Wednesday, June 12, 2019
Type 2 diabeties Case Study Example | Topics and Well Written Essays - 1500 words
Type 2 diabeties - Case Study ExampleIn 1910, physicians were able to make mount on determining the cause of diabetes. Edward Sharpey Shafer stated that a patient showed signs of diabetes when the pancreas failed to produce a chemical, named insulin, which was responsible for breaking down sugar. He explained that that was why the urine contained redundance sugar. In an effort to fight the disorder, doctors encouraged a fasting diet and urged patients to exercise regularly. This was in vain, as patients continued to die prematurely (Porter, 2013). In 1921, Charles Herbert and Frederick countenance made an important discovery when experimenting with dogs. They noticed that the conditioned improvement when they injected diabetic dogs with insulin extracted from healthy dogs. This also worked with diabetic people. However, doctors noticed that some people did not respond to this treatment. In 1936, Harold Himsworth classified the two types of diabetes as insulin-sensitive and insulin -insensitive with the latter being Type 2 diabetes (Porter, 2013). The 1950s brought in oral medication for patients with Type 2 diabetes, which would serve stimulate the pancreas to secrete insulin. ... They previously referred to it as adult onset diabetes but as children and teenagers cases increased, they changed it to Type 2 diabetes (Porter, 2013). Differential Diagnoses It is important for a physician to narrow down correctly whether a patient has Type 1 diabetes or Type 2 diabetes. This is because these two types of diabetes need different treatments. Results obtained from physical examination, laboratory tests and the patients history can be used to make the right diagnosis that will help clinicians differentiate Type 1 diabetes from Type 2 diabetes (Colvin, & Lane, 2011). by physical examinations, a clinician can identify Type 2 diabetes patients, as they may be obese body may show manifestation of acanthosis nigricans, hasten chubby cheeks, and thick necks. The patien ts history can indicate whether they ask Type 1 or Type 2 diabetes, for example, patients controlling their diabetes with oral antidiabetic promoter or diet for long periods can be diagnosed with type 2 diabetes. Thin patients, who have had diabetic ketoacidosis for a long period and have always depended on insulin since childhood, can be diagnosed with Type 1 diabetes (Laine, 2007). Patients who show no signs of diabetes need two abnormal test results for a clinician to make a diagnosis of Type 2 diabetes. The abnormal tests can be done on different days, or different tests can be done on the same day. If the two results be abnormal, the patient is diagnosed with Type 2 diabetes but if only one result turns out to be abnormal, the test is repeated on a different day. If it turns out to be abnormal the second time, the patient is diagnosed with Type 2 diabetes. Diagnosis of patients showing polyuria, weight loss or polydipsia, which are all
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