The agent-host-environment model is primarily use in predicting illnessrather than promoting wellness, although identification of risk factors that result fromthe interactions of agent, host, and environment are helpful in promoting andmaintaining health. Because each of the agent-host-environment factors constantlyinteracts with others, health is an ever changing state. Health is seen when all threeelements are in balance while illness is seen when one, two, or all three elementsare not in balance
(Fundamentals of Nursing by Kozier 2004)
Diabetes Mellitus is a group of metabolic diseases characterized byelevated levels of glucose in the blood (hyperglycemia) resulting from defects in insulinsecretions, insulin action or both. Insulin controls the level of glucose in the blood byregulating the production and storage of glucose. In the diabetic state, the cells maystop responding to insulin or the pancreas may stop producing insulin entirely.
(Fundamentals of Nursing by Taylor)
Diabetes Mellitus is disorder, when we eat; most of the food we eat isbroken down by digestive juices into chemicals. Type 2 diabetes mellitus- these clientshave insulin resistance with relative deficiency. Ages, lack of exercise, history of GDM,hypertension, dyslipidemia are all risk factors.
(Medical- Surgical Nursing by Lois White.pg.698)
We therefore conclude that our client is suffering from Type 2 DiabetesMellitus. Probably due to her lifestyle before and having a family history of the disease.Other risk factors may also involve such as age and the way of living.
E. ManagementMedical Management:
-oral hypoglycemic AgentsE.g. SULFONYLUREA, GLIPZIDE, METFORMIN