Type II Diabetes Case Study

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Goals for Type II Diabetes The HgbA1C optimal values for most patients with type 2 diabetes is seven percent or lower, which parallels to an average blood sugar of one hundred and fifty milligrams per deciliter. Until the patient A1C level is at seven or below, he should have his lab checked every three months until the correct adjustments have been made in his medication (American Diabetes Association, n. d.). With these results, the nurse practitioner can better adjust the treatment regimen of the patient. This test can also give the nurse practitioner a better idea of the likelihood that the patient can develop many other complications such as kidney failure, blurred vision associated with retinopathy, or many different types of neuropathies just to name a few (Grossman & Porth, 2013). Lipid density levels for patients should be below one hundred milligrams per deciliter. Blood pressure should be one hundred and…show more content…
A mixture of short acting and intermediate insulin has approximately similar onset and duration times as the mixture mentioned above, but its peak is more lengthy at anywhere between two and twelve hours (American Diabetes Association, n. d). Basal and Bolus Therapy Versus Mixed Insulin Some advantages of utilizing premixed insulin are it has only one co-pay and costs less. It is also ideal for a patient with a regular schedule and meal times, and with a low risk of hypoglycemia. Patients typically need fewer shots than those who use basal/bolus therapy. The disadvantages of mixed insulins are that the patient must keep a regular mealtime schedule since they are at a greater risk for hypoglycemia and nocturnal hypoglycemia. The patient may also have a need for in between meal snacks to keep their blood sugars steady (National Institute of Diabetes, n.

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