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| Nursing Considerations Of Diabetic Nephropathy |
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Tuesday, January 01 2008 @ 02:49 PM GMT+5
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Monitor your patient's blood glucose levels frequently. As her kidney function deteriorates, she may need less insulin or oral hypoglycemic drugs. That's because one-third of insulin is metabolized and excreted by the kidneys, and as her kidney function deteriorates, insulin is available in the bloodstream for a longer time. Monitor her for signs and symptoms of hypoglycemia, such as diaphoresis, nausea, or vomiting. If she shows signs of hypoglycemia, the physician may reduce her insulin dosage. Or, if your patient takes an oral antidiabetic drug, the physician may prescribe glipizide, which has a shorter half-life than other drugs and is metabolized by the liver to inactive metabolites for excretion by the kidneys.
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| What Are The Signs And Symptoms Of Diabetic Neuropathy? |
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Friday, May 11 2007 @ 04:06 AM GMT+5
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Diabetes is a very debilitating disease, and that alone is bad enough. Sadly, though, diabetes can lead to many other complications, many of which are chronic and even life threatening. One of the worst of the possible complications is diabetic neuropathy. This condition results in damage to the nerves, which means that messages from the body to the brain don't get through. It's easy to see how debilitating this condition can be, because the nervous system is central to the correct functioning of our bodies. It's possible that diabetic neuropathy can cause a loss of movement in the limbs or a loss of sensation. It can affect food digestion, the efficient functioning of the heart and potentially cause impotence in males.
Diabetes seriously limits the ability of the body to metabolize sugar. This leads to a buildup of glucose, which can reach potentially dangerous levels. One of the dangers is that the nerves can become damaged. Blood is used to transport sugar around the body, and blood also travels through the nerves. The high level of sugar traveling through the blood is what causes the nerve damage.
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| Painful Diabetic Neuropathy |
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Thursday, May 10 2007 @ 04:36 PM GMT+5
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The toes burn and tingle and sharp pains shoot into the legs. The bed sheets feel uncomfortable on your feet and you toss and turn, hoping to drift away into a pleasant slumber. But, the “fire-like” sensation in your toes keeps you awake. You switch positions, wiggle the toes, prop a pillow under the legs, but nothing seems to help. You can only lie in bed and watch the hours on the clock pass by.
Background
Burning, numbness, tingling, hot and cold sensations, shooting and electrical pain are common sensations felt in the feet in individuals with painful diabetic peripheral neuropathy (PDN). Neuropathy is an abnormality of the nervous system. Diabetic neuropathy is nerve damage caused by diabetes and is described as a loss of sensation that starts in the tips of the toes and gradually works its way up the legs. Diabetic neuropathy is sometimes referred to as a stocking glove neuropathy because it progresses as if one was pulling on a stocking. Diabetic neuropathy can affect both the hands and the feet.
There are three types of nerves affected in diabetic peripheral neuropathy, sensory, motor and autonomic. Sensory nerves allow people to feel sensation, like pain, hot or cold or touch. Motor nerves control the muscles and allow movement. Autonomic nerves control bodily functions without our awareness or control. In the feet, an autonomic nervous response would be sweating. Neuropathy can affect all of these nerve group types, but sensory nerves are typically the first and most often affected.
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