Evidence-Based Practice: Diabetes

Evidence-Based Practice: Diabetes
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Evidence -based practice seeks to integrate scientific evidence in clinical practice in order to improve quality of care. Diabetes increase the risk of cardio vascular diseases, and the onset of diabetes is typically associated with insulin resistance. Of particular concern, are patients suffering from type 2 diabetes where insulin resistance impairs lipid movement in plasma (Aslan et al., 2013). Thus, one of the propose ways to deal with type 2 diabetes is through insulin therapy. Nonetheless, even with this intervention patients may still stand a risk of cardio vascular complications, and it is necessary to monitor high density lipo proteins (HDL). The study carried out by Aslan et al (2013) is the evidence based article chosen to show relevance of insulin therapy as an intervention to manage diabetes. This paper explores the role of using evidence based practice through insulin therapy to manage type 2 diabetes.
Insulin therapy has been found to work when there is two weeks continuous use of insulin fusion because there is better lipid levels and glycemic control among diabetic patients (Aslan et al., 2013). Nonetheless, there are few studies which show the relation between insulin analog initiation and its impact on diabetes. Unlike type 1 diabetes, type 2 needs insulin therapy in order to regulate blood glucose insulin resistance affects type 2 diabetes, making it necessary to intervene and control blood glucose levels. The strategies chosen to manage diabetes type 2 should take into account the impact of insulin resistance as this typically occurs even before there is diabetes diagnosis. Thus, intervention using insulin therapy helps in glycemic control, being the mechanism which facilitates diabetes management.
Besides insulin resistances, reduced insulin secretion also influence emergence of diabetes type 2, and therapies that seek to tackle these deficiencies in order manage diabetes. Poulsen et al (2003) conducted a study to find out the effectiveness of the triple therapy using metformin, insulin aspart and rosiglitazone and found out that the combined effects of the three led to normalized glucose metabolism. Among obese type 2 diabetes patients. The study involved sixteen randomized patients who took the mix for six months twice a day (Poulsen et al., 2003). There was no reported case of hypoglycemia among the patients, but in the control group one person showed signs of mid hypoglycemia.
Aslan et al., 2013 conducted their study on effect insulin analog initiation in 24 diabetes adult patients. None of the patients was a smoker and all had a BMI of less than 30 kg/m2, but the study also excluded patients with previous reported cases of cardio vascular problems, thyroid, liver and kidney dysfunction (Aslan et al., 2013). Having got consent from the patients, the researchers went on to administer different insulin analogs but adhered to the recommendations of the American Association of Clinical Endocrinologists (AACE) Diabetes Mellitus guidelines (Aslan et al., 2013). Continuous monitoring of glucose levels 72 hours after admission occurred, and subsequent analysis done on collected data.
The s...