Assignment: management of diabetes Mellitus is complex and requires patients to have the knowledge and skills in prefer to empowered to manage own care Discuss what you as the nurse being a member of a multidisciplinary team will prioritise when educating and supporting patients to manage their own care in relation to diabetes Mellitus, support your discussion with reference to literature on four key areas . 15 article references or more required

1. Insulin is secreted by beta cells in the pancreas and it is an anabolic hormone.
2. When we consume food, insulin moves glucose from blood to muscle, liver, and fat cells as insulin level increases.
3. The functions of insulin include the transport and metabolism of glucose for energy, stimulation of storage of glucose in the liver and muscle, serves as the signal of the liver to stop releasing glucose, enhancement of the storage of dietary fat in adipose tissue, and acceleration of the transport of amino acid into cells.
4. Insulin and glucagon maintain a constant level of glucose in the blood by stimulating the release of glucose from the liver.

Type 1 Diabetes Mellitus

• Type 1 diabetes mellitus is characterized by destruction of the pancreatic beta cells.
• A common underlying factor in the development of type 1 diabetes is a genetic susceptibility.
• Destruction of beta cells leads to a decrease in insulin production, unchecked glucose production by the liver and fasting hyperglycemia.
• Glucose taken from food cannot be stored in the liver anymore but remains in the blood stream.