Nursing Care for Type 2 Diabetes Patients

Running Head: NURSING CARE
NURSING CARE
Name of the Student
Name of the University
Author Note

NURSING CARE1
Part 1
This report is going to discuss about the issues faced by the patients who are suffering
from the type 2 diabetes. This is a serious condition in which the pancreas make the insulin
that is required by the body to maintain the blood glucose level however, the cells in the
patient’s body is unable to use the insulin. This condition is generally known as the insulin
resistance. In order to make the glucose available to the cells of the body pancreas make more
and more glucose however, there are no intake of the glucose by the body and the sugar keeps
on building inside the body that increases the blood glucose level that is not at all good for
the body (Copeland et al., 2013). Thus, this essay deals with the problems of the patients and
this is important because it can show the various reasons that are related to the diabetic
patient. This essay will highlight the various ways that are related to the various ways in
order to handle the condition that arises in such chronic conditions. This essay will compare
the various diet plan for the Australians who are indigenous to the place and thus helps to
reduce the insulin resistance (Miller et al., 2014).
The PICO questions that can be thus, related to the evidence-based nursing is
P- Who are the patients that is affected by the insulin resistance?
I-What are the interventions that can be used to increase the efficacy of the dietary
modifications and physical activity?
C- Compare the education rate and the diet plan?
O- What is the outcome of the control of the insulin production?
Thus, the single question that is being identified in the report is- What is the effective
approach between education and diet plan for the Australian natives regarding type 2 diabetes
that helps to reduce the insulin resistance in the body.

NURSING CARE2
This report also identifies certain research articles that are linked to the type 2
diabetes management among the nurses and is thus, reviewed in this paper. This report
analyses each article and relates it to the PICO questions that has been mentioned above. In
this paper there is discussion regarding each of the articles that is concerned about the insulin
resistance among the patients who are suffering with type 2 diabetes provides rationale for
the selection of each of these articles. The search strategy that has been used for the
identification of these articles involve the use of key terms or the use of alternate terms such
as the ‘insulin resistance’ OR ‘increase in insulin’ OR ‘type 2 diabetes’ AND ‘pancreas’ OR
‘diet plan’ AND ‘interventions’.
Articles Design Aims/
Objectives
Results Limitations
Asaad, G., Soria-Contreras,
D., Bell, R., & Chan, C.
(2016, December).
Effectiveness of a lifestyle
intervention in patients with
type 2 diabetes: The Physical
Activity and Nutrition for
Diabetes in Alberta (PANDA)
trial. In Healthcare (Vol. 4,
No. 4, p. 73).
Multidisciplinary Digital
Publishing Institute.
Pre-post
intervention
The main aim is
to evaluate the
efficacy of the
various ways to
control the
blood glucose
and the quality
of the diet
among the
patients
The results
showed that
there is
improvemen
t in the rate
of lipids and
body mass.
Thus dietary
management
is helpful for
diabetes
management
The study
does not
have a
control
group and
all the
participants
were self-
selected.
Baptista, D. R., Wiens, A.,
Pontarolo, R., Regis, L., Reis,
W. C. T., & Correr, C. J.
(2016). The chronic care
model for type 2 diabetes: a
systematic
review. Diabetology &
metabolic syndrome, 8(1), 7.
Systematic
review
To assess the
articles that
evaluate the
various
elements of the
chronic care
model (CCM)
in the patients
suffering with
type 2 diabetes
mellitus and to
examine the
effect of the
CCM on the
different
The results
show that
integration
of various
methods is
helpful to
reduce
insulin
resistance
Low sample
size and the
less follow-
up period

NURSING CARE3
outcomes
Courcoulas, A. P., Belle, S.
H., Neiberg, R. H., Pierson, S.
K., Eagleton, J. K.,
Kalarchian, M. A., ... Jakicic,
J. M. (2015). Three-Year
Outcomes of Bariatric
Surgery vs Lifestyle
Intervention for Type 2
Diabetes Mellitus Treatment:
A Randomized Clinical
Trial. JAMA
surgery, 150(10), 931–940.
doi:10.1001/jamasurg.2015.1
534
Randomize
d Control
Trial
The aim of this
research is to
compare the
remission of the
type 2 diabetes
following
surgical and
non-surgical
treatments.
The results
show that
the bariatric
surgery
along with
lifestyle
interventions
show that
there is
improved
remission of
patients with
type 2
diabetes
small
sample size
Jølle, A., Åsvold, B. O.,
Holmen, J., Carlsen, S. M.,
Tuomilehto, J., Bjørngaard, J.
H., & Midthjell, K. (2018).
Basic lifestyle advice to
individuals at high risk of
type 2 diabetes: a 2-year
population-based diabetes
prevention study. The DE-
PLAN intervention in the
HUNT Study, Norway. BMJ
Open Diabetes Research and
Care, 6(1), e000509.
Intervention
study
The aim of this
study was to
prevent
diabetes with
lifestyle
interventions
The results
show that
the dietary
interventions
are needed
to maintain
the diabetes
lack of a
control
group
Kahn, S. E., Cooper, M. E., &
Del Prato, S. (2014).
Pathophysiology and
treatment of type 2 diabetes:
perspectives on the past,
present, and future. The
Lancet, 383(9922), 1068-
1083.
Systematic
review
The aim of the
article is to
investigate the
pathophysiolog
y and reasons
for insulin
resistance
The results
stated that
dietary
planning is
important
for the
maintenance
of diabetes
No such
limitation
mentioned
Look AHEAD Research
Group. (2013).
Cardiovascular effects of
intensive lifestyle
intervention in type 2
diabetes. New England
journal of medicine, 369(2),
145-154.
Systematic
review
To investigate
weight loss as
the way to
reduce diabetes
The paper
shows that
the lifestyle
intervention
which focus
on the loss
of weightare
helpful to
reduce
insulin
specific
lifestyle
intervention
and the
patients are
not selected
randomly