Target Interval Diabetes Monitoring and Nursing Care According to Orem’s Self-Care Defisit Theory Through Ambulatory Glucose Profile: A Case Report
Abstract
With the advancement of technology, individuals with diabetes from all age groups have begun using insulin pumps and continuous glucose monitors. Diabetes nurses provide training on blood glucose measurement, insulin administration, and complication prevention to help individuals with diabetes maintain their self-management and self-care. In addition to these trainings, education on the diabetes technology used by the individual should also be planned. This case report examines the nursing care and diabetes follow-up process of an individual with type 1 diabetes, based on Orem’s Self-Care Deficit Theory, using an ambulatory glucose profile. The individual diabetes has been using an insulin pump for fifteen years and an artificial intelligence-based insulin pump with a continuous glucose monitor for four months. Training provided by nurses on the correct use of these technologies plays a crucial role in the individual’s diabetes management. During the training process, the individual was guided on topics such as carbohydrate counting, insulin management, and the proper use of the continuous glucose monitor. Following the diabetes follow-up between November-December 2024, significant improvements were observed in the individual’s glucose profile. The time spent in the target range increased from 63% to 70%, and hyperglycemia rates decreased significantly. These findings show that diabetes technology training positively impacts the individual’s self-care skills and enhances diabetes management. Effective nursing care is a important step toward improving the individual’s quality of life and preventing complications.
References
- TEMD Diabetes Mellitus Study and Education Group (2024). Guide to the diagnosis, treatment and follow-up of diabetes mellitus and its complications-2024. 16th ed. Turkish Endocrinology and Metabolism Society (TEMD) Publishers; 2024.
- Demir G, Yıldırım N. Diabetes technologies, dermatologic complications and solutions: case report. Turkish Journal of Diabetes Nursing. 2025 Jan 03;4(2):63-67. DOI: 10.29228/tjdn.79321
- Battelino T, Danne T, Bergenstal RM, Amiel SA, Beck R, Biester T, et al. Clinical targets for continuous glucose monitoring data interpretation: recommendations from the international consensus on time in range. Diabetes Care. 2019 Jun 08;42(8):1593-603. DOI: 10.2337/dci19-0028
- Gökçe T, Yeşiltepe Mutlu G, Can E, Eviz E, Muradoğlu S, Hatun Ş. The effect of drinking milk before bedtime on nocturnal glucose course in preschool children with type 1 diabetes: case reports. Journal of Nutrition and Diet. 2020 Oct 23;48(2):109–118. DOI: 10.33076/2020.BDD.139
- Polat Topçuoğlu G, Ünsal Avdal E. Diabetes technologies according to Orem Self-Care Deficit Theory. DEUHYO ED. 2021 July 15;14(3):283-289. DOI: 10.46483/deuhfed.865886
- Yüksel H, Sürme Y. Nursing care of a patient with total hip arthroplasty according to Orem Self-Care Theory: a case report. Journal of Selcuk Health. 2022 Apr 04;3(2):149-165.
- Bilgehan T, Koç B, İnkaya B. Care of the individual followed by COPD diagnosis by Orem’s Self-Careficiency Theory (case report). Health Care Acad J. 2020 Sep 28;7(3):231-238.
- Ünsal Avdal E, Kızılcı S. Concept analysis of diabetes and self-care deficit nursing theory. DEUHYO ED. 2010;3(3):164-168.
- Orem DE, Self-Care Deficit Theory of Nursing: concepts and applications. 7th ed. Dennis CM Mosby; 2001.99-135p.
- Çelik A, Yıldırım Y. Nursing care of a patient with vasovagal syncope according to Orem Self-Care Deficit Theory of Nursing: a case report. Journal of Cardiovascular Nursing. 2016 Dec 19;7(14):182-186. DOI: 10.5543/khd.2016.38358
- Özkan F, Seviğ Ü, Zincir H. Providing nursing care to a child with multiple chronic diseases according to the Orem Self-Care Deficiency Theory: a case report. Journal of ERU Faculty of Health Sciences. 2014 May 08; 2(2):71-79.
- Aytekin Kanadlı K, Sazak Y, Olgun N. Evaluation of nursing requirements in a case with diabetic complications according to Orem’s Self-Care Theory. Turkish Journal of Diabetes Nursing. 2023 Dec 14;3(2):66-70. DOI: http://dx.doi.org/10.29228/tjdn.70248
- Besen DB, Dervişoğlu M. Use of technology in diabetes management. Turkey Clinics Journal of Internal Medicine. 2021 Jan 22;6(2):80-85. DOI: 10.5336/intermed.2020-77581
- Canbolat Ö, Ekenler Ş, Polat Ü. Barrıers and facılıtators ın dıabetes self-management. Med J SDU. 2022 Nov 23;29(1): 143-148. DOI: 10.17343/sdutfd.1008149
- Demirtaş Adlı G. Tele health technologıes and the role of the nurse ın dıabetes self-management educatıon and support. Gevher Nesıbe Journal Of Medıcal & Health Scıences. 2023 Jan 31;8(1):142-151. DOI: http://doi.org/10.5281/zenodo.7601177
Ambulatuvar Glikoz Profili Üzerinden Orem Öz Bakım Eksikliği Teorisi’ne Göre Hedef Aralıklı Diyabet İzlemi ve Hemşirelik Bakımı: Bir Olgu Sunumu
Abstract
Teknolojinin gelişimiyle her yaş grubundan diyabetli birey insülin pompası ve sürekli glikoz monitörü kullanmaya başlamıştır. Diyabetli bireylerin öz yönetim ve öz bakımlarını sürdürebilmeleri için kan şekeri ölçümü, insülin uygulamaları, komplikasyon önlemleri gibi eğitimler diyabet hemşireleri tarafından verilmektedir. Bu eğitimlere ek olarak bireyin kullandığı diyabet teknolojisi yönelik eğitim konuları da hemşireler tarafından planlanmalıdır. Bu olgu sunumu, tip 1 diyabetli bir bireyin ambulatuvar glikoz profili üzerinden Orem Öz Bakım Eksikliği Teorisi’ne dayalı hemşirelik bakımı ve diyabet izlem sürecini ele almaktadır. Diyabetli birey; on beş yıldır insülin pompası kullanırken, dört aydır yapay zeka tabanlı insülin pompası ve sürekli glikoz monitörü kullanmaya başlamıştır. Bu teknolojilerin doğru kullanımı için hemşireler tarafından verilen eğitimler, bireyin diyabet yönetiminde önemli bir rol oynamaktadır. Eğitim sürecinde, bireye karbonhidrat sayımı, insülin yönetimi ve sürekli glikoz monitörünün doğru kullanımı gibi konular üzerinden rehberlik yapılmıştır. Kasım -Aralık 2024 tarihleri arasında yapılan diyabet izlemi sonrasında, bireyin glikoz profilinde önemli iyileşmeler gözlemlenmiştir. Hedef aralıkta geçirdiği süre %63’ten %70’e çıkmış, hiperglisemi oranlarında ise belirgin azalmalar saptanmıştır. Bu bulgular, diyabet teknolojileri eğitimlerinin bireyin öz bakım becerilerini olumlu yönde etkilediğini ve diyabet yönetimini iyileştirdiğini göstermektedir. Hemşirelik bakımının etkinliği, bireyin yaşam kalitesini artırmaya ve komplikasyonları engellemeye yönelik önemli bir adımdır.
Thanks
Bu çalışma, Türkiye Bilimsel ve Teknolojik Araştırma Kurumu (TÜBİTAK) tarafından 222S488 numaralı hibe kapsamında desteklenmiştir. Projeye verdiği destekten ötürü TÜBİTAK’a teşekkürlerimizi sunarız.
References
- TEMD Diabetes Mellitus Study and Education Group (2024). Guide to the diagnosis, treatment and follow-up of diabetes mellitus and its complications-2024. 16th ed. Turkish Endocrinology and Metabolism Society (TEMD) Publishers; 2024.
- Demir G, Yıldırım N. Diabetes technologies, dermatologic complications and solutions: case report. Turkish Journal of Diabetes Nursing. 2025 Jan 03;4(2):63-67. DOI: 10.29228/tjdn.79321
- Battelino T, Danne T, Bergenstal RM, Amiel SA, Beck R, Biester T, et al. Clinical targets for continuous glucose monitoring data interpretation: recommendations from the international consensus on time in range. Diabetes Care. 2019 Jun 08;42(8):1593-603. DOI: 10.2337/dci19-0028
- Gökçe T, Yeşiltepe Mutlu G, Can E, Eviz E, Muradoğlu S, Hatun Ş. The effect of drinking milk before bedtime on nocturnal glucose course in preschool children with type 1 diabetes: case reports. Journal of Nutrition and Diet. 2020 Oct 23;48(2):109–118. DOI: 10.33076/2020.BDD.139
- Polat Topçuoğlu G, Ünsal Avdal E. Diabetes technologies according to Orem Self-Care Deficit Theory. DEUHYO ED. 2021 July 15;14(3):283-289. DOI: 10.46483/deuhfed.865886
- Yüksel H, Sürme Y. Nursing care of a patient with total hip arthroplasty according to Orem Self-Care Theory: a case report. Journal of Selcuk Health. 2022 Apr 04;3(2):149-165.
- Bilgehan T, Koç B, İnkaya B. Care of the individual followed by COPD diagnosis by Orem’s Self-Careficiency Theory (case report). Health Care Acad J. 2020 Sep 28;7(3):231-238.
- Ünsal Avdal E, Kızılcı S. Concept analysis of diabetes and self-care deficit nursing theory. DEUHYO ED. 2010;3(3):164-168.
- Orem DE, Self-Care Deficit Theory of Nursing: concepts and applications. 7th ed. Dennis CM Mosby; 2001.99-135p.
- Çelik A, Yıldırım Y. Nursing care of a patient with vasovagal syncope according to Orem Self-Care Deficit Theory of Nursing: a case report. Journal of Cardiovascular Nursing. 2016 Dec 19;7(14):182-186. DOI: 10.5543/khd.2016.38358
- Özkan F, Seviğ Ü, Zincir H. Providing nursing care to a child with multiple chronic diseases according to the Orem Self-Care Deficiency Theory: a case report. Journal of ERU Faculty of Health Sciences. 2014 May 08; 2(2):71-79.
- Aytekin Kanadlı K, Sazak Y, Olgun N. Evaluation of nursing requirements in a case with diabetic complications according to Orem’s Self-Care Theory. Turkish Journal of Diabetes Nursing. 2023 Dec 14;3(2):66-70. DOI: http://dx.doi.org/10.29228/tjdn.70248
- Besen DB, Dervişoğlu M. Use of technology in diabetes management. Turkey Clinics Journal of Internal Medicine. 2021 Jan 22;6(2):80-85. DOI: 10.5336/intermed.2020-77581
- Canbolat Ö, Ekenler Ş, Polat Ü. Barrıers and facılıtators ın dıabetes self-management. Med J SDU. 2022 Nov 23;29(1): 143-148. DOI: 10.17343/sdutfd.1008149
- Demirtaş Adlı G. Tele health technologıes and the role of the nurse ın dıabetes self-management educatıon and support. Gevher Nesıbe Journal Of Medıcal & Health Scıences. 2023 Jan 31;8(1):142-151. DOI: http://doi.org/10.5281/zenodo.7601177
Details
| Primary Language | English |
|---|---|
| Subjects | Internal Diseases Nursing |
| Journal Section | Olgu Sunumu |
| Authors | |
| Publication Date | June 14, 2025 |
| Submission Date | March 8, 2025 |
| Acceptance Date | April 16, 2025 |
| Published in Issue | Year 2025 Volume: 10 Issue: 2 |
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