From GDM to a diagnosis of type 2 diabetes

By May 19, 2018Academic Papers

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From GDM to a diagnosis of type 2 diabetes

 

 Essay

 Length: 2200 words

References: 18-20

 

MARKING CRITERIA and BREAKDOWN of MARKS

Credit

• Brief discussion of what is

structured diabetes education

• Brief discussion of how T1 and T2 are diagnosed.  Include the test’s that will be ordered to confirm a diagnosis of T1 and T2 diabetes

• Explain to Abby why she does not have T1 although she has commenced insulin.

10 marks

Good quality depth of description and explanation of structured diabetes education. Identifies and outlines the difference in testing for T1 and T2. Identifies and outlines use of insulin in T2 diabetes whilst breast feeding

• Discusses the seven classes of oral agents used in the treatment of T2 diabetes.

• Discusses the mode of action, side effect, time of administration of each class of medication.

• Identifies which class of medication is recommended for use in breastfeeding women with T2 diabetes. 

10 marks

Good quality depth of description and explanation of classes of medication/mode of action/side effects/administration.

Identified which class of medication can be used in breastfeeding women

          Discusses the benefit of the insulin regime Abby has been commenced on (basal/bolus), in relation to physiological insulin production and the benefits of this regime to glycaemic control

          Explains the association with breast feeding and (the risk of) Abby experiencing hypoglycaemia

          Discusses management strategies to prevent Abby experiencing hypoglycaemia whilst breast feeding.

10 marks

Good quality depth of description and explanation of insulin regime and association to physiological insulin production and why this will assist in the management of diabetes. Identifies the association to hypoglycaemia with breastfeeding. Identifies one strategy to prevent hypoglycaemia whilst breastfeeding  

 

• Explains what is meant by lifestyle modification in the management of diabetes

• Explain why there is no requirement for a ‘special’ diabetes diet in the management of diabetes

• Explain the composition of healthy eating, modest weight loss and the benefits to the management of diabetes as per clinical recommendations.

10 marks

Good understanding lifestyle modifications includes examples.

Acknowledges clinical guidelines and recommendations in the explanation of healthy eating/weight loss and benefits to glycaemic control and management of diabetes 

          Discuss the cycle of care for individuals diagnosed with diabetes Briefly discuss what investigations are included in the cycle of care, the frequency and the complications (damage to the human body) including the sexual organs (both to male and female)as a result of poor glycaemic control. Explain the importance of smoking cessation in the clinical context for overall health

•Discuss the benefit blood glucose monitoring in the self-management of diabetes, the frequency and recommended target range as per clinical guidelines for Abby with T2 diabetes

          Discuss the importance and benefit of Abby being involved (self-management) in the care of her diabetes management.

10 marks

Good understanding of what is meant by ‘cycle of care’. Identifies all tests (screening) to be attended and potential complication to the human body as a result of poor glycaemic control. Discusses blood glucose monitoring frequency/benefits/target range. Identifies the benefit of self-management in the care of diabetes