Diabetes Case Studies
CC
Follow up diabetes, hypertension, potential sleep apnea, back pain.
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The patient once again, has not been taking care of himself. He states he has not been exercising like he knows he should, he is not eating well. He is not taking his medications as prescribed. He is only taking his metformin ER 500 mg two tablets with dinner four days per week instead of taking it two tablets twice a day, daily. He is also not taking his NovoLog sliding scale. He does tell me he takes his Lantus 50 units at night. He has been checking his blood sugars once a day, generally before lunch and they have ranged from 115 to 180, but does tell me he has had some outliers that have been higher than that. He has been trying to eat more consistently, trying to get a breakfast in, but eats cereal for breakfast.
The patient does have hypertension. He continues on his lisinopril/hydrochlorothiazide 20/12.52 tablets per …show more content…
He has poor insight into the implication of this. He really takes is much more lightly than I do. I did discuss with him risks of untreated diabetes including losing limbs, kidney disease, blindness, etc. He was supposed to make an eye appointment, but I am not so sure he has done this. I did discuss with patient that I am really quite frustrated with his lack of caring of his own diabetes. The patient states he will get on track and go to the gym. He will start taking the metformin as prescribed. He will continue his Lantus. He does state he will start his NovoLog sliding scale and a prescription for this was given. We will plan on rechecking hemoglobin A1C and urine for microalbuminuria in three months time. I did discuss that he has no showed many appointments and I really need to have him start coming on a more consistent basis, every three months until we are sure that his diabetes is controlled. The patient demonstrates understanding of
Follow up diabetes, hypertension, potential sleep apnea, back pain.
S
The patient once again, has not been taking care of himself. He states he has not been exercising like he knows he should, he is not eating well. He is not taking his medications as prescribed. He is only taking his metformin ER 500 mg two tablets with dinner four days per week instead of taking it two tablets twice a day, daily. He is also not taking his NovoLog sliding scale. He does tell me he takes his Lantus 50 units at night. He has been checking his blood sugars once a day, generally before lunch and they have ranged from 115 to 180, but does tell me he has had some outliers that have been higher than that. He has been trying to eat more consistently, trying to get a breakfast in, but eats cereal for breakfast.
The patient does have hypertension. He continues on his lisinopril/hydrochlorothiazide 20/12.52 tablets per …show more content…
He has poor insight into the implication of this. He really takes is much more lightly than I do. I did discuss with him risks of untreated diabetes including losing limbs, kidney disease, blindness, etc. He was supposed to make an eye appointment, but I am not so sure he has done this. I did discuss with patient that I am really quite frustrated with his lack of caring of his own diabetes. The patient states he will get on track and go to the gym. He will start taking the metformin as prescribed. He will continue his Lantus. He does state he will start his NovoLog sliding scale and a prescription for this was given. We will plan on rechecking hemoglobin A1C and urine for microalbuminuria in three months time. I did discuss that he has no showed many appointments and I really need to have him start coming on a more consistent basis, every three months until we are sure that his diabetes is controlled. The patient demonstrates understanding of