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Hypertension Crises
Diabetes is a disease in which the body does not properly use or produce insulin. A hormone, insulin converts sugar, starches, and other food into energy needed for daily life. The exact cause of diabetes remains a mystery. Experts agree that both genetics and environmental factors such as obesity and lack of exercise appear to contribute to the disease.
Over 17 million people in the United States, or slightly more than 6% of the population, have diabetes. Although an estimated 11 million Americans have been diagnosed, 6 million people (or the equivalent of one-third with the disease) are unaware that they have diabetes.
There are three major types of diabetes. They are:
Type 1 diabetes - The condition results from the body's inability to produce insulin, the hormone that "unlocks" or "opens" the cells of the body, allowing glucose to enter and fuel them. Between 5-10% of Americans who are diagnosed with diabetes have type 1.
Type 2 diabetes - The condition results from the body's resistance to insulin (a condition in which the body fails to properly use insulin), combined with insulin deficiency. Approximately 90-95% (or the equivalent of 16 million) have type 2 diabetes.
Gestational diabetes - Gestational diabetes inflicts about 4% of all pregnant American women - or about 135,000 cases in the United States each year.
There is also a condition...
This occurs when a person's blood glucose levels are higher than normal but not high enough for a diagnosis of type 2 diabetes. It is estimated that at least 16 million Americans have pre-diabetes, in addition to the 17 million with diabetes.
Diabetes Hypertension, or high blood pressure, is often called a silent killer because it has no symptoms, except in the most severe of cases. Many people are unaware they have it. Until they suffer from a major complication, such as heart attack or stroke, they are oblivious to the condition. But just like diabetes, high blood pressure can be controlled and maintained with proper diet modification and medication.
People with both types of diabetes must also manage blood pressure and cholesterol and talk to their health provider to learn about other ways to reduce their chance for heart attacks and stroke.
Since there is a large number of Americans unaware of their condition, it is important for nurses to recognize symptoms, and provide initial consultation, helping individuals to seek proper diagnosis from a physician. Nurses must encourage the patient to seek blood testing, emphasizing the importance of early detection of this health problem. By providing counseling, nurses can help individuals yet to be diagnosed with diabetes to learn of their condition, and seek medical care.
Once a patient has been diagnosed with diabetes, it…
Bibliography
National Diabetes Fact Sheet Brochure, issued and published by the American Diabetes Association. Downloaded from www.ada.orgon April 11, 2003.
Fuller JH, Stevens LK, Wang SL. Epidemiology of Hypertension in Diabetic Patients. The WHO Multinational Study of Vascular Disease in Diabetic patients. Journal of Cardiovascular Pharmacology 1996; 28(Suppl.4): SI-S5.
American Diabetes Association: Standards of medical care for patients with diabetes mellitus. Diabetes Care 22(Suppl 1):S32-S41, 1999.
The Diabetes Control and Complications Trial Research Group: The Effect of Intensive Treatment of Diabetes on the Development and Progression of Long-Term Complications in Insulin-Dependent Diabetes Mellitus. N Eng J. Med 329:977-986, 1993.
M., 2009, p. 1474). IMPACT on the FAMILY: Although hypertension is one of the most prevalent of all disorders in the United States, it does not affect nor impact the family of a person with this disorder as much as other diseases, such as heart disease, stroke, Alzheimer's and other disorders associated with the central nervous system. Overall, hypertension does affect a person's family in one important way, being the build-up of
Hypertensive Crisis Reference (APA Style): Yeo, T.P., Burrell, S.A. (2010). "Hypertensive crisis in an era of escalating health care changes." The Journal for Nurse Practitioners. 6 (5): 338-346. This article provides a tremendous amount of analysis into the medical condition known as hypertension, which contributes to hypertensive crises. The latter is a more severe and detrimental version of the former. Additionally, the latter is also stratified into both hypertensive urgency and hypertensive
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