2. DMII
• DMII is a chronic condition that affects the way your body
metabolizes sugar which is the body's important source of
fuel.
• With type 2 diabetes, your body either resists the effects of
insulin or doesn't produce enough insulin to maintain a
normal glucose level.
4. DMII - Labs
• A1C Test
• Fasting Blood Glucose >126
• Oral Glucose Tolerance Test
5. DMII - Treatment
• Medication Therapy
• Insulin
• Metformin
• Sulfonylureas
• Regular Exercise
• At least 30 mins per day or 150 mins per week
• Blood Sugar Monitoring
6. DMII - Diet
• Low Sodium
• Avoid Trans Fat
• Reduce Sat Fat <75% of total calories
• Reduce Cholesterol <200 mg/day
• Adequate Fiber 25-30 g/day
7. DMII – Patient Teaching
• Teach the importance of weight loss
• A combination of exercises often helps control blood sugar more
effectively than either type of exercise alone.
• Teach that physical activity reduces the amount of blood sugar in
the blood as the body uses sugar for energy.
• Encourage water consumption
• Teach patient how to monitor their glucose levels and/or
administer self insulin
• Teach patient the signs and symptoms of Hypo and
Hyperglycemia
9. Metabolism Concept R/T DMII
Antecedents
• Ingestion of Nutrients
• Hormone Target Cells
• Organ Perfusion
• Normal Immune
Response
Attributes
• Blood Glucose
Homeostasis
• Fluid and Electrolyte
Balance
• Normal Physiological
Response to Stress
• Maintain Body Energy
Requirements
10. References
• Ackley, B., & Ladwig, G. (2014). Nursing diagnosis handbook:
An evidence-based guide to planning care (10th ed.). Maryland
Heights, MO: Elsevier.
• Lewis, S., & Dirksen, S. (2014). Medical-surgical nursing:
Assessment and management of clinical problems (Ninth ed.).
St. Louis, MO: Elsevier.
• Pagana, K., & Pagana, T. (2014). Mosby's manual of diagnostic
and laboratory tests (Fifth ed.). St. Louis, MO: Elsevier.
• Pulmonary Embolism. (2015). Retrieved October 7, 2015, from
http://www.mayoclinic.org/diseases-conditions/pulmonary-
embolism/basics/definition/con-20022849
