Insulin resistance in type 2 can be seen in conditions like obesity, pregnancy, infections and stress.
The history of the patient to find any of the hereditary aspects of the disease is carefully analyzed at the first stage.
The complications that correspond the diabetic condition include diabetic hyperglycemic hyperosmolar coma and diabetic ketoacidosis.
Keeping the body weight under control and maintaining a healthy lifestyle might prevent type 2 diabetes. However, a regular check up of blood glucose level and taking right doses of medicine of insulin can reduce its severity. Safeguarding adults is about treating people fairly and with dignity and respect including preventing the abuse of 'at risk’ adults, and ensuring that reports of abuse are responded to swiftly and effectively. An adult at risk is a person who is 18 years or over and who is using, or may be in need of, community care services because they have a mental illness, disability or because they are elderly.
The Enfield Safeguarding Adults Board is responsible for quality assuring the local arrangements for safeguarding adults, and monitors progress against the key strategic aims and objectives laid out in in the Enfield Safeguarding Strategy (2). The most commonly alleged abuse type for safeguarding alerts was multiple abuse, which accounted for 29% of cases (232 reported alerts), closely followed by neglect (26% - 204 alerts).
In terms of the services referring these cases, the greatest proportion of alerts were raised by hospital workers, accounting for 142, or 18% of cases, followed by social care staff (112 alerts, 14% of cases), and Enfield Council Health Housing and adult Social Care directorate (107 alerts, 13% of cases). A greater proportion of at risk adults referred due to safeguarding concerns were female – 465 cases or 58% of referrals, compared to 317 males.
Consumption of fatty foods and alcohol intake at a higher level would also result in such disease. Insulin treatment with a syringe of insulin pump and oral medicines decrease the levels of blood sugar. Long term complications include coronary artery disease, diabetic neuropathy, hypertension, skin infections, stroke, peripheral vascular disease and atherosclerosis.
Low alcohol consumption and quit smoking would ideally be suggested as the best preventive measures. An adult at risk could also include someone who does not receive community care services but because they have been abused or are at risk of being abused, they could become vulnerable. Abuse can take many forms, including physical abuse, sexual abuse, psychological or emotional abuse, financial or material abuse, neglect, discrimination, and institutional abuse (1).
Alerts received by the adult learning disability team and mental health teams problems were more likely to relate to alleged physical abuse than other services, accounting for 23% of alerts to the adults learning disability team and 30% of alerts to the mental health team.
Other referral sources included residential care home staff, the ambulance service, other service providers and external service providers. 67% of referrals received were for adults of White British, White Irish or White Other ethnicities.
Other locations of alleged abuse included acute and community hospitals, mental health inpatient settings, supported accommodation, and in public places. Of these 660 progressed cases, 248 required further investigation - 170 of these investigations are now closed and the outcomes of the cases known. Food products which contains zinc are split peas, egg yolk, beef liver, lima beans, almonds, walnuts and buckwheat. This was reflected in the proportion of referrals from the older people’s team and older people’s community mental health team, which accounted for 57% of referrals. Referrals to the adult and older people mental health teams were more likely to relate to alleged psychological abuse than other services, accounting for 23% of alerts received by the adult mental health team, and 50% of alerts received by the older people’s mental health team. Of these 170 cases, 39 allegations of abuse were substantiated and 20 were partially substantiated, equating to 35% of closed cases being fully or partially substantiated. Type 2 diabetes is popularly called adult-onset diabetes or non-insulin- dependent diabetes. Apart from medications reducing obesity and following a diabetic food plan is also suggested for such disease.
Washing the feet and checking blisters or infection on the feet would be some of the methods of prevention.
The highest number and proportion of alerts relating to alleged sexual abuse were reported to the learning disability team, accounting for 12 cases, or 12% of referrals to that team. In some cases emotional disturbance might cause increase in blood pressure leading to the disease ultimately.
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