case study on diabetic patient

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 ...

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.

Commonly, controlling hyperglycemia leads to a decrease in triglycerides.1 However, in this patient, the clearing of serum triglycerides, the restricted saturated fat, and the weight loss had a substantial impact on improving glucose tolerance without adding further diabetes oral agents. Studies have shown that dietary fat, primarily saturated ...

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.

Registered dietitians (RDs) who have earned the Board Certified-Advanced Diabetes Manager (BC-ADM) credential hold a master's or doctorate degree in a clinically relevant area and have at least 500 hours of recent experience helping with the clinical management of people with diabetes.1 They work in both inpatient and outpatient settings, including diabetes or endocrine-based specialty ...

Klubo-Gwiezdzinska J, Lange M, Cochran E, et al. Combined immunosuppressive therapy induces remission in patients with severe type B insulin resistance: a prospective cohort study. Diabetes Care ...

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 ...

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.".

This patient had a history of diabetes. A manifestation of diabetes that commonly causes cognitive problems is cerebral microvascular disease. ... a large hospital-based study. PLoS One 2018;13(1 ...

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 ...

Case Study: A Patient With Uncontrolled Type 2 Diabetes and Complex Comorbidities Whose Diabetes Care Is Managed by an Advanced Practice Nurse ... A program was developed for managing diabetic patients within an HMO system that uses physician-supervised diabetes nurse specialists and a computer system to enhance compliance and management of ...

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.

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 ...

Type 1 diabetes accounts for approximately 6% of all cases of diabetes in adults (≥18 years of age) in the United States, 4 and 80% of these cases are diagnosed before the patient is 20 years of ...

A recent study reported that oral medication was eventually needed to control hyperglycemia in patients with diabetes refractory to management with proper lifestyle modification.12 However, lifestyle modification is important, and is a cornerstone in the treatment of diabetes, and it should be a mandatory treatment for type 2 diabetes.

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.

The following case study illustrates the pharmacotherapeutic challenges of diabetes with other comorbidities, which can lead to potential drug-drug and drug-disease interactions. Although it does not offer detailed solutions to such problems, this case does describe the process of patient care and problem resolution as approached by advanced ...

The patient is a 36-year-old man who has had type 1 diabetes for 15 years. He presents to the emergency room with hyperglycemia and concern for possible diabetic ketoacidosis after not taking his ...

Abstract. This patient with BMI 36 kg/m² and T2DM on insulin glargine and glyburide as well as atenolol for HTN was able to lose 10% of his initial body weight with a low-carbohydrate diet and exercise and adjustment of medications in approximately a 36-week time frame. Insulin glargine and glyburide were reduced gradually with blood glucose ...

[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 ...

Systematic evaluation and meta-analysis will be conducted on cohort and case-control studies exploring the occurrence and risk determinants of UTI in individuals diagnosed with T2DM. The main focus will be on identifying the risk factors for UTI in elderly diabetic patients. Two researchers will independently review articles, collect data, and ...

Diabetes Case Studies: Real Problems, Practical Solutions. Edited by: Boris Draznin, MD, PhD, Cecilia C. Low Wang, MD, FACP, Daniel J. Rubin, MD, MSc, FACE. ... Effective Use of U-500 Insulin via Insulin Pump in a Type 2 Diabetes Patient with Severe Insulin Resistance in another window. Case 30: U-500 Insulin Pump Case. By

The present case-control study was designed to primarily test whether the prevalence of cardiovascular disease, and secondarily of other underlying conditions, differ between patients with type 2 diabetes hospitalized for Covid-19 (cases), compared to patients with type 2 diabetes without signs or symptoms of SARS-CoV-2 infection (controls).

Exclusion criteria were bariatric surgery, pancreatitis, type 1 diabetes, thyroid cancer, or gastroparesis. Patients were classified into semaglutide and other antidiabetes medication groups based on the first prescription during the study period, which was the baseline or index event (eAppendix in Supplement 1). The semaglutide group and each ...

Researchers in this study analyzed electronic records of nearly 33,000 patients with OUD and who were prescribed diabetes medications between December 2017 and June 2023. About 3,000 of those ...

Background: The early diagnosis of pancreatic cancer (ICD-10 C25) can improve the patient's prognosis. The association between pancreatic cancer and type 2 diabetes (T2D) is known, but not yet fully understood. It is, therefore, necessary to investigate the impact of hemoglobin A1c (HbA1c) serum levels on pancreatic cancer development and the potential intervention options. Methods: In the ...

Diabetic ketoacidosis (DKA) is a cardinal feature of type 1 diabetes. However, there is a strong, almost dogmatic, errant perception by physicians that DKA is a complication that only occurs in patients with type 1 diabetes. This is not true. DKA does occur in type 2 diabetes; however, it rarely occurs in the absence of a precipitating event.

Disturbances in the level of trace elements might be inducing "insulin resistance (HOMA-IR)", development, and even complications of diabetes. Objective: A case-control study was carried out for measurements of serum zinc (Zn) and copper (Cu) concentrations in type 2 diabetic patients (DM2) and compare them with healthy subjects, as well as to estimate their association with insulin resistance.

Case study 3: National Patient Safety Alert - Shortage of GLP-1 receptor agonists. Recording of primary care patient safety incidents on the national system identified a shortage of glucagon-like peptide-1 receptor agonists. Supply issues stemmed from an increase in demand for these products for licensed and off-label indications.

Interest in using continuous glucose monitoring (CGM) in the hospital has been increasing in recent years. CGM use for standalone glucose monitoring or as an integrated component of automated insulin delivery (AID) systems is now standard of care for individuals with diabetes in the outpatient setting, facilitating more in-target glycemic control while reducing hypoglycemia risk (1,2).