After viewing the lecture, write 2–3 paragraphs on how you will incorporate this information into your practice

This Pri-Med lecture will provide current management of T2DM. If you do not already have a free Pri-Med account, you will be prompted to sign up. Primary Care Updates from the American Diabetes Association (Recorded at Pri-Med South) After viewing the lecture, write 2–3 paragraphs on how you will incorporate this information into your practice. Include a reference in APA style.     Sample Paper The Standards of Medical Care in Diabetes recommended by the American Diabetes Association provides guidelines and recommendations for the management of type 2 diabetes through evidence-based practices to improve care and promote health in patients and communities. In managing type 2 diabetes, a healthcare provider is expected to incorporate the recommendations on how to tailor appropriate treatment and care by assessing the social and economic status of the patient in terms of housing, food security, financial barriers, local resources, housing stability, and others. I would include the social determinant of health to develop a treatment, and monitoring plans of individual patients would be crucial in recommending nutritional plans, physical activities, follow-up with specialists, moral support from the community, and family and monitoring techniques. Following the recommendations on screening and diagnosis, actions incorporated in practice would include carrying out tests in asymptomatic patients who are overweight or obese. Patients  over the age of 45 and with risk factors such as hypertension, history family of type 2 diabetes, cardiovascular diseases and women with  Gestational diabetes mellitus (GDM) (American Diabetes Association, 2019). Risk-based screening after puberty onset or after ten years would be incorporated into practice for obese or overweight individuals and other risk factors as outlined. The tests for diagnosis to be performed are an  A1C test, oral glucose tolerance test, and fasting plasma glucose. The tests would be repeated at a minimal period of three years if normal results are obtained as recommended. In managing type 2 diabetes through diet and exercise, recommendations made to patients would include a low-calorie diet, Mediterranean, and a low-fat plan eating plan. Evidence from randomized controlled trials, including evidence from the Diabetes Prevention Program, indicates that an intensive lifestyle intervention has a significant potential to reduce the incidence of developing type 2 diabetes with a weight loss goal of 7%(NEJM, 2020). In practice, I would recommend engagement in physical activity for 60min per day in moderate or vigorous for at least three days in a week for children and adolescents and 150 minutes for adults. The physical activity plan would be tailored to the recommendations for exercise in case of microvascular complications such as retinopathy, neuropathy, and diabetic kidney disease (DeFronzo et al., 2015). In managing glycemic controls, the courses of actions that would be put into practice would include conducting AIC tests at different intervals, such as twice a year for those with stable glycemic controls, quarterly for those with unstable controls and not meeting the glycemic goals (American Diabetes Association, 2019). The monitoring of hypoglycemia levels will be a vital aspect of practice in symptomatic and asymptomatic patients. Hypoglycemia can be detected by blood glucose monitoring; the preferred treatment for conscious patients are sugary foods and glucose tablets. I would recommend metformin as drug therapy for type 2 diabetes while considering patients with prediabetes combined with a BMI of higher than 35kg/m2 aged 60 years or less, and women with a history of GDM. Screening for cardiovascular risks such as elevated  LDL, hypertension, smoking, obesity, and family history of premature atherosclerotic cardiovascular disease (ASCVD) would be incorporated into practice. Another aspect of management of type 2 diabetes that would be incorporated into practice include providing care in a multi-disciplinary team and patient-centered communication characterized by strength-based and person-centered language. Patients would be recommended to take an active role in their health care to achieve treatment goals. The treatment goals for type 2 diabetes is to prevent or delay diabetes-related complications and maintain the quality of life (American Diabetes Association, 2019). Major interventions for type 2 diabetes require lifestyle changes, hence the patients’ active role and the need for patients’ education.    

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