Patient X has previous history of hypertension and MI, with no family history of diabetes mellitus. Social history revealed sedentary lifestyle and alcoholism related to recent job loss. He smokes but does not take recreational drugs.…
The patient has no family history of heart disease or diabetes, however both her parents are on medication for high blood pressure. Her paternal grandmother died of breast cancer at age 47. Her maternal grandmother suffers from severe osteoporosis and her mother is taking prescription medications to slow bone loss.…
You are working in the internal medicine clinic of a large teaching hospital. Today your first patient is 70-year-old J.M, a man who has been coming to the clinic for several years for management of CAD and HTN. A cardiac catheterization done a year ago showed 50% stenosis of the circumflex coronary artery. He has had episodes of dizziness for the past 6 months and orthostatic hypotension, shoulder discomfort, and decreased exercise tolerance for the past 2 months. On his last clinic visit 3 weeks ago, a CXR showed cardiomegaly and a 12-lead ECG showed sinus tachycardia with left bundle branch block. You review his morning blood work and initial assessment.…
A subsequent fasting BG is also elevated and Y.L. is diagnosed with DM type 2…
Mary is a 70-year-old female here today with her friend Barbara, after receiving Phytel call regarding follow up of her diabetes and hyperlipidemia.…
The patient has well controlled Type 2 Diabetes. 2. At the beginning of this appointment the patients ASA classification would have been an ASA 2. 3. The patient is experiencing Hypoglycemia symptoms, due to a drop in her glucose levels. This emergency could have been avoided had she eaten before her appointment in combination with blood glucose monitoring.…
Mr. C is a 71-year-old Caucasian male admitted to the cardiac intensive care unit (CICU). He is diagnosed with Atherosclerotic heart disease, chest pain, and shortness of breath. He received coronary artery bypass graft (CABG) surgery to repair 4 blood vessels. This patient has a history of coronary artery disease, hypertension, chronic obstructive pulmonary disease (COPD), hyperlipidemia, and a partial colectomy due to cataracts.…
She said, “I did not have diabetes. My doctor told me to take Metformin 500mg two times a day for two weeks and after that increase the Metformin to 1000mg two times a day. I do not think it is necessary. I always eat healthy and I am an active person”. Furthermore she said that “I have not seen any doctor recently because I have been taking my mother and two grandchildren. I do not feel my age”. I recognized that Mrs. M need education regarding heart disease and diabetes. We provided her with proper education regarding cardiovascular disease and diabetes. We told her that the signs and symptoms of a heart attack could develop suddenly. However, they also can develop slowly-sometimes within hours, days or weeks of a heart attack. Any time you think you might be having attack symptom do not ignore it or feel embarrassed to call for help. Cal 911 for emergency medical, even if you are not sure whether you are having a heart attack because acting fast can save your life. We explained her what A1C is and why it is important to take the Metformin as her doctor prescribed. Furthermore, we explained her the importance of diet, exercise and stress management. She was happy to hear that this program is covered by her…
Having other autoimmune disorders such as Grave's disease, Hashimoto's thyroiditis (a form of hypothyroidism), Addison's…
Congestive Heart Failure (CHF) and Diabetes are one of the expensive hospital stay due to the complications they bring to our patients. Patients should learn to manage their disease by complying with medications, diet, physical activity, and close follow-up with their physicians. The topics of interest are reducing hospital readmission of CHF and case management of diabetic…
According to the National Diabetes Statistics Report for 2014 published by the Centers for Disease Control and Prevention, approximately 21 million Americans of all ages have been diagnosed with diabetes as of 2012. This number only includes those who have been diagnosed by a medical professional and from this population; almost 95% of diagnosed adults have Type II diabetes. The difference between Type I and Type II diabetes is that Type I often times affects children who’s cells fail to produce insulin, which is important in the regulation of blood glucose. With Type II diabetes patients are insulin resistance, meaning that the cells in the liver, muscle, and fat are unable to produce enough insulin to regulate blood glucose…
The role of patient, physician and systemic factors in the management of type 2 diabetes mellitus. Family Practice. 2002;19(4):344-349. Available at http://fampra.oxfordjournals.org/cgi/reprint/19/4/344. Accessed February 8, 2007.…
Take one of the health risk assessments located on the LRC website. After completing the assessment, write a 500- to 750-word summary that includes the following:…
This post is mostly related to people who suffer from type 2 diabetes or DIET controlled diabetes as it is often called.…
When I did the assessment for chronic diseases I chose to do one for Diabetes because I am considered obese with a BMI of 39.9 so with this certain risk factor of obesity I run the risk of developing diabetes, the assessment states “Compared to a typical woman my age, my risk of developing diabetes is ABOVE AVERAGE” that is very scary because I know that diabetes can be dangerous and cause many other health problems, also it runs in my family, my father developed diabetes because of his weight, and now he does not have any working kidneys and has to do dialysis 4 days a week and requires a transplant, so my chances are high up there.…