Diabetes is an endocrine system disorder that affects millions of children and adults (ADA, 2011). If left untreated, diabetic patients are at risk for several alterations including heart disease, stroke, kidney failure, neuropathy, and blindness. There are various methods for treating diabetes, many of which include some form of drug therapy. The type of diabetes as well as the patient’s behavior factors will impact treatment recommendations. In this Assignment, you compare types of diabetes including drug treatments for type 1, type 2, gestational, and juvenile diabetes.

To prepare:

· Review this week’s media presentation on the endocrine system and diabetes, as well as Chapter 46 of the Arcangelo and Peterson text and the Peterson et al. article in the Learning Resources.

· Reflect on differences between types of diabetes including type 1, type 2, gestational, and juvenile diabetes.

· Select one type of diabetes.

· Consider one type of drug used to treat the type of diabetes you selected including proper preparation and administration of this drug. Then, reflect on dietary considerations related to treatment.

· Think about the short-term and long-term impact of the diabetes you selected on patients including effects of drug treatments.

Write a 2- to 3- page paper that addresses the following:

· Explain the differences between types of diabetes including type 1, type 2, gestational, and juvenile diabetes.

· Describe one type of drug used to treat the type of diabetes you selected including proper preparation and administration of this drug. Include dietary considerations related to treatment.

· Explain the short-term and long-term impact of this diabetes on patients including effects of drugs treatments.

– This work should have Introduction and conclusion

– This work should have at 4 to 6 current references (Year 2012 and up)

– Use at least 2 references from class Learning Resources

The following Resources are not acceptable:

1. Wikipedia

2. Cdc.gov- nonhealthcare professionals section

3. Webmd.com

4. Mayoclinic.com

Required Readings

**Arcangelo, V. P., Peterson, A. M., Wilbur, V., & Reinhold, J. A. (Eds.). (2017). Pharmacotherapeutics for advanced practice: A practical approach (4th ed.). Ambler, PA: Lippincott Williams & Wilkins.

• Chapter 36, “Osteoarthritis      and Rheumatoid Arthritis” (pp. 591-609)
       This chapter examines the causes, pathophysiology, and diagnostic criteria      of osteoarthritis and rheumatoid arthritis. It then outlines the process      of selecting, administering, and managing drug therapy for both disorders.
• Chapter 46, “Diabetes      Mellitus” (pp. 785-806)
       This chapter begins by identifying the causes, pathophysiology, and      diagnostic criteria of diabetes mellitus. It then examines the process of      selecting, administering, and managing drug therapy for patients with      diabetes mellitus.
• Chapter 47, “Thyroid Disorders” (pp.      809-822)
       This chapter explores the causes, pathophysiology, diagnostic criteria,      and administration of drug therapy for patients with thyroid disorders,      including hypothyroidism, hyperthyroidism, thyroid nodules, subclinical thyroid      disease, and thyroiditis. It also discusses the mechanisms of prescribed      drugs, as well as proper dosages and potential adverse reactions.

**Ben-Zacharia, A. (2011). Therapeutics for multiple sclerosis symptoms. The Mount Sinai Journal of Medicine, 78(2), 176–191. 

Note: Retrieved from the Walden Library databases.

This article covers the diagnosis, treatment, and management of multiple sclerosis and explores methods for treating other health issues that arise from multiple sclerosis.

**Kargiotis, O., Paschali, A., Messinis, L., & Papathanasopoulos, P. (2010). Quality of life in multiple sclerosis: Effects of current treatment options. International Review of Psychiatry, 22(1), 67–82.

Note: Retrieved from the Walden Library databases.

This article examines the process of evaluating and diagnosing patients who present with symptoms of multiple sclerosis and explores treatment and rehabilitation methods.

**Peterson, K., Silverstein, J., Kaufman, F., & Warren-Boulton, E. (2007). Management of type 2 diabetes in youth: An update. American Family Physician, 76(5), 658–664. 

Note: Retrieved from the Walden Library databases.

This article outlines the process of diagnosing, treating, and managing youths with or at risk of type 2 diabetes. It also suggests methods for body weight management and reducing cardiovascular disease risks.

**Drugs.com. (2012). Retrieved from http://www.drugs.com/

This website presents a comprehensive review of prescription and over-the-counter drugs including information on common uses and potential side effects. It also provides updates relating to new drugs on the market, support from health professionals, and a drug-drug interactions checker.

Required Media

**Laureate Education, Inc. (Executive Producer). (2012). The endocrine system and diabetes. Baltimore, MD: Author. https://class.waldenu.edu/bbcswebdav/institution/USW1/201870_27/MS_NURS/NURS_6521/adobePresenter/Week06/index.htm

This media presentation explores the endocrine system and diabetes including diagnosis and treatment of the disease.

Note: The approximate length of this media piece is 5 minutes.

**Laureate Education, Inc. (Executive Producer). (2012). Advanced pharmacology – Mid-course review. Baltimore, MD: Author.

  

Social Determinants of Health

Answer one of the following questions:

· Increasingly, health policymakers are becoming aware of the social determinants of health and the role they play in prevention disease and promoting health and wellness. In the “Frameworks for Action in Policy and Politics” chapter, examine Box 1-1 (Political Aspects of the Social Determinants of Health) and Figure 1-6 (The Who, What, Where, When, and Why of Nursing’s Policy Influence). Then compare these with the story about Lilian Wald’s work in New York City. Reflect on the “what” of Wald’s strategies. In your opinion, which did she use effectively?

Looking further at the “what” in Figure 1-6 and answer any one of the following questions:

o Discuss at least three competencies/strategies that you have used effectively.

o Identify three competencies/strategies that you don’t currently use and discuss how you might incorporate them into your advocacy toolbox.

Review the four recommendations in the IOM report The Future of Nursing: Leading Change, Advancing Health and find your state’s action coalition(https://campaignforaction.org/our-network/state-action-coalitions/)USE THIS LINK OR WEBSITE TO ACCES THE STATE’S ACTION

· . Discuss your state’s action coalition’s work as it aligns with these four recommendations. Is each recommendation being addressed? Based on your analysis of the website, how would you describe your state’s progress toward meeting the IOM recommendations?APA FORMAT AND REFERENCES NEEDED.