By Trisha Dunning
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Additional resources for Care of People with Diabetes: A Manual of Nursing Practice Third Edition
Practice points (1) MODY is a different disease process from Type 2 diabetes that occurs in young people and has a different genetic and inheritance pattern from Type 2. The prevalence of Type 2 diabetes in children is increasing and is associated with obesity and insulin resistance (Sinha et al. 2002). (2) MODY has been misdiagnosed as Type 1 diabetes and insulin commenced unnecessarily. MODY has also been diagnosed instead of Type 1 diabetes in the UK (Health Service Ombudsman 2000). These points demonstrate the importance of taking a careful clinical history and undertaking appropriate diagnostic investigations.
One to two milliletres of blood should be withdrawn and discarded before collecting each sample to avoid contaminating the sample with saline left in the tubing. (5) Blood samples are collected at the following times. However, sometimes only baseline (0) and a two-hour sample are collected: minutes: 10 0 75 g glucose, consumed over 5 minutes Water can be given after the glucose. It is very sweet and some people ﬁnd it difﬁcult to drink. 30 60 120 Diagnosing and Classifying Diabetes 19 The glucose used for an OGTT is prepacked in 300 mL bottles containing exactly 75 g of glucose.
8 Care of People with Diabetes The EURODIAB substudy 2 Study Group researchers (1999) suggested low plasma 25-hydroxyvitamin D may be implicated in the development of Type 1 diabetes (1999). Later, Stene & Jones (2003) suggested there was no link between vitamin D supplementation and lower rates of Type 1 diabetes. More recently, a systematic review and meta-analysis of observational studies and a meta-analysis of cohort studies suggest vitamin D supplementation in early childhood might reduce the risk of Type 1 diabetes by 30% (Zipitis & Akoberng 2008).