Care of People with Diabetes: A Manual of Nursing Practice by Trisha Dunning

By Trisha Dunning

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Specific information about managing medicines: ……………………………… Bring a list of all the tablets you are taking with you when you come for the test. Do not smoke for at least one hour before the test. The test The test is performed in the morning. You are required to rest during the test, which will take approximately 3 hours to complete. A small needle will be inserted into an arm vein for blood sampling. The needle will stay in place until the test is completed. You will be given 300 mL of glucose to drink.

Type 2 is associated with slow, progressive loss of beta cell function Ketosis Common Rare Symptoms Usually present Often absent, especially in the early stages Acanthosis nigricans is common Frequency 15% of diagnosed cases 85% of diagnosed cases Complications Common but not usually present at diagnosis Common, often present at diagnosis Treatment Insulin, diet, exercise, stress management, regular health and complication assessment Diet, OHA, exercise, insulin, stress management, regular health and complication assessment a Increasing b Occurs incidence of the metabolic syndrome and Type 2 diabetes in children and adolescents.

Rosiglitazone reduced the risk of prediabetes progressing to diabetes by 60% over three years in the DREAM study. Orlistat, an intestinal lipase inhibitor taken TDS, reduced the risk of progression to diabetes in obese adults with metabolic syndrome by 37% over four years (XENDOS study). However, compliance with orlistat is low due to the side effects, see Chapter 5. The macrovascular risk factors need to be managed proactively and screening programmer are imperative so abnormalities treated early, see Chapter 8.

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