Question

D. Write a two page summary on the top five frequent complications of diabetes Write 20 NCLEX questions that pertain to diabetes. Make sure to include rationales and reference page numbers from your Medical Surgical Textbook. Consider health promotion, preventative screening, and complications. E.

just D
E is complete.

Answer 1

Answer

D)

Complications of Diabetes

• Heart disease and stroke Approximately 75 percent of people with diabetes will die of heart disease or stroke, and they are likely to die at a younger age than people who do not have diabetes. People with diabetes have the same cardiovascular risk as if they have already had a heart attack.
  
  People with diabetes are two to four times more likely to have heart disease (more than 77,000 deaths due to heart disease annually). Heart disease death rates are also two to four times as high as adults without diabetes. People with diabetes are two to four times more likely to suffer a stroke.
• Blindness due to diabetic retinopathy
  Each year 12,000 to 24,000 people lose their sight because of diabetes. Diabetes is the leading cause of new blindness in people 20 to 74 years of age.
• Kidney disease due to diabetic nephropathy
  Ten to 21 percent of all people with diabetes develop kidney disease. Diabetic nephropathy is the leading cause of end-stage renal disease (kidney failure), accounting for 43 percent of new cases. In 1999, 38,160 people with diabetes initiated treatment for end-stage renal disease, and 114,478 people with diabetes underwent dialysis or kidney transplantation. Kidney failure requires the patient to undergo dialysis or a kidney transplant in order to live.
• Nerve disease and amputations
  About 60 to 70 percent of people with diabetes have mild to severe forms of diabetes-related nerve damage, which can lead to lower limb amputations. In fact, diabetes is the most frequent cause of non-traumatic lower limb amputations. The risk of a leg amputation is 15 to 40 times greater for a person with diabetes. Each year, 82,000 people lose their foot or leg to diabetes.
• Impotence due to diabetic neuropathy or blood vessel blockage
  Impotence afflicts approximately 13 percent of men who have type 1 diabetes and eight percent of men who have type 2 diabetes. It has been reported that men with diabetes, over the age of 50 have impotence rates as high as 50 to 60 percent.