Nursing Care Plan – Diabetes Mellitus Type 2
August 18, 2008 by Admin · 5 Comments · 
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Type 2 diabetes mellitus occurs when the pancreas produces insufficient amounts of the hormone insulin and/or the body’s tissues become resistant to normal or even high levels of insulin. This causes high blood glucose (sugar) levels, which can lead to a number of complications if untreated.
Type 2 diabetes is a chronic medical condition that requires regular monitoring and treatment. Treatment, which includes lifestyle adjustments, self-care measures, and sometimes medications, can control blood glucose levels in the near-normal range and minimize the risk of diabetes-related complications.
Type 2 diabetes accounts for around 85% of all people with diabetes.
Symptoms:
- Any symptoms of DM Type 1
- recurring or hard-to heal skin, gum or urinary tract infections
- drowsiness
- tingling of hands and feet
- itching of skin and genitals
These symptoms appear gradually over time. Symptoms can be less marked and sometimes no symptoms appear.
NCP – Diabetes Mellitus Type 2
NursingCrib.com – Nursing Care Plan Diabetes Mellitus Type 2
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The cause for fatige:The cells are actually starving for their fuel source glucose, which they are unable to access due to the lack of or insufficient insuling production by the pancrease: Insulin opens up cell membrane channels and allows the cells to obtain glucose .Remember Polydipsia, Polyphagia, Polyuria….
hi… may i ask about rationale on patients experiencing fatigue?
is it for DM?
its the viscosity of the blood due to hyperglycemia.. hence the blood flow won’t be as smooth,, it will alter the tissue perfusion
the cells need glucose for metabolism. In DM, glucose is unable to enter the cell for metabolism because of insulin resistance or lack of insulin. in that case, cells are starved for glucose and cell cannot produce ATP (through metabolism) and thus fatigue occur because of lack of ATP produced.