Description
Peer Responses:
Length: A minimum of 200 words per post, not including references
Citations: At least two high-level scholarly reference in APA per post from within the last 5 years
Relate to another journal reading
Week 2: Discussion Question – Evidence-Based Practice
People with diabetes need to monitor several things, such as blood glucose levels, grams of carbs, and units of insulin. In addition, the American Diabetes Association (ADA) suggests that people with diabetes need to have screenings due to their risk of other health conditions that include heart, kidney, and eye problems. These medical screenings include A1c, albumin-to-creatinine ratio (ACR), ankle-brachial index, blood pressure, bone mineral density, body mass index (BMI), dilated eye exam, estimated glomerular filtration rate (eGFR), and cholesterol & triglycerides(American Diabetes Association [ADA], 2024).
Moreover, patients with type 1 diabetes should be considered for screening for autoimmune thyroid disease and celiac disease soon after diagnosis. According to ADA (2019), diabetes is associated with an increased risk of cancers of the liver, pancreas, endometrium, colon/rectum, breast, and bladder. The association may result from shared risk factors between type 2 diabetes and cancer (older age, obesity, and physical inactivity). Still, it may also be due to diabetes-related factors, such as underlying disease physiology or diabetes treatments. Patients with diabetes should be encouraged to undergo recommended age- and sex-appropriate cancer screenings and to reduce their modifiable cancer risk factors. New onset of atypical diabetes in a middle-aged or older patient may precede the diagnosis of pancreatic adenocarcinoma(American Diabetes Association [ADA], 2019).
Centers for Disease Control and Prevention (CDC) recommends a diabetes care schedule. The diabetes care schedule includes daily, every three months, every six months, yearly, just once, and as needed. Everyday diabetes care schedule includes blood sugar checks, foot checks, diabetes medicine, physical activity, and healthy eating. Every three months, have an A1c test and doctor visit. Every six months, have a dental exam, A1c test, and doctor visit. Every year includes flu shots, kidney tests, cholesterol tests, dilated eye exams, hearing checks, and complete foot checks. For just once, there is a pneumonia shot and a hepatitis B shot. For as needed, this includes a mental health check(Centers for Disease Control and Prevention [CDC], 2023).
References
American Diabetes Association. (2019). standards of medical care in diabetes—2019 abridged for primary care providers. Clinical Diabetes, 37(1), 11–34. Retrieved January 10, 2024, from https://doi.org/10.2337/cd18-0105
American Diabetes Association. (2024). Health checks for people with diabetes. ADA. Retrieved January 10, 2024, from https://diabetes.org/living-with-diabetes/newly-diagnosed/health-checks-people-with-diabetes
Centers for Disease Control and Prevention. (2023, April 19). Your diabetes care schedule. Retrieved January 10, 2024, from https://www.cdc.gov/diabetes/managing/care-schedule.html
