A Case Study on Diabetes Mellitus Ii

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ACKNOWLEDGEMENT
Without anyone who is involved in making this paper, it would not be possible to have this today. It is the time that we would like to express our greatest gratitude to those persons who have been part in this project and making it possible.

We would like to express our acknowledgement to Asst. Prof. Jin A. Honculada, who has been imparting us the knowledge about Medical Nutrition Therapy, about the nutrition care process and its importance to one`s health, and for preparing us to be a globally competitive and skilled nutritionist- dieticians in the future.

To the entire faculty in the ND department for also imparting us knowledge everything about nutrition and are always there encouraging us to be more competitive, to be active and making us consider ND department to be our second home in which they are supportive for what decision we take.

We would also like to thank Mrs. Epifania Turno for lending her time for us to take an interview, answered all our questions and for trusting us by sharing everything about her personal life. Thank you so much Mrs. Turno

Acknowledgement also to our beloved family who are very understanding and supportive for what we are doing. Our family are always there to support us and are very open minded that they really understand why we always spending overnights making this requirement. Thank you so much for the love and support. Foremost, we would also like to thank GOD for everything because without him we are nothing and this requirement won`t be possible. We thank him for his guidance and he is always there enlightening our minds for whatever decision we take into this requirement. Also, we would thank him for the courage, strength and capabilities he gave us to come up with this final paper. Thank you so much lord.

INTRODUCTION
Diabetes mellitus is a chronic disorder of carbohydrate metabolism characterized by altered glucose regulation and utilization usually resulting from insufficient or ineffective insulin. Diabetes mellitus is a group of metabolic diseases characterized by hyperglycemia resulting from defects in insulin secretion, insulin action or both. This is the most familiar of the diseases caused by an endocrine gland disorder. This was once a major cause of early death in children and young adults and a seriously disabling condition in many older people. Diabetes is not a contagious or infectious disease. This is mainly caused by the failure of the body to provide or properly utilize something that it needs. There are two types of diabetes being recognized, type I and type II.

In our patient’s case, she has type II diabetes. This type of diabetes results from the body’s inability to make enough or properly use of insulin. It is the most common form and usually appears after the age of forty. Patients with type II diabetes pass through a phase of impaired glucose tolerance. The risk of type II diabetes increases with age and obesity.

The patient also has hypertension, a condition closely associated with diabetes and obesity. Hypertension or high blood pressure is more of a symptom than a disease and may manifest itself in the course of many disorders. This could be due to high sodium intake and low potassium intake, cigarette smoking, alcohol consumption and in our patient’s case-hereditary. There was a history of hypertension in their family.

The Nutrition Care Process or NCP is a step-by-step process of evaluating a person’s nutritional status. It is divided into four steps: nutrition assessment, nutrition diagnosis, nutrition intervention and nutrition monitoring and evaluation. This is a systematic problem solving method that dietetic professions used to think critically, make decisions addressing nutrition-related problems, and provide safe, effective, high-quality nutrition care. This is a standardized nutrition process that needs critical thinking, in order to integrate facts, informed opinions, active listening and observations.

NCP...
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