ACTIVE LEARNING TEMPLATE: System Disorder Type 1 and Type 2 Diabetes DISORDER/DISEASE PROCESS __________________________________________________________ REVIEW MODULE CHAPTER ___________ Alterations in Health (Diagnosis) Diabetes Mellitus Pathophysiology Related to Client Problem 1: caused by peancreatic islet B cell destruction 2: deÞcit in insulin secretion Health Promotion and Disease Prevention Exercise, balance diet, oral medication, insulin ASSESSMENT SAFETY CONSIDERATIONS Risk Factors Expected Findings Hunger, fatigue, Thirst,Polyuria, Dry mouth, Itchy skin, Blurred vision age, family history, high blood pressure, weight, sedentary lifestyle, genetics Laboratory Tests Diagnostic Procedures Fasting blood glucose level, the glucose tolerance test, the glycosylated hemoglobin moniter glucose levels, follow up procedures A1C tests PATIENT-CENTERED CARE Nursing Care Encourage patient to exercise and eat a balanced diet, Inform patient on use of meds Therapeutic Procedures Moniter blood sugar levels, maintain stress and weight, maintain physical activity, diet management Exercise Low carb diet Complications Medications Metformin, sulfonylureas, meglitinides, thiazolidinedion es, DPP-4 inhibitors, GLP-1 receptors, SGLT2 inhibitors Client Education Cut out sugar from diet, low carb diet, small portion diets, smoking cessation Interprofessional Care Dietritian Endocrinologist neuropathy, retinopathy, Cardiovascular disease