Evidence-Based Nursing on Diabetes

Evidence-Based Nursing

The article A Type 1 Diabetes Genetic Risk Score Can Aid Discrimination between Type 1 and Type 2 Diabetes in Young Adults by (Oram, et al., 2016), discusses the new tool that has been designed to test for genetic causes of diabetes. The new invention is called the genetic risk score that was designed to clear the air when it comes to the people whose diabetes diagnosis lies between type 1 and type 2. The test is not out rightly for distinguishing the two diabetes types, it is a test that supports the doctors’ diagnosis in distinguishing the two types of diabetes. The diagnosis tool is important although it has not been tested on children yet. It currently works for people between the ages of 20 and 40 (Oram, et al., 2016). Dr Oram who is part of the team that worked on the test tool at the University of Exeter, confirms that the tool will reduce the number of misdiagnosis in that age bracket. The age bracket of 20 to 40 years is often the most misdiagnosed group of people due to the rise in obesity. He confirms that most people diagnosed with diabetes are often curious about the cause and most of them question the origin of the diagnosis on the basis of their genetic make-up. The research has been developed with an aim of ensuring correct diagnosis and in the process, answering this question effectively. Eventually the number of diabetics will significantly reduce (Oram, et al., 2016). The people who have seen the new technology at work are impressed by the effort put in by doctors in developing the genetic studies and concentrating the same to the small scale patient care levels. Further research is likely to be conducted to better the innovation in a way that many doctors can easily access the equipment and use it to test their patients. This innovation also means that the people who are at risk of developing diabetes will be better informed and given the right medication after correct initial diagnosis. The article widely covers the development and use of the technique for the benefit of the diabetes patients (Oram, et al., 2016).

According to Education and Implementing Evidence-Based Nursing Practice for Diabetic Patients, in the Iranian Journal, there is an annual rise in the patients who develop foot ulcers as a result of diabetes (Salsali, Cheragi, & Varaei, 2013). This could have been reduced greatly by the use of the test tool that would see to it that the diabetes types are distinguished from the onset. It is also important for the patients to find ways of dealing with the condition earlier on as opposed to when they are just diagnosed and treated without knowing how to manage the condition themselves (Assessment of the Patient with Established Diabetes, 2016). Diabetes is often considered a lifestyle disease but the genes have a bigger role to play. The genes carry the strain that is receptive to the diabetes causing gene. 

The Genetic Risk Score tool would be useful in Iran, which is the selected area of study, for reducing the number of people who end up developing foot ulcers due to diabetes. The case study area is Iran. The number of patients taking part in this study are 16. This study was conducted by nurses nursing diabetes patients who have developed foot ulcers (Salsali, Cheragi, & Varaei, 2013). The research into how well patients respond to treatment and care can only be taken from the nurses’ records. The Evidence-Based Nursing has been applied to improve the performances of the nurses while at work. The new nursing technique has delivered better results in the care for patients. Early identification of the difference in the diabetes types means that the right medication and care will be offered to the patient at the time of diagnosis. This will prevent the people with type 1 diabetes from being treated with the wrong medication until it is very late. Type 1 diabetes requires that an individual is injected with insulin while type two needs medicine. It is also easy for the doctors using this test to start the right medication for their patients right away. There have been attempts to develop medical innovations to help in management of diabetes.

The tool would be relevant in Iran given that the rate of the ulcer development of the feet is on a 7% rise annually in Iran (Salsali, Cheragi, & Varaei, 2013). It has not been an easy task designing the tool in a quest to manage the diabetes in the world. The tool is likely to be developed further to enable many more people to use it more easily (Association, 2017). Children have been previously affected by diabetes and the trend is not about to go down. It is a crisis that is yet to find a solution. Children with diabetes are supposed to be treated with care to prolong their lives. It is not uncommon today to see a small child injecting themselves with insulin while previously it was a rare occurrence. There are many ways of handling diabetes but the bottom line lies in the research being carried on to find a solution for diabetic children. The current direction of research indicates a possibility of it ending in the discovery of a solution for diabetes in children. The tool has yet to factor in the children under the age of twenty but the success of the tool opens up the possibility of being able to test the children’s diabetic development. There have been many attempts to unravel the diabetes mystery but the Exeter tool is closest to the solution. The ability for doctors to test for the type a potential patient is prone to means it is easier even for the nurses to offer care when they have the background information on the patient’s illness and susceptibility to the condition.


Assessment of the Patient with Established Diabetes. (2016, December 31). Retrieved from Pateint Info: patient.info/doctor/assessment-of-the-patient-with-established-diabetes

Association, A. D. (2017, March 31). Care and Treatment. Retrieved from American Diabetes Association: www.diabetes.org/living-with-diabetes/treatmentand care/

Oram, R., Patel, K., Shields, B., McDonald, T., Hattersley, A., Weedon, M., & Hill, A. (2016, April 15). A Type 1 Diabetes Genetic Risk Score Can Aid Discrimination between Type 1 and Type 2 Diabetes in Young Adults . Diabetes Care, 337-344. Retrieved from The Science Daily: www.sciencedaily.com/releases/2015/11/151117143528.html

Salsali, M., Cheragi, M. A., & Varaei, S. (2013, June). Education and Implementing Evidence-Based Nursing Practice for Diabetic Patients. Iranian Journal of Nursing and Midwifery Research, 1-.

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