Topic: Modern management of diabetes

MODULE TITLE: Modern Management of Diabetes: Nutrition and Pharmacotherapy

Summary of Assessment

The Individual Written Assignment (Referral) to be passed. This 2,500-word summative essay assesses all learning outcomes. Vancouver style referencing

Assessment instructions

You will write an assignment to demonstrate your knowledge of diabetes and the increasing complexity of therapeutic options in diabetes care. This will include factors that differentiate between the combinations of therapy, insulin use and dietary management, showing understanding for the need for individualisation in the modern management of diabetes.

Individual Written Assignment: (2500 words in total)

The assessment is divided into 3 sections:

Section 1 (30%):

Bob has arrived in hospital after falling off a ladder and breaking his leg. He is 69 years old, has type 2 diabetes and his regular medicines are Metformin 1g Twice daily, Empagliflozin 10mg Once Daily, Atorvastatin 20mg Once a day at night.  His HbA1c last month was 60mmol/mol.

  • Describe why he has been prescribed each of his medications, as well as the mode of action, side effects, monitoring, cautions or contraindications and any specific counseling points.
  • What factors should be considered for a patient admitted to hospital on these medicines.

Section 2 (30%)

Bob will require corrective surgery tomorrow.  He will be made “Nil by Mouth” prior to surgery.  His blood glucose levels have been 16-24mmol/L since admission to hospital despite his regular diabetes medicines being administered.  His Anaesthetist suggests starting a variable rate infusion with glucose-based fluids to optimise his blood glucose levels peri-operatively.

  • Summarise the reasons why his blood glucose levels may have risen in hospital.
  • Describe the principles, benefits and risks of treatment using variable rate insulin infusions.

Section 3 (30%)

Post operatively Bob’s blood glucose levels are ranging 6-10mmol/L and things are settling.  Variable rate insulin has been stopped, he is eating and drinking well and he has returned to his usual medications.  Bob specifically wants diet advice for his diabetes as he would like to avoid further medication and would like to lose weight over the next 6 months.

  • Discuss the dietary advice he should be given to help with blood glucose control and weight loss.
  • What might be the barriers to prevent him from achieving lower blood glucose, HbA1c levels and weight loss?

Referencing (5%)

Presentation (5%)

Type of service-Academic paper writing
Type of assignment-Essay
Pages / words-4 / 2000
Number of sources-30
Academic level-Master’s
Paper format-Vancouver
Line spacing-Single
Language style-UK English

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