Diabetes level 6 Essay Example | Topics and Well Written Essays - 1750 words

Diabetes level 6 - Essay Example When a person has the type 2 diabetes, the best therapy that is usually offered is the provision of oral therapy that consist of injection of insulin in order to make the blood attain the targeted glycemic levels. In addition, a person suffering from diabetes usually suffers from macrovascular and microvascular diseases. The most prominent microvascular disease amongst this group is the diabetic neuropathy that in most cases leads to the amputation of the lower limbs. It is also worth noting that a patient suffering from type 2 diabetes usually increases his chances of morbidity and therefore it is recommended that the person stops the smoking habit. This paper has four sections that includes a review of how to diagnose and manage a patient suffering from type 2 diabetes, the microvascular disease in type 2 diabetic patients, pharmacological management of such a patient and the effect of smoking and how to stop it. Thereafter a conclusion is made on the whole paper. Type 2 diabetes occurs when there is insufficient production of hormone insulin leading to high levels of glucose in the body. Therefore, the people with type 2 diabetes often require regular monitoring and reviewing of their treatment through changes in lifestyles, self-care measures and the use of the diabetes medicines. In the diabetes review, the first line of thought would be to find out the efficacy of the metformin as the first-line pharmacotherapy in the patient with the type 2 diabetes. Metformin is the first line oral antihyperglycemic drug that should always be used in patients with type 2 diabetes when it is difficult to attain glycemic control through changes in the lifestyle of the patient (McIntosh et al. 2011, p. 36). Therefore, the first question that the nurse must find out from the type 2 diabetes patient is the type of lifestyle that she lives and how often she smokes and evaluates whether this