Managing Diabetes Patients: Care and Management Strategies

Managing Diabetes Patients 1
MANAGING DIABETES PATIENTS
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Managing Diabetes Patients 2
Introduction
Recent research indicates that diabetes has become a significant health global concern,
where more than 200 million people are affected by the epidemic disease. In most countries,
diabetes affects more than 30 % of the total population aged over seventy years, excluding
people with Impaired Glucose Tolerance (IGT). Diabetes disease is a cause of life miseries and
substantial poor economic standards among older people. Diabetes infected people may
encounter various body complications such as cardiovascular diseases, kidney failure, hearing
impairment, neuropathies, retinopathy, osteoarthritis, and walking problems (Yakaryılmaz and
Öztürk, 2017, p. 278). Poor diabetes management, therefore, extends diabetes progression.
Primarily it is therefore essential to have adequate control measures to recede diabetes
complications. Diabetes can be controlled by providing intensive care to the people living with
diabetes, along with proper education to the caregivers.
Violet’s Health Issue
Violet is an old lady who has been approved for residential aged care, and she has been
waiting for a nursing home bed. She has been diagnosed with type two diabetes and facing
osteoarthritis and lower left leg ulcer complications. Furthermore, she needs dairy dressing and
BSL attendance. Currently Violet lives together with her daughter Gemma who is married to
Mathew. Gemma is the breadwinner of the family since Mathew is presently unemployed but
alcoholic, the reason for continuous augment with Violet. Like many older adults, Violet is
among millions of patients who undergo hardships in coping with diabetes type two and needs

Managing Diabetes Patients 3
diabetes management. Diabetes two is a chronic disorder caused by either inadequate insulin
secretion or malfunctioning of the insulin secreted in the body.
The infection is characterized by chronic hyperglycemia which may impair other body organ
systems causing health-related complications such as osteoarthritis, retinopathy, and neuropathy
(Goyal and Jialal, 2018 p 212). Like Violet, many old diabetic patients are susceptible to
osteoarthritis. Osteoarthritis shares the same risk factors as T2DM. Aging is also associated with
pancreas malfunction since the beta cells' functioning reduces as the age increases. According to
Anderson and Loeser (2011), Osteoarthritis is an aging disorder. Age changes the
musculoskeletal system, which later leads to change in cell tissues and senescence in the joints
causing Osteoarthritis, explaining why Violet is infected with arthritis.
Moreover, Violet is infected with a foot ulcer, which a common complication among diabetes
patients. It may appear like a thick lesion at the foot ankle caused by tissue damage due to foot
trauma or mechanical weight pressed against the foot. Consequently, Violet needs a dairy
dressing of the wound, which will help her in quick recovery (Younis et al., 2018).
Quantitative Aspect
Why is Diabetes type II more prevalent to the age individuals above 65 years compared to young
people below the same age?
The qualitative question may help us understand why Violet was diagnosed with diabetes type
two and why the disease is more prevalent old people compared to young people.
Searching Strategy