and can be dangerous. Fluid retention is a factor in poor circulation also in Diabetes patients. The major cause is damage to the circulatory system.
4 :
I participate in this forum as time permits as I feel that a physician is a public servant. This is a dangerous forum in which to ask serious questions about your personal health. Your question sounds more like a homework project. None of the three answers to your question so far have much validity to them. Cardiovascular complications are the most important consequence of diabetes. There are two types of diabetes - type 1 and type 2 - and both suffer from the same potential cardiovascular problems. There are two types of cardiovascular problems which we refer to as micro (such as circulation to the retina) and macro (such as circulation to the heart). Diabetes increases the risk of both micro and macro vascular problems. Two 'landmark' trials - one on type 1 diabetics - and the other on type 2 diabetics - were undertaken to determine whether or not 'intensive' versus a more relaxed approach to the treatment of diabetes would reduce the incidence of either micro or macro vascular complications. Both trials concluded that this was the case and physicians - myself included - began to push for very 'low' glucose goals. Unfortunately - a number of subsequent trials have questioned whether or not intensive control was actually helpful - and there was some evidence that it might actually be harmful. Thus physicians at this point must make their own decision on a patient by patient basis on how aggressive to be. Your question asks how diabetes leads to poor circulation and the answer is exceedingly complex - in addition - the arterial damage caused by diabetes remains incompletely understood. In the case of micro vascular disease it appears that hyperglycemia (elevated glucose) increases angiogenesis - the production of new blood vessels - which bleed and may lead to blindness (in the case of the retina of the eye). The interesting point here - however - is that such damage seems to take place in diabetics who are 'controlled' meaning that they do not have episodes of hyperglycemia. Therefore there must be other factors at work which we have not yet elucidated. In the case of macro vascular disease more is known but more is also not known. Diabetes causes endothelial (the cells which line arteries) dysfunction. Such dysfunction increases vascular spasm, increases the deposition of LDL cholesterol in the intima (the middle muscle layer) of the artery, increases proliferation of smooth muscle cells (which narrow the artery), and increases inflammation - which causes additional damage to the arterial wall. Elevated levels of insulin have been noted to increase plaques (which narrow arteries) and this is true whether the insulin is injected by a type 1 diabetic or whether it represents the over-production of insulin (to compensate for insulin resistance) in a type 2 diabetic. Diabetes also influences rheology (blood flow) shifting from laminar (smooth) to turbulent blood flow especially at areas of bifurcation (where arteries branch off). Turbulent blood flow causes molecules that are normally in the center of the blood flow instead to be 'thrown against' the endothelial cell. Following this there is an increase in adhesion molecules which attract thrombocytes (platelets) which contribute to blood clotting and further narrowing of arteries. Diabetics apparently again related to insulin levels and non-laminar blood flow also exhibit erythrocyte (red blood cell) shear forces meaning that injury occurs to the endothelial cells lining the artery. There are additional factors that I will not bore you with and I will remind you that these factors only explain part of the micro and macro vascular complications of diabetes. In summary diabetes, level of diabetic control, and insulin levels create a number of problems which not only increase atherosclerosis (narrowing of the arteries caused by plaque) but also vascular spasm and the formation of blood clots. A diabetic with no known coronary artery disease has the same risk of suffering a heart attack over a ten year period as a non-diabetic who has already suffered a heart attack (and therefore has known and significant disease of the coronary arteries). Most diabetics die not directly from their glucose level but rather from cardiovascular events such as heart attacks and strokes. If you wish additional or more specific information please email me at johnerussomd@jhu.edu - thank you. I wish you the very best of health and may God Bless.
5 :
I have to agree with the answerer who says he/she is a doctor that the question is far to complex for a simple answer. I for instance, suffer from a number of medical issues, cancer, DVT, neuropathy - all present prior to my diagnosis of type 1 diabetes. That said, perhaps if doctors were more forthcoming with explanations to their patients the information shared in these peer to peer exchanges of information would be more accurate. I think a lot of us here get comfort in the sharing of experiences and also there are a lot of "askers" who see no easy way to access a doctor. And, it is seldom that you will find a doctor with the time to spend on Y/A.
6 :
http://search.yahoo.com/search?p=peripheral+neuropathy&ygmasrchbtn=web+search&fr=ush-ans

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Thursday, March 4, 2010

How is upper g.i. tract bleeding related to type 2 diabetes mellitus and diabetes ketoacidosis

How is upper g.i. tract bleeding related to type 2 diabetes mellitus and diabetes ketoacidosis?

Diabetes - 4 Answers
Random Answers, Critics, Comments, Opinions :
1 :
its not except for the fact diabetics heal slowly
2 :
It is not in any way
3 :
What can cause bleeding in the esophagus? * Gastroesophageal reflux disease (or GERD, backward flow of stomach acid into the esophagus) can cause esophagitis (inflammation of the esophagus), leading to esophageal bleeding. * Liver cirrhosis can cause esophageal varices (enlarged veins) at the lower end of the esophagus. Varices can rupture, causing massive bleeding. * Mallory-Weiss syndrome (tears in the lining of the esophagus) can cause esophageal bleeding. Potential causes of Mallory-Weiss syndrome include: o Prolonged Vomiting (the most common cause) o Coughing o Hiatal Hernia o Childbirth What can cause bleeding in the stomach? Inflammation of the stomach ("gastritis") and/or stomach ulcers can cause bleeding. Potential causes of stomach inflammation/ulcers include: * Alcohol * Aspirin (or aspirin-containing medications) * Other Medications Other potential causes of stomach bleeding include: * Benign (noncancerous) stomach tumors * Stomach cancer What can cause bleeding in the small intestine? Ulcers in the duodenum (the first part of the small intestine) are the most common cause of bleeding in the upper digestive tract. What can cause bleeding in the colon or the rectum? Bleeding may arise from: * Hemorrhoids * Intestinal Polyps (benign growths on on the intestinal lining) * Colorectal Cancer * Inflammation as a result of: o Intestinal Infection o Ulcerative Colitis o Crohn's Disease * Diverticulosis * Age-related abnormalities in the blood vessels of the large intestine
4 :
it's not you just have one more thing to worry about

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Monday, March 1, 2010

Is omega3 capsule safe for diabetes mellitus

Is omega3 capsule safe for diabetes mellitus?

Diabetes - 9 Answers
Random Answers, Critics, Comments, Opinions :
1 :
ASK A DoCtOR
2 :
Safe. Omega3 is an oil. Diabetics need to worry about carbohydrates and sugar.
3 :
surely no connection-unless you are thinking that someone with very high cholestrol could not afford such a minute amount of fish oils
4 :
No harm - may do some good in getting certain fat levels down (although the evidence for this is slim to none)
5 :
First check with your Doctor. Then yes I work with a doctor who prescribes it to lower cholesterol in all his patients including those with diabetes. Fish oil may also be good for your brain but that has not been proven yet.
6 :
yes, this is fine. omega 3 oil will increase your good cholesteral. not all cholesteral is bad and some people have increased bad cholesteral and decreased good cholesteral. make sure you change your diet as well that will enable good results. good luck
7 :
actually Omega3 is good for diabetics since many have elevated triglycerides and low HDL. have at it!
8 :
I've been taking omega-3 caps for over a year now. My blood sugar is fine. Here's a little bit I put together for all diabetics esp. type II. For type I and type II diabetics... I've found a wonderful book that will help you control your diabetes and minimize or even eliminate the complications. Some folks who became diabetic due to poor diet and obesity are effectively cured by following the advice in this book. I'm a type II, but it helps all types, especially those who became diabetic due to poor eating habits. It's by an author who has really done his homework, Patrick Quillin, Phd. I have tried his suggestions and found them to be very helpful. I have no complications whatsoever and my blood sugar levels are quite stable. Yes, I still have to take Metformin (Glucophage) daily, but it's the minimum dosage (500mg) and I only have to take it twice a day. I have been off Metformin for as much as a week, but this was with vigorous exercise. Many, what I call, non-hereditary type IIs (those that don't have a recent relative who had it) have gotten off medication completely, just with diet, exercise, and supplements. So, in some instances, it most certainly can be 'effectively' cured. The book explains what's going on in our system and what to do about it. It's really easy and inexpensive. It's basically diet, supplements and exercise. For example, did you know that cinnamon helps blood sugar absorbtion? It also controls cholesterol and triglycerides. This is according to the USDA: http://www.ars.usda.gov/is/np/fnrb/fnrb0104.htm#pinch For men: Are you suffering from erectile dysfunction? I was. Yes, WAS. Now that everything's under control, I'm able to have nearly normal sex again. Read more about it here: http://www.diabetesimprovement.com/ I've also put together a little webpage highlighting some of the things I've learned here: http://www.geocities.com/seabulls69/Type_II_Diabetes.html Here's another great health site with all kinds of general health information: http://www.chetday.com
9 :
I am a type 1, on dialysis and with heart failure and I take a supplement called Omacor it is a prescribed omega3 from the Doctor. It has helped But it is pricey. Talk to your doctor and ask for samples.

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