type 2 diabetes mellitus case study examples

In diabetes, the role of advanced practice nurses has significantly contributed to improved outcomes in the management of type 2 diabetes,5 in specialized diabetes foot care programs,6 in the management of diabetes in pregnancy,7 and in the care of pediatric type 1 diabetic patients and their parents.8,9 Furthermore, NPs have also been ...

Diabetes mellitus currently affects 6.4% or 285 million adults worldwide, and that number is expected to increase to 7.7% or 439 million by 2030. 1 In the United States, the prevalence of diabetes in adults increased from 11.3% in 2010 to 12.3% in 2012. 2 The current type 2 diabetes mellitus (T2DM) epidemic is closely associated with a parallel obesity epidemic, with more than 85% of patients ...

PRESENTATION OF CASE. Dr. Max C. Petersen (Medicine): A 34-year-old woman was evaluated in the diabetes clinic of this hospital for hyperglycemia. Eleven years before this presentation, the blood glucose level was 126 mg per deciliter (7.0 mmol per liter) on routine laboratory evaluation, which was performed as part of an annual well visit.

CASE. A 47-year-old woman was found to have hyperglycemia at a health fair when a random blood glucose level was 227 mg/dL (12.6 mmol/L). Several days later, a fasting blood glucose value was 147 mg/dL (8.2 mmol/L). She has no previous history of diabetes, is alarmed by the possibility of having this disorder, and seeks your advice.

In type 2 diabetes, characterized by insulin resistance and insulin deficiency, the pathophysiology of hypertriglyceridemia is an increased hepatic production of triglycerides as well as a decreased lipoprotein lipase activity leading to slower breakdown of VLDL cholesterol and chylomicrons.3 The American Diabetes Association (ADA) Clinical ...

Presentation of Case. Dr. Max C. Petersen (Medicine): A 34-year-old woman was evaluated in the diabetes clinic of this hospital for hyperglycemia. Eleven years before this presentation, the blood ...

B.L. is a 58-year-old white woman who has been referred to the pharmacist clinician for pharmacotherapy assessment and diabetes management. Her multiple medical conditions include type 2 diabetes diagnosed in 1995, hypertension, hyperlipidemia, asthma, coronary artery disease, persistent peripheral edema, and longstanding musculoskeletal pain secondary to a motor vehicle accident.

The three mini-case studies presented with this issue of the journal take you through what to consider in making an accurate diagnosis of type 2 diabetes. The format uses typical clinical scenarios as tools for learning. Information is provided in short sections, with most ending in a question to answer before moving on to the next section.

This article examines the aetiology, pathophysiology, diagnosis and treatment of type 2 diabetes using a case study approach. The psychosocial implications for the patient are also discussed. The case study is based on a patient with diabetes who was admitted to hospital following a hypoglycaemic episode and cared for during a practice placement.

Patient Presentation and History. Chief Complaint: the patient's wife is bringing the patient in after a fall at their home. Presentation: J.S. a 50-year-old African American male who presents with his wife after he fell at home. After the fall, he told his wife "I will be fine, I think my vision just needs checked.".

Yazzie's mother had type 2 diabetes mellitus and well-controlled hypertension. Ms. Yazzie's sister died at age 64, the specific cause is unknown. She had been diagnosed with obesity, hypertension, diabetes, and suspected coronary artery disease. Ms. Yazzie's other sister is alive at age 59. She was diagnosed with obesity at age 37 and ...

INTRODUCTION. Obesity and obesity-related diseases are serious public health issues worldwide, and the increased incidence of type 2 diabetes in children and adolescents is associated with the increased incidence of obesity.1,2 Excess weight gain is a risk factor for both type 2 diabetes and insulin resistance. Obesity refers to excessive fat accumulation and may affect the clinical course of ...

[email protected] m. Abstract. Diabetes mellitus, is a grou p of metabolic disorders that leads to high blood glucose level, resul ting in excessive urination, increased thirst, blurred vi ...

Diabetes Control and Complications Trial Research Group. The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus. New England Journal of Medicine. 1993; 329:977-986. [Google Scholar] Diabetes Prevention Program Research Group.

Case Study: Uncontrolled Type 2 Diabetes in a 48-Year-Old Woman on Interferon β-1b Treatment for Multiple Sclerosis ... Cytokine-induced exacerbation of underlying diseases or immune dysregulation are examples. α-IFN may enhance an ongoing autoimmune process directed against pancreatic α-cells and be ... Diabetes mellitus in cancer patients ...

Treatment. Treatment of type 2 diabetes mellitus (T2DM) focuses on decreasing blood glucose, increasing insulin secretion, or countering insulin resistance. Treatment of symptoms, such as diabetic retinopathy, nephropathy, or neuropathy requires additional and involved patient education, medications, and therapies.

Marianne, who is 71 years old, has type 2 diabetes but lives a very active life, with little in the way of comorbidities. However, despite treatment with metformin 1000 mg twice daily, her glycaemic control has deteriorated in recent years. Mike is 78 years old and has long-standing type 2 diabetes. Six years ago he suffered a myocardial ...

The specialized role of nursing in the care and education of people with diabetes has been in existence for more than 30 years and the emergence and subsequent growth of advanced practice in nursing during the past 20 years has expanded the direct care component, incorporating aspects of both nursing and medical care while maintaining the teaching and counseling roles. The specialized role of ...

Diabetes & Primary Care 's series of interactive case studies is aimed at GPs, practice nurses and other professionals in primary and community care who would like to broaden their understanding of type 2 diabetes. The four mini-case studies created for this issue of the journal cover various aspects relating to hypoglycaemia and type 2 ...

Replacing the consumption of red meat with other major dietary protein sources and risk of type 2 diabetes mellitus: a prospective cohort study. Am J Clin Nutr. 2021; 113 ... For the primary definition, a case of incident type 2 diabetes was confirmed if one or more of the ... this example would test the modelled effect of replacing 50 g/day of ...

A recent study evaluating 138 consecutive admissions for DKA at a large academic center observed that 21.7% had type 2 diabetes. 6 Nearly 70% of the admissions involved discontinuation of medications, and almost half had an identifiable infection when an intensive search was undertaken.

In this study, Lu et al. investigated the effects of fish oil on lipidomic profiles and gut microbiota in patients with type 2 diabetes and hypertriglyceridemia in a randomized, double-blind, placebo-controlled trial with 309 participants. They found that fish oil significantly reduced serum triglycerides and altered lipid profiles.

However, a few studies have demonstrated that drug-free glycemic control can be achieved in type 2 diabetes for 12 months on average after a 2-week continuous insulin infusion ( 2 - 4 ). Here, we describe an unusual case of a 26-month drug holiday induced with outpatient basal insulin in a patient newly diagnosed with type 2 diabetes.

The purpose of this study was to assess the combined effects of type 2 diabetes (T2D) and hearing loss on the level of distress in individuals with diabetes. Methods The 2021 National Health Interview Survey included 2633 adults (ages 18+) with T2D who reported perceived hearing loss, level of diabetes-related distress, household composition ...

M.P. is a 30-year-old man who was diagnosed with type 2 diabetes 2 weeks before admission to the hospital. He has a strong family history of type 2 diabetes. He smokes heavily (> 20 cigarettes/day) and admits to some alcohol consumption. His primary care physician had started him on metformin,500 mg three times daily.

Purpose: The purpose of this study was to explore symptom management experiences among college students with type 1 diabetes mellitus (T1DM). Limited qualitative data using a theoretical framework exist that explore the self-care behavior processes for symptom management. Methods: A qualitative approach was used for this study. The middle-range ...

L.N. is a 49-year-old white woman with a history of type 2 diabetes,obesity, hypertension, and migraine headaches. The patient was diagnosed with type 2 diabetes 9 years ago when she presented with mild polyuria and polydipsia. L.N. is 5′4″ and has always been on the large side,with her weight fluctuating between 165 and 185 lb.