Nu610diabetespeerresponse#2

Your treatment plan for the new diagnosis of type 2 diabetes â€“ structure your plan using the format outlined in the SOAP note assignment instructions (e.g., diagnostics, therapeutics, educational, consultation/collaboration)

Diagnosis

It is recommended that screening for youth patients should start at ten years or puberty for patients’ diabetes with increased risk factors for diabetes like overweight or obesity, like in our case, a BMI of 37. there are more risk factors like family history of diabetes, maternal gestational diabetes, signs of insulin resistance and associated metabolic resistance like hypertension, dyslipidemia, polycystic ovaries syndrome, or small gestational age birth weight, ethnicity, or race like African American, Latino, Native American Asian American or Pacific Islander. Screening is recommended every three years; however, screening should be done more often for patients whose BMI is increasing rapidly. Diagnosis is based on fasting plasma glucose, the 2-hour oral glucose tolerance test of 200 mg per dL during oral glucose tolerance test using 1.75 g glucose per kg body weight (up to 75 g) or HbA1C% level of 6.5% and above, or random glucose of 126 mg per dL (7.0 mmol per L) and above in cases where there is presence of common diabetes signs and symptoms (Rao & Jensen, 2021).

Therapeutic

According to Salama et al. (2023), lifestyle modification aimed at weight reduction is vital in managing type 2 diabetes (T2DM) among teenage patients due to various social determinants of health affecting financial, cultural, genetic, social, economic, and even biological factors. They recommend a multidisciplinary that is family-focused and delivered in a culturally sensitive manner to achieve weight management. The Mayo Clinic (2022) recommends the use of three pharmacological medications that are FDA-approved: Metformin, Liraglutide, and insulin. Metformin should be initiated at the dosage of 500 mg per day, regardless of the patient’s weight, and then titrated in 500-mg intervals over four weeks to the maximum dosage of 2,000 mg per day (Xu & Verre, 2018). They also regularly recommend blood sugar monitoring to prevent hyperglycemia (Mayo Clinic (2020). Bariatric surgery is also recommended because it reduces weight and remission of T2DM in youth (Salama et al., 2023).

Education

According to Xu and Verre (2018), patients and their families should be educated on nutritional management for children with T2DM. Educated should be centered on healthy eating patterns, emphasizing consuming foods low in carbohydrates and rich in all nutrients. They should also be educated and encouraged to exercise by engaging in moderate to vigorous exercise for at least 60 minutes daily. They should also be educated on the potential risk for hypoglycemia related to exercise and how to recognize and manage it, especially those taking medications.

Consultation/Collaboration

Since diabetes is a complex disease, advanced healthcare providers should involve other healthcare specialties like doctors, nutritionists, ophthalmologists, neurologists, podiatrists, and nephrologists in its management. Pharmacisare critictreatmentt education, especially for patients taking multiple medications. Individualized T2DM management is also recommended for better blood sugar control (Sara & Bhandari, 2023)

For each article you cited in support of an element of the plan, provide your thoughts about the strength of the evidence presented in the article(s)

Mayo Clinic is considered a credible source of medical information because this is a larger United States nonprofit hospital that employs 4500 physicians and scientists who conduct cutting-edge research on health matters. Global Pediatric Health is recognized as a peer-reviewed, open-access journal that publishes research on pediatric health and healthcare worldwide. SAGE Publishing publishes the journal and is part of their collection of reputable academic journals. StatPearls Publiresourceable source of medical information that provides online access to a vast library of peer-reviewed articles and resources. American Family Physreferenceedreputable source of medical information that provides evidence-based, peer-reviewed articles on a wide range of health topics. The journal is published by the American Academy of Family Physicians, a professional organization representing over 130,000 family physicians and medical students in the United States.

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