Name: Jenny Juniora Ajoc

Section: BSN III

Date: April 30, 2021

Identify the following terms being described.

1. It is the hormone secreted by the beta cells of the pancreas to regulate glucose level in
the blood
— Insulin
2. It is a long term complication of diabetes mellitus that involves damage on the peripheral
nerves
— Diabetic neuropathy
3. What is the normal range for Fasting Blood Glucose?
— 99 mg/dL or lower
4. - 5. Give 2 nursing diagnosis for a patient with non-healing wound secondary to diabetic
neuropathy.
- Impaired physical mobility related to wound infection as manifested by limited range of
motion.
- Elevated body temperature related to left foot infection as evidenced by warm skin and
temperature of 38.9°C

Briefly describe the pathophysiology of diabetic neuropathy and non-healing wound using 3-5
sentences. (5 points)

Along with the predisposing factors of genetics, age, and sex, and also the precipitating
factors of diet, lifestyle, and smoking, we have the patient's present illness of Diabetes mellitus
type 1. He mentioned that there is poor management of blood sugar, leading to the symptom of
hyperglycemia. There is occlusion of the vasa nervorum or occlusion of the blood vessels that
supply the nerves due to the fact that there is poor blood circulation because of the increased
viscosity. With this, there is peripheral nerve damage leading to loss of sensation and
numbness in the patient's lower extremities. Since the patient has Diabetic neuropathy, there is
inability to recognize the presence of an open wound on the affected area, along with the fact
that the area cannot heal well because of the increased blood sugar which resulted in
multiplication of the invading microorganisms, and activation of immune response in order to
fight back the infection.