Assignment 9.2: Shadow Health Focused Exam: Antidiabetics Concept Lab Case Study 2021

Synopsis: Type 2 diabetes is a chronic disease characterized by high levels of sugar in the blood. The food we consume is broken down into basic components during digestion with carbohydrates being broken down into si ...

Synopsis: Type 2 diabetes is a chronic disease characterized by high levels of sugar in the blood. The food we consume is broken down into basic components during digestion with carbohydrates being broken down into simple sugars such as glucose. Glucose is a critical component that provides an important source of energy for the body's cells by leaving the bloodstream and getting inside the cells. The body allows glucose to merge into the cells for energy via insulin traveling in the bloodstream. It senses that glucose is available for use and signals the cells to allow entrance. When we eat, levels of glucose keep rising in the bloodstream jolting the pancreas to produce more insulin. When the human body produces too much insulin over a long period, our body's cells start developing resistance to the normal effect of insulin causing what we know as Diabetes Mellitus type 2. As a result, glucose starts building up in the blood making the Pancreas work overtime however, eventually it gets tired from overworking and cannot keep up with the demand for more insulin creating full resistance. Folks who are at an increased risk for developing type 2 diabetes can take steps to prevent type 2 diabetes by maintaining your ideal body weight, exercising regularly (regular exercise reduces insulin resistance), eating a healthy diet low in sugar and processed foods and by being compliant with medications. The shadow health antidiabetic concept lab was very unique as it did not take us into a clinical office visit but instead, creating an interactive learning environment. We learned about various oral antidiabetics used to treat Diabetes Mellitus type 2 through animations, medication summaries and a quiz at the end to test the student’s knowledge. These medication summaries This study source was downloaded by 100000828438697 from CourseHero.com on 07-03-2021 22:20:31 GMT -05:00 https://www.coursehero.com/file/50854980/Assignment-92-Shadow-Health-antidiabetic-concept-labediteddocx/ This study resource was shared via CourseHero.com discussed various therapies in the treatment of DM2 including examples of drugs in each class, their mechanism of action and the most common or serious side effects. The animations were very expressive allowing me to see how the drug works in the body/bloodstream. The course went over the following medication classes:  Biguanides  GLP – 1 agonists  DPP – 4 inhibitors  SGLT – 2 inhibitors  Thiazolidinediones  Alpha – glucosidase inhibitors  Sulfonylureas  Meglitinide analogues Overall, the course was very informative although, in my personal opinion, the alternate method of learning in shadow health is more effective in learning about medications in general. Being able to apply knowledge in the clinical setting allows me to make connections with the theory learned in class and remember all the considerations to be mindful of when prescribing anti-diabetic medications. What did you learn? Although there was such a variety of topics and drugs to learn, I had a special interest in Metformin being that I preop and recover patients for the Cardiac Cath Lab. Diabetic patients often have heart disease which is usually exacerbated by poor glucose control in patients lacking This study source was downloaded by 100000828438697 from CourseHero.com on 07-03-2021 22:20:31 GMT -05:00 https://www.coursehero.com/file/50854980/Assignment-92-Shadow-Health-antidiabetic-concept-labediteddocx/ This study resource was shared via CourseHero.com compliance. I see Metformin often when I reconcile medications at work and it is important to be diligent when questioning patients about the use, especially when going into a procedure. Patients in the Cardiac Cath Lab receive a considerable amount of contrast, which is needed to confirm guidewire placement in the vessels as it is floated up into the coronaries. The lecture on shadow health, as well as the lecture posted on canvas, emphasizes the risk for renal disease with patients on Metformin. Pre-cardiac cath lab patients are always instructed to stop the medication two days prior due to the risk of acute renal failure from too much contrast mixed with Metformin in the bloodstream and often, we have to pre-hydrate patients if they do not follow instructions well and creatinine clearance is high on the day of the exam. It was also very interesting to learn that Metformin is a preferred drug due to its high efficacy, low risk of hypoglycemia and low-cost making is easily accessible to a large number of Americans, even those without health insurance.