Self-Efficacy Tools in the Management of Diabetes Mellitus Assignment

Self-Efficacy Tools in the Management of Diabetes Mellitus - Assignment Example In Type 1 diabetes mellitus there is an autoimmune destruction of the pancreatic beta cells and insulin is not synthesized in adequate amounts. While in case of Type II diabetes mellitus, the liberated insulin fails to act due to dysfunction of insulin receptor and hence GLUT 4 transporters are not upregulated in the cell membrane from the cytoplasm. Under this condition, glucose cannot enter the cells and cannot be used a source of energy, which leads to the breakdown of alternate sources like protein and fats in the cells. Further increased blood glucose creates an increased osmotic gradient and diuresis occur in the renal tubules and patient offer suffers from hypovolemic shock (Albisser et al., 2001) (Spellman, 2009). Although various factors both external and internal contribute to the increased levels of blood glucose in the body, it has been widely accepted that proper self-care and lifestyle modifications to alleviate the complications of both Types I or Type II diabetes mell itus(Albisser et al., 2001) (Spellman, 2009). Psychosocial factors like depression and emotional issues have been correlated with self-care behaviors and have shown to negatively impact the glycemic control. Studies have also reflected the associations between the emotional condition and self-care behaviors that negatively impact HB1Ac levels (Cohen, Shmukler, Ullman, Rivera & Walker, 2010). The associations between the self-care activities and diabetic control are measured by regression equations which predict the value of one variable from the value of another and also the way one variable impacts another variable positively or negatively (Michelis et al., 2010). With these guiding principles, a group of community clinicians noted an increase in the prevalence of hyperglycemia and other complications of diabetes mellitus.