How can a arm glucometer be used in a bariatric patient (non-diabetic) to track nutrition/ keep the patient accountable for following their diet?
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How can a arm glucometer be used in a bariatric patient (non-diabetic) to track nutrition/ keep the patient accountable for following their diet?
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- A student drinks 3 bottles arizona ice tea everyday during school. Explain how continuing this diet can impact the students health later in life. USE SOME EXAMPLES FROM THE TEXT. In your response be sure to: 1. Discuss how multiple factors, such as diet and genetics, play a role in the development of diabetes? 2. Discuss how type 2 diabetes results in a disruption of glucose regulation. 3. Describe some reasons why Type 2 diabetes is seen more frequently in younger individuals. 4. Use the terms: GLUCOSE, REGULATION, AND INSULINWhat changes/titrations would you recommend to the patient’s diabetic medication regimen? Would you add anything new?Escalation of care is actioned/intervened for dehydrated patients with tye 1 diabetes. Why?
- You are a nurse in an acute care hospital. Your new patient JD is in the hospital for fractures. His chart showed he has type 2 diabetes with HbA1c of 8.0%. JD’s sister came in to visit at lunch and brought him a Big Mac (3 slices of bread) with large fries on the side in addition to a bag of potato chips and a bottle of orange juice. You are concerned about the high carbohydrate content of the meal and discussed this with JD and JD’s sister. JD’s sister said, “I know my brother has diabetes, so I didn’t bring him soda or dessert.” JD said “I really love my carbs, but I know I should avoid all carbs to make my sugar low. Doctor said something about my ‘A1c’. Do you know what that is about?” Both JD and his sister said they would like to learn more about diabetes and diet. Doctor said something about my ‘A1c’. Do you know what that is about?” ----- Can you Explain in detail what is A1c? Please explain to JD and his sister what the HbA1c test is and how to use A1c level to categorize…A 12-year-old boy is brought to the physician because of increased urination and progressive fatigue during the past two weeks. Vital signs are within normal limits except for a pulse of 120/min. Physical examination shows dry skin and mucous membranes. His fasting serum glucose concentration is 350 mg/dL. The patient improves after insulin treatment. Which of the following best describes the effect of insulin binding to the insulin receptor (IR) on the surface of hepatocytes in this patient? a. Activation of serine/threonine kinase activity of the IR b. Down regulation of phosphoenolpyruvate carboxykinase c. Inactivation of ras d. Inhibition of glucose-transporter-4 (GLUT-4) translocation to the cell membrane e. Inhibition of phosphatidylinositol-3-kinase signaling pathwayyou are a student EN completing your final placement in an acute care facility. One of the patients in your workload is 62-year old Mel Ferrer. Mel was diagnosed with Type 1 diabetes when he was 7-years old. He has been hospitalised because he is finding it difficult to control his glucose levels after a recent illness. Mel is also complaining that his eyesight is deteriorating. The doctors suspect that this is retinopathy.(a) Explain to Mel, what is retinopathy? (b) Describe the appropriate eye care for a person with diabetes and identify one(1) specialist service that Mel could be referred to.
- A 5-year-old boy is brought to the pediatrician's office for an annual visit. The mother reports he has been a sickly infant and often appears drowsy. She also has concerns over her son's persistent thirst and frequent urination. Blood samples are taken for insulin measurements at time zero and 1 hour after a glucose loading test. The results of this testing are illustrated in the table below: Baseline blood sample Control Serum insulin levels (mU/L) Patient 0.8 6 +/- 2 1 hour after glucose load Patient 5 Control 40 +/- 11 1. What is this information likely to suggest about the underlying biochemical basis for the patient symptoms? 2. What would you predict the patients' fasted blood glucose levels to be given his current condition? (e.g. above normal range; within the normal range; below the normal range) 3. Based on this diagnosis, what 2 regulatory enzymes are likely to be active in this individuals' current condition. Be sure to include a rationale as to why the activity ofHow can pulse oximeter be used to diagnose hypoventilation? What is the limitation of the device from reading the article “Obesity Hypoventilation Syndrome”?Will a 16:8 intermittent fasting dietary pattern help Caleb meet his goals of getting proper nutrition and gaining muscle weight? Why or why not? Be specific (The points you receive for this will greatly depend on how thorough your answer is and how much thought & effort you put into it)
- Refer to your ACSM algorithm for pre-participation screening. Mr. Smith is a 47-year old man joining your exercise facility. He walks 4 times per week with his dogs and wants to train for a 5K run his son’s school is sponsoring in a few months. He currently has Type 2 Diabetes and has not seen his physician in the past two years because he has been handling his glucose levels pretty well all on his own with walking and watching his food intake. What would be your ‘medical clearance’ decision for Mr. Smith prior to training with your facility. (CIRCLE) Medical Clearance necessary or recommended Medical Clearance NOT necessary Write down YOUR REASONING FOR this decision (the steps in the algorithm).Jesse comes to the medical office for pre-lunch check blood glucose of 210 MG/DL. lunch = 59 g, ISF = 1: 60 target of 120 mg/dL I:C =1:30. how much insulin should you administer using carb coverage and correction dose using ISF?Which activity would be MOST DIFFICULT for a client who has diabetic retinopathy? Feeling the temperature of the shower water. Reading the menu choices in a dimly-lit restaurant. Lifting a cooking pot by the handle using one hand.