Possible Diabetes Cure

Specialties Endocrine

Published

  • Specializes in nursing home, clinic, homehealth.

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Silverdragon102, BSN

1 Article; 39,477 Posts

Specializes in Medical and general practice now LTC.
Just a note. I read on the BBC that a type III has been found.

like Kay I have just had a look on the BBC website and did a search for diabetes and couldn't find anything regarding this

alanpe

84 Posts

like Kay I have just had a look on the BBC website and did a search for diabetes and couldn't find anything regarding this

At the time and after the transplant is made it is supossed the patient will need inmunossupressant drugs, this go up the number of infections, isn' t it?, so the insulin will follow like the best therapy.

I am not against to transplants, but infections after transplants and by the inmunosspresant drugs must not avoid.

Exercise, good diet and insulin are the most important choice.

Silverdragon102, BSN

1 Article; 39,477 Posts

Specializes in Medical and general practice now LTC.
At the time and after the transplant is made it is supossed the patient will need inmunossupressant drugs, this go up the number of infections, isn' t it?, so the insulin will follow like the best therapy.

I am not against to transplants, but infections after transplants and by the inmunosspresant drugs must not avoid.

Exercise, good diet and insulin are the most important choice.

I was talking about the BBC link of there being a type III diabetes. Should have made myself clearer. I am aware of transplant as in the UK the first one was done a few months ago.

chadash

1,429 Posts

Specializes in Nursing assistant.

I have a question that may pertain to this subject (sorry I have not figured out how to start a thread!)

I have a pt with diabetes and pulmonary fibrosis (she was in hospice, back out now). Her toes are blotchy with edema (she has some red spots that are new), and they curl under when she walks. She says they hurt. The RN who visits isn't too interested, probably because the pt has much more serious stuff going on, but it is a constant pain to the pt.

I am just an aide, but I thought it would help if I understood better what was going on. I had a pt in a nursing home once whose toes turned black and, well, eventually.... no toes! Guess that is not the direction I want her to take!

Kyriaka

329 Posts

You asked for it, here it is:

http://news.bbc.co.uk/1/hi/health/4315609.stm

suzanne4, RN

26,410 Posts

I have a question that may pertain to this subject (sorry I have not figured out how to start a thread!)

I have a pt with diabetes and pulmonary fibrosis (she was in hospice, back out now). Her toes are blotchy with edema (she has some red spots that are new), and they curl under when she walks. She says they hurt. The RN who visits isn't too interested, probably because the pt has much more serious stuff going on, but it is a constant pain to the pt.

I am just an aide, but I thought it would help if I understood better what was going on. I had a pt in a nursing home once whose toes turned black and, well, eventually.... no toes! Guess that is not the direction I want her to take!

In answer to your first question, at the top of the section, there is a little box that says "New Thread" --- you just need to go there to begin a new topic.

Now to your question: Is she using ant type of corrective shoes when walking? Length of her toenails? Is she being followed by a podiatrist especially since she is a diabetic and is having foot issues? Is she able to ambulate any distance at all? or even just to the bathroom? Have you spoken to the RN who visits? Perhaps leave her a note suggesting that she follow up with PMD for podiatrist consult if there isn't already one........

With a diabetic patient, who is having foot issues, this is most important....

Hope that this helps you.................and thank you for taking so much interest in your patient, we need more like you............ :wink2:

Pediatric Critical Care Columnist

NotReady4PrimeTime, RN

5 Articles; 7,358 Posts

Specializes in NICU, PICU, PCVICU and peds oncology.

Just weighing in from Edmonton, the birthplace of islet cell transplants. Our hospital pioneered this procedure under the guidance of Dr. James Shapiro (a delightful man who actually respects nurses) and has done about 100 of them since March of 1999. I had the privilege of caring for our first (only) pediatric recipient about a year ago. Within 72 hours of her transplant she was producing enough insulin that she was maintaining a normal blood glucose without any help. The immunosuppressive regime is considerably less onerous than multiple blood glucose checks and insulin injections each day, and I expect has far fewer serious side effects than Type I diabetes when dosages and levels have reached steady state.

Silverdragon102, BSN

1 Article; 39,477 Posts

Specializes in Medical and general practice now LTC.

cheers

chadash

1,429 Posts

Specializes in Nursing assistant.
In answer to your first question, at the top of the section, there is a little box that says "New Thread" --- you just need to go there to begin a new topic.

Now to your question: Is she using ant type of corrective shoes when walking? Length of her toenails? Is she being followed by a podiatrist especially since she is a diabetic and is having foot issues? Is she able to ambulate any distance at all? or even just to the bathroom? Have you spoken to the RN who visits? Perhaps leave her a note suggesting that she follow up with PMD for podiatrist consult if there isn't already one........

With a diabetic patient, who is having foot issues, this is most important....

Hope that this helps you.................and thank you for taking so much interest in your patient, we need more like you............ :wink2:

Thanks for the encouragement!

She is not using corrective shoes ( she does not walk much), she has seen a podiatrist (about two months ago), but the toes have changed since then (the skin is smooth and a little taut from edema, just the toes: no edema in the feet). Her toenails have not grown much, but I told her today her podiatrist would be a good idea. She can ambulate from her chair to the bathroom and sits for a shower, and then back to her room, probably about 12 feet one way. More is difficult because of her breathing. What concerned me was the blotchy spotty appearance, and the difference between her toes and her feet. I pressed her nails, and there was some refill towards the tips, but the base is white and stays white. I have not personally spoken to her RN, who is with a home health agency. I presently freelance, private duty (soon to be LPN student!) The Pt does communicate well and has spoken to the RN. I bet the nurse is watching them, probably just not saying much.

Thanks for taking an interest! If there is anything alarming I should look for, let me know...

Hoozdo, ADN

1,555 Posts

Specializes in ICU, Research, Corrections.
Just weighing in from Edmonton, the birthplace of islet cell transplants. Our hospital pioneered this procedure under the guidance of Dr. James Shapiro (a delightful man who actually respects nurses) and has done about 100 of them since March of 1999. I had the privilege of caring for our first (only) pediatric recipient about a year ago. Within 72 hours of her transplant she was producing enough insulin that she was maintaining a normal blood glucose without any help. The immunosuppressive regime is considerably less onerous than multiple blood glucose checks and insulin injections each day, and I expect has far fewer serious side effects than Type I diabetes when dosages and levels have reached steady state.

:eek: Hmmmm, being a liver transplant recipient and a type II diabetic I would have to say that being immune suppressed for life is much more onerous than accuchecks and multiple insulin injections daily. In fact, the reason I am diabetic is that my main immune suppressant - Prograf,( FK506, tacroliminus), has a side effect of hyperglycemia. Actually immunosuppresion has many bad side effects besides the obvious of being immune suppressed. Depending on what drug/drugs determines side effects. Most new transplantees are on triple drug immune suppression with a combo of Prednisone, Cyclosporin, and Cellcept OR Prednisone, Prograf, and Cellcept. Personally, I also get tremors from Prograf which makes IV insertion very interesting. :specs:

I don't mean to be lecturing by this post, just informing.

Organ transplantation works - just look at me.

Cheers,

Lu Ann (LPN in AZ currently attended school full time to get RN, inspired through the nurses I have encountered during transplantation)

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