this purpose, a healthier lifestyle should always be emphasized over the prescription of newer medication to treat secondary conditions. In the case of type 2 diabetes, the patient and his family should receive nutritional counseling along with psychological support to help them overcome the emotional aspect associated with treating a chronic disease.
Understanding the biological dynamics associated with chronic diseases and comorbidity factors continues to be an area of ongoing research.
In the case of chronic diseases, it is hypothesized that the abundance of food and our relative access to it has greatly contributed to the prevalence of many of the diseases we see today. Stated differently, our social transition from a hunter-gatherer based lifestyle to a more sedentary and consumer approach has removed certain biological pressures throughout subsequent generations that have resulted in significant changes to our metabolic and development process as a species making us more predisposed to develop a chronic disease during our lifetime. In the case of the patient (P.E), the clinical and therapeutic outcome should be determined by considering both medical urgency and his preferences or needs. Furthermore, the patient and family should be considered as primary candidates for referral with a licensed diabetes educator that can facilitate the continuity of care and reinforce nutritional concepts to improve the patient’s overall wellbeing and help with his blood glucose
management.