The articles that I researched for this project were interesting and shed light on the relationship between carbohydrates and diabetes. Some of the information that I learned will be useful in my nursing career. Carbohydrates fill numerous roles in living things, such as the storage and transport of energy in the form of starch and glycogen etc. The basic carbohydrate units are called monosaccharides, such as glucose, galactose, and fructose.
Diabetes Mellitus is a variable disorder of carbohydrate metabolism caused by a combination of hereditary and environmental factors and usually characterized by inadequate secretion or utilization of insulin. One article gave information regarding the control of diabetes without the modification of diet, insulin or oral medication but of the overall composition of the individuals’ diet.
The study concluded that of the carbohydrates present in the diet, absorbed glucose is largely responsible for the food-induced increase in blood glucose concentration. Research suggests that by varying the amount of cabohydrates digested blood glucose levels will drop. Researchers also discovered that dietary protein increases insulin secretion and lowers blood glucose; however fat does not significantly affect blood glucose, but can affect insulin secretion and modify the absorption of carbohydrate.
Mary C Gannon and Frank Nuttall) This information will help me to counsel patients in regards to their eating habits and may ease anxiety for patients first diagnosed, who are facing big life changes by giving them more food choices in their modified diets. Acarbose is a medication that inhibits enzymes that are needed to digest carbohydrates: In a second article researchers concluded that proper intake of natural amylase and sucrose inhibitors like acarbose may be useful in the prevention and treatment of many chronic disorders associated with fluctuations in glucose-insulin homeostasis like diabetes.
This information is beneficial to patient care. By monitoring patients who have diabetes or who are predisposed, the nurse can check too see if the medication clients are prescribed inhibits or promotes carbohydrate absorption. (Preuss HG, Echard B, Bagchi D, Stohs S) The relationship between carbohydrates and diabetes is a direct one. Patients diagnosed with the disease must be monitored closely. Their diets and medication intake could require modification.
The articles that I researched led me to believe that patients with Type 2 diabetes should have balanced diets that include protein, vegetables and dairy but limit the amount or variety of carbohydrates and sugars. The recommended amount of carbohydrates suggested for a patient without the disease may be lowers for someone who suffers from this common diagnosis. Physical activity is also important when discussing diabetes.