Type 1 Diabetes Mellitus
Presented By: Student Name
Course
Submission Date
Patient Case Introduction
•The patient's name is James Bahadur, age 20 years, married and
with address 3456 from Jung town Kingston street.
•The informants are the patient and his wife, who had accompanied
the client (McCance, Huether, Brashers & Rote, 2018).
•Chief complaint is dizziness and weakness, both for three days.
•The patient has had Hypertension (HTN) history for six months
and is currently under medication (Tanaka, Aida, Nishida &
Kobayashi, 2019).
•Diabetes mellitus type one under insulin therapy.
•Experienced difficulties in walking for the last three days.
Disorder Description & Epidemiology
•Diabetes Mellitus type one is a chronic condition that is insulin-dependent.
•Although the condition has no cure, treatment is directed towards maintaining
the glucose level using diet, sugar, and lifestyle.
•Diabetes type 1 can be triggered by a virus, including the cold.
•In the U.S, the condition affects more than 1.6 million citizens annually
(McCance et al., 2018).
•In every 100,000 individuals, the prevalence rate is 15 %.
•Global prevalence rate of the disorder is 9.5 % (Corbin et al., 2018).
Disorder Pathophysiology at the Cellular
Level
•T1DM develops once the bet antigen cells’ immune system is
elucidated.
•Initiation of the pro-inflammatory response accounts for the continued
presence of the condition within the body cells.
•Chronological immunological responses set in due to increased
inefficiency in regulation (Jayasimhan et al., 2020).
•Beta Cells die through physiological mechanisms.
•Lymphatic infiltration is common at a cellular level.
Clinical Manifestation
•Pertinent subjective data notes the Chief compliant and HPI as stated in the slides above.
•Had CVA before for six months and later limb problems.
•No history of COPD, food and drug allergies, or surgical illness.
•Family history reveals no diabetes, hypertension, or asthma cases (Tanaka et al., 2019).
•Social and economic history affirms that the family is among the middle class with a small
group of friends in their neighborhood.
•Pertinent objective data related to physical examination was done on general inspection
and vital signs.
•Respiration, blood pressure, and weight were the aspect measured.
•Physical examination captured the eyes, head, ears, respiratory and cardiovascular
systems.
Role of the Advanced Practice Nurse
Underpinned by the Christian
Worldview
•Advanced nursing Practice should support the
appreciation of healthy living since it appreciates God as
the author of life.
•Diabetic patients should be made to understand that
living for Christ correlates with being created in God’s
image (Corbin et al., 2018).
•Advanced nursing practice should create leadership
platforms, conferences, and workshops for T1DM
patients to share their testimonies.
Case Questions
•Is it possible to stop insulin therapy if one stops the candies and
cookies in the diet?
•What is the connection between T1DM and depression among the
young generation?
•Are medical experts wary of finding a permanent cure for T1DM?
References
•Corbin, K., Driscoll, K., Pratley, R., Smith, S., Maahs, D., & Mayer-Davis, E. (2018). Obesity
in Type 1 Diabetes: Pathophysiology, Clinical Impact, and Mechanisms. Endocrine
Reviews,39(5), 629-663. https://doi.org/10.1210/er.2017-00191
•Jayasimhan, A., Mansour, K., & Slattery, R. (2020). Advances in Our Understanding of the
Pathophysiology of Type 1 Diabetes: Lessons from the NOD Mouse. Clinical Science,126(1),
1-18. https://doi.org/10.1042/cs20120627
•McCance, K., Huether, S., Brashers, V., & Rote, N. (2018). Pathophysiology (8th ed.). Mosby.
•Tanaka, S., Aida, K., Nishida, Y., & Kobayashi, T. (2019). Pathophysiological Mechanisms
Involving Aggressive Islet Cell Destruction in Fulminant Type 1 Diabetes
[Review]. Endocrine Journal,60(7), 837-845. https://doi.org/10.1507/endocrj.ej13-0222
