Based on the summary of research findings identified from the Evidence-Based Project—Paper on Diabetes that describes a new diagnostic tool or intervention for the treatment of diabetes in adults or children, complete the following components of this assignment:
Develop a PowerPoint presentation (a title slide, 6-12 slides, and a reference slide; no larger than 2 MB) that includes the following:
- A brief summary of the research conducted in the Evidence-Based Project – Paper on Diabetes.
- A descriptive and reflective discussion of how the new tool or intervention may be integrated into practice that is supported by sound research.
You are not required to submit this assignment to Turnitin, unless otherwise directed by your instructor. If so directed, refer to the Student Success Center for directions. Only Word documents can be submitted to Turnitin.
Evidence-Based Practice Project- Paper on Diabetes
Evidence-Based practice project- Closed Loop Insulin Delivery System on Type 1 Diabetes
The metabolic and endocrine dysfunction in other words T-cell mediated autoimmune disease is called diabetes mellitus (DM) which contains sky-rocketing influencing in morbidity and mortality of life. This paper is to elaborate the research article based on the treatment of childhood diabetes with the close loop insulin delivery system (CLIDS). Therefore, CLIDS is also known as the artificial pancreas which is being considered under the best therapeutic approaches for the control over the sugar in type 1 diabetes. “Closed loop delivery system is an innovative tool which is made up of synthetic materials, it works as a substitute of the pancreas by recognizing plasma glucose concentration, and computing the needs of insulin requirements and also it provides the exact amount of insulin as needed” (Sasi & Elmalki, 2013).
Research and Clinical Findings:
The research of innovative health care system was researched by many of the popular researchers in the 21″st century. The writer is also very interested in this research article which was by(Thabit et al) which is located in the New England Journal of Medicine in 2015. “Home Use of an Artificial Beta Cell in Type 1 Diabetes” This research paper basically provides information for the patient to improve their quality of life by helping them out with certain practices giving them right information base do the organization and providing them the safety of artificial pancreas for home settings. This study was specifically lead by the where there are 58 participants from two different age groups starting age of 6-18 years and also it includes 25 participants from age group 18 to 33 which involves involved type 1diabetes and the duration of the study was 12 weeks. Conduction of study was done as a closed-loop insulin delivery system versus sensor-augmented pump (SAP) therapy; in adult, CLIDS was used during the day and night and children group used sensor only overnight during the 12 weeks study time period while during the same time frame the sensor-augmented pump therapy used for the control group. However, both study and control group were under continuous monitoring of glucose through the continuous glucose monitoring device (CGMD) By the use of CGMD, glucose level recorded on CGMD ranging 70 to 180 mg per deciliter is considered as the primary endpoint for adult group and 70 to 145 mg per deciliter for children group (Thabit et al., 2015).
The research paper elaborates the effectiveness of artificial pancreas over SAP in both children and grown-up adult for maintaining the blood glucose level. CLIDS tracks the target blood glucose where they compare it to SAP as well. The practice round was done during the day and night with the adults and for children, it was only at the night time. There was not any limited controlled for the right way glucose level which really helped for reducing the incidence of hypoglycemia and the mean glycated hemoglobin level in adults throughout the study was been lowered for the certain period. Diabetes patient is thankful for having CLIDS to control blood glucose level and there should be a certain amount of hypoglycemic state in their actual house setting with no kind of medical controlled.. (Thabit et al., 2015).
Significance of the Study in Diabetes and Nursing Practice
Back in 1920, the quality of diabetic patient life was very poor with very short lifespan because of lack of treatment options. Also, there was a huge change in the advancement of modern health system brought up various changes and technologies in modern insulin regimens and insulin therapy. Diabetic patients were required to get improved care by having a quality of life (Hay, 2010). Strict diet, exercises which may close loop insulin delivery system and this is considered as the good option for living the quality of life, it also has the higher chance of controlling the blood glucose level, also prevent the hypoglycemia and overcome all the difficult challenges of intensive insulin therapy, (Thabit & Hovorka, 2012).The main reason behind this research paper is to explain the important use of CLIDS in type 1 diabetes. In this situation patients in freely living in house setting without any control of medical and with the great reduction of risk of hypoglycemia. Therefore, younger kids are usually susceptible to have the effects of neuroglycopenia such as seizures, somehow have a connection with hypoglycemia during their sleeping hour time. Thus, over the night closed-loop insulin delivery system helps to get over the risk of hypoglycemia in children.
The specific role that has to be played by the nurses as specialist is getting Tougher by how the number of diabetic cares is increasing day by day and this time period for nurses are being really difficult because they have to be really sensitive based on the general care in prevention, treatment and also for the management of diabetes. Diabetes is considered as one of the complicated health issues which have a higher chance of affecting the multisystem such as kidney, retina, peripheral nerves, and heart. The control and management of diabetes are very crucial. The earliest diagnosis of diabetes, refer for patients to an endocrinologist for their treatment to achieve the therapeutic goal and evaluate the further long-term complications are some of the major responsibilities of nurses. This paper concludes the “extended uses of a closed-loop system at home over a period of 12 weeks without any close supervision. It is feasible in adults, children, and adolescents with type 1 diabetes” (Thabit et al., 2015). The recommends of CLIDS over SAP has really been beneficial for the education of the patients about the CLIDS organization. This helps them to guide improving their quality of life. To conclude, the paper is based on bringing up the changes in the treatment of Type diabetic patients where the patient’s lifestyle will totally be improved from how it was before.
Hay, K. E., (2010). The roles of the open loop insulin delivery system and the artificial pancreas in diabetes treatment. Masters and Doctoral Projects. Paper 328. http://utdr.utoledo.edu/graduate-projects/328
Sasi, A., & Elmalki, M. (2013). Design and Analysis of a Sliding Table Controller for Diabetes. ICA, 04(03), 301-308. http://dx.doi.org/10.4236/ica.2013.43035
Thabit, H., & Hovorka, R. (2012). Closed-Loop Insulin Delivery in Type 1 Diabetes. Endocrinology And Metabolism Clinics Of North America, 41(1), 105-117. http://dx.doi.org/10.1016/j.ecl.2011.12.003
Thabit, H., Tauschmann, M., Allen, J., Leelarathna, L., Hartnell, S., & Wilinska, M. et al. (2015). Home Use of an Artificial Beta Cell in Type 1 Diabetes. New England Journal Of Medicine, 373(22), 2129-2140. http://dx.doi.org/10.1056/nejmoa1509351