Monday, March 4, 2019

Diabetes: Evidence Based Diagnosis Tool Essay

Diabetes is a major health concern in the linked Stated affecting 29.1 millions or about 9.3% of the population with new canvas of 1.7 millions in 2012 (ADA, 2014). According to ADA, there argon about 8.1 millions un analysed diabetic patients in the US. With this figure, it is measurable that we have a proper tool to diagnose diabetes accurately. This will help to devise a proper intervention if the indisposition is diagnosed easily and accurately.Person with diabetes are unable to use and store glucose, which because stays in that persons wrinklestream and causes prodigal glucose train to rise. There are two geeks of diabetes. Type 1 is called adolescent diabetes or insulin-subordinate diabetes, where body does not create any insulin. Individuals with sort 1 diabetes mustiness take insulin day by day. Type 1 diabetes generally happens in kids. In the US, five percent of total diabetes patients suffer from type 1 diabetes according to American Diabetes Association. Daily i nsulin intake with other medication as needed is the treatment of choice for type 1 diabetes patients. In type 2 diabetes, body does not create enough insulin or is not able to utilize insulin as required. Commonly, type 2 diabetes occurs to people who are over 40. Not having or failure to utilize insulin leads to higher blood glucose level, which could damage kidney, heart, eyes, and nerves. Management of type 2 diabetes is complicated. Early diagnosis is important so that proper control and intervention can be make to avoid further damage of organs (ADA, 2014)Person with diabetes will certify common symptoms but for laboratory test will confirm the disease. research laboratory testing of persons blood is important. There are some(prenominal) types of blood tests that can be do to find out blood glucose level of the patient. Conventionally, blood glucose levels measured either in the fasting asseverate or following a standard glucose load have createthe basis for diagnosis of diabetes (Florkowski, 2013). Blood glucose level could be misleading particularly when patients havent eaten or are ill (ADA, 2014). So, taking a blood glucose sample at a particular time rather of averaging out over time will not give a correct glucose reading. HbA1C test as a laboratory tool for diagnosing the diabetes have proven to be more precise and conclusive and meditative of the persons glucose level over time.According to Florkowski, HbA1C provides an information of degenerative glucose level instead of a single point in time. It provides an unified reference of glucose over the lifespan of red blood cells, which is 120 days. It thence seems logical that such a test would be appropriate in diagnosing a disease characterised by chronic hyperglycaemia and a gradual progression to complications (Florkowski, 2013). Also, the test itself is very convenient for patients because they do not have to fast and a single test is sufficient.Florkowski presents a considerable st udy with 44623 participants aged 20-78 with retinal photographs to show that HbA1C test is as efficacious as or better than other glucose tests. The study analyzed the alliance between diabetic specific retinopathy and three blood glucose measures. The study tack that fasting plasma glucose and Hba1c have slender edge runs inside which resultant role of diabetes-particular retinopathy starts to increment impressively. The occurrence of retinopathy was small with HbA1Cprevention measures can be done at early stage of the disease and complications related to diabetes can be reduced.American Diabetes Association. (2010). Retrieved from www.diabetes.org on November 9, 2014. Florkowski, Chris (2013), HbA1C as a Diagnostic Test for Diabetes Mellitus Reviewing the Evidence, Clin Biochem Rev., 34(2) 7583.

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