Management of Hospitalized Patient With Diabetes Mellitus

Mr Brown is a 45-year-old man diagnosed with type 2 diabetes (T2DM), peripheral arterial disease (PAD) and hypertension (HTN). Mr. Brown required immediate intravenous treatment of saline to supplement moisture and correct electrolyte imbalance. Mr. Brown was hospitalized with revascularization of the anterior right lower limb and had a history of hyperosmolar hyperglycemic nonketone syndrome (HHNS), which in combination with hyperosmolar extracellular fluid caused intracellular fluid dehydration. Hyperglycemia (Berman, 2012) where blood glucose level (BGL) exceeds 11 mmol / L.

Type 2 diabetes mellitus can usually be distinguished from type 1 diabetes based on medical history and physical exam results, as well as simple laboratory tests (see Exam: Type 2 diabetes and type 1 diabetes examination). Type 2 diabetic patients are usually obese and may have hypertrophy and / or hirsutism with thick neck and chub cheek

Diabetes has three main types: type 1, type 2, gestational diabetes. Type 1 diabetes or insulin dependent diabetes or adolescent diabetes is one type of diabetes in which the patient's pancreas does not produce insulin at all and the patient must rely on insulin every day to survive. Type 1 diabetes is an autoimmune disease in which the immune system attacks or destroys beta cells that produce insulin in the pancreas. Most people with type 1 diabetes are young children, and people under 30 years of age

Type 1 diabetes was formerly known as insulin dependent diabetes mellitus (IDDM) or juvenile type diabetes. Type 2 is called non-insulin dependent diabetes mellitus (NIDDM) or adult onset diabetes (AODM). In type 1 diabetes type 1 diabetes, the pancreas experiences the body's own autoimmune seizure and can not produce insulin. Abnormal antibodies are found in most type 1 diabetic patients. Antibody is a protein in the blood that is part of the body's immune system.

There are two main types of diabetes: type I or insulin dependent diabetes mellitus (IDDM), insulin dependent diabetes mellitus and type II or non insulin dependent diabetes mellitus (NIDDM), non insulin dependent diabetes mellitus. The main purpose was to observe type 1 diabetes that occurs in the pancreas when there is little or no insulin production. Without insulin that moves glucose into cells, blood glucose levels are extremely dangerous. This is known as hyperglycemia. Type I diabetes is caused by pancreatic injury Pancreas contains beta cells and is an organ near the stomach that produces insulin. "It accounts for about 10% of all diabetes in the world and the reason is not clear" (McCance 2002/07 November, 641 2002). It has a unique natural history and includes genetic susceptibility. "Type 1 diabetes affects only 5-10% of diabetic patients" (Richard 1999 / November 2008)