DIABETES (OUT-PATIENT SETTING)

Diabetes (out-patient setting)



Diabetes (out-patient setting)

Introduction

Diabetes is a degenerative disease that affects every organ, which produces an accelerated wear of the cells, the same combustion entering early and that Patients treated with Social Security are people who are working in a very forced or are retirees who no longer have the same powers as before, therefore, are a very low population and if we add that the mere fact of having diabetes, occurs decreased immunity and this leads to opportunistic diseases acquired extremely with ease and the vast majority do not have a healthful dietary control, which places a high-risk population.

The United States of America is on track to become the United States of Diabetes. The epidemic of type 2 diabetes and the warning sign is sweeping across the country. Estimates indicate that, by 2020 52 percent of the adult population has diabetes. However, this is the most amazing; the vast majority (90 percent) of People with prediabetes and nearly a quarter of people with diabetes are unaware of their condition. 1 This will have enormous implications for life expectancy and health of the inhabitants (Wanless, 2002). In addition, contribute significantly to the costs of health care in the United States out of control, since it will cause increasing pressure on family budgets, businesses, states and the federal government. This new study estimates that this year, health spending associated with diabetes and prediabetes is about $ 194 billion (approximately seven percent of total health spending in the country). The projection is that the cost increase to $ 500 billion 2020.

Section A

Problem Description

Diabetes is a chronic disease which is common and is increasingly managed in primary care. The three most popular tests for diabetes are l glucose test taken in fasting plasma (the preferred test for diagnosing diabetes type 1 or type 2), plasma glucose test taken at random and the oral glucose tolerance detection (Recommended only for gestational diabetes)There are various systems that have been proposed to manage diabetes care. The goal of diabetes treatment is to keep glucose levels in the blood as normal possible. Level is essential to monitor blood glucose daily (Wanless, 2002). The health service provider may ask you to check several times a day to help determine how certain foods, activities, emotions and thoughts make your blood glucose levels in blood vary. Successful treatment requires special attention from trained medical staff, psychosocial support and educational planning for self-control. Appropriate physical activity eating healthy and continue self-care guidelines are elements that complement the therapeutic regimen to control levels of blood glucose in both types of diabetes.

There are many challenges to treating diabetic patients for which a careful planning of medical staff is required. Patients usually require oral medication or insulin t control the glucose level. However, these medications require careful titration and monitoring for the side effects or adverse reactions (Wachter, 2007). Often, the medical staff is unable to educate and motivate the patients and there are discrepancies in monitoring the glucose levels control ...