Explain the relationship between Type 2 diabetes and one resulting chronic condition.

Josh is a 9-year-old aboriginal boy who lives with his parents, two siblings and his grandmother (who is NIDDM). Over the last month Josh’s mother has noticed that he has become increasingly unwell. Josh has been constantly thirsty and often hungry. He has been passing urine frequently, getting up to the toilet 2-3 times per night. Josh has had 2 episodes of abdominal pain. Josh’s mother reports he seems tired most of the time.

A BGL and urinalysis indicate BGL-20mmol/L and the U/A shows large glucose and trace ketones. Insulin was administered in the ED and an IV cannula inserted. Josh has been admitted to hospital for stabilisation and management of Diabetes.
1. Outline the incidence/ prevalence and main causes of Diabetes in Australia.

2. Discuss the following statement:
The disease processes of Type 1 and Type 2 diabetes have some similarities but also some important differences.
Compare and contrast these two conditions.

3. Explain the relationship between Type 2 diabetes and one resulting chronic condition. Explain the pathophysiological changes that occur and that result in the development of the chronic condition.

4. The management of diabetes includes significant changes in an individual’s life. For example:
• Diet modifications,
• Medication management,
• Life style changes
Explain and discuss two of these changes and include the education the patient should receive regarding these changes. Relate your answer to either Type 1 or Type 2 Diabetes