Case studies of good practice in diabetes care diabetes uk. Data briefs are statistical publications that provide information about current public health topics. A 44yearold woman with type 1 diabetes and a recent history of diabetes out of control deborah thomasdobersen, rd, ms, cde, and terri ryanturek, rd, cde presentation k. The case study approach is one of the most used and most effective formats to present medical information and is the foundation for developing evidencebased treatment protocols. From 2002 to march 2017, the world diabetes foundation provided usd million in funding to 511 projects in 115 countries. The fda required a large safety study be performed, given concerns over cardiovascular. Compiled and edited by one of the worlds best known clinical endocrinologists, boris draznin, md, phd, diabetes case studies offers more than 100 actual cases from. Participants blood samples were analyzed for fasting blood glucose, full blood count and renal function tests among others. It was incorporated into the schedule after the lectures on basic carbohydrate metabolism, including the glycogen cascade. Pdf increased prevalence of diabetes in the community has been accompanied by an increase in diabetes in hospitalised patients.
Case study about type ii diabetes mellitus diabetes human. Case study 1 patient with a newly diagnosed type 2 diabetes. The case study presents the experience with empagliflozin therapy as addon to insulin and metformin in a poorly controlled type 2 diabetes patient. Diabetes mellitus type ii afflicts at least 2 million people in iran. A total of 100 50 with type 2 diabetes and 50 controls participants were recruited for our study. The current study has focused on the complications arising in a patient due to diabetes mellitus and how the patients quality of life has been affected. January cumulative effect and predictive value of genetic variants associated with type 2 diabetes in han chinese. Diabetes case study clinical research management group.
The content of this site is published by the site owners and is not a statement of advice, opinion, or information pertaining to the ohio state university. He was later put on a diabetes maintenance diet and treated with one. Interactive diabetes case 06 interactive diabetes case 6. What are the standard diagnostic criteria for t2dm. A 57yearold man with type 2 diabetes, hypertension, and microalbuminuria jeffrey a. The global partnership for effective diabetes management is supported by an unrestricted educational grant from bristolmyers squibb, astrazeneca lp. A sponsor approached crmg with a first in class diabetes drug that was initially denied approval by the fda. Type 2 diabetes mellitus type 2 diabetes mellitus posted 3705 key points both environmental and genetic factors contribute to the etiology of type 2 diabetes mellitus t2dm. Case study clinical diabetes american diabetes association. Case study analysis on type i diabetes mellitus in partial fulfillment of the requirements in bio 306.
Compiled and edited by one of the worlds best known clinical endocrinologists, boris draznin, md, phd, diabetes case studies offers more than 100 actual cases from leading diabetologists, outlining both typical and unusual diabetes cases. It affects the transport of salt and water across cells and affects different organs, but lung disease is responsible for the majority of symptoms, burden of care, and lost years of life. The most feared complication of the disease is loss of lower limb due to. Id like to share with you the journey of tigger, my angry diabetic cat, since he was diagnosed with diabetes may 29, 20 to now. With type 1 diabetes, your body does not make insulin. Since neuropathy often leads to ulceration and amputation, we have tried to elucidate the factors that can affect its progression. Other medical problems include obesity and hypothyroidism. Presented in bitesize, easy to read sections, the case studies describe what local areas have done to improve care for people with diabetes, and.
Diabetes case study shea teresis dietetic portfolio. Gestational diabetes mellitus case studies by our aim is to alleviate human suffering related to diabetes and its complications among those least able to withstand the burden of the disease. Standard diagnostic criteria for type ii diabetes mellitus include one of the following. The need for accurate foot risk stratification for patients with diabetes and access to foot clinics is high on the agenda for the. Case study diabetes mellitus this case study focuses on a 48 yo patient with a diagnosed of type 1 diabetes. Current treatment algorithms for type 2 diabetes mellitus. In type 2 diabetes, a person doesnt have enough too little insulin or cannot use the insulin they have effectively. Diabetes mellitus, is a group of metabolic disorders that leads to high blood glucose level, resulting in excessive urination, increased thirst, blurred vision, tingling, sweating and. Case study 3 diabetes mellitus type 1 hyperglycemia. In the oftenreferenced substudy of obese patients with type 2 diabetes in the united kingdom prospective diabetes study ukpds randomized to metformin versus sulfonylureas and standard care, metformin improved a variety of endpoints, including any diabetesrelated endpoint, diabetes death, and allcause mortality. Introduction i have been living with insulin dependent diabetes type 1 for 21 years. Neuropathy is one of the most common complications of diabetes and lowers the patients quality of life.
Each report takes a complex data subject and summarizes it in text and graphics that provide readers with easily comprehensible information in a compact publication pdf and webpage. A case study find, read and cite all the research you need. Objectives of case study presentationobjectives of case study presentation to share experience and knowledge with friends and supervisors. Insulin is needed to carry glucose out of the vascular space over to the cell. In this casecontrol study, 110 diabetic patients were selected from. Association for the study of diabetes easd position statement on the management of hyperglycemia in type 2 diabetes. Pdf on apr 19, 2018, saleha sadeeqa and others published diabetes mellitus. The aim of this study was therefore to determine the prevalence of anemia among patients with type 2 diabetes. Cystic fibrosis cystic fibrosis cf is the most common, lifeshortening genetic disease in caucasians. Adolescent newly diagnosed with type 2 diabetes authored by james lasalle and stephan matthaei on behalf of the global partnership for effective diabetes management.
At this point, the cells are starving so they start breaking down protein and fat for energy. Debride wound normalize blood glucose levels begin selfmanagement training on nutrition prescription, meal planning, signssymptoms, and tx of hypohyperglycemia, smbg, appropriate exercise, potential fooddrug interaction initiate lipitor 10 mg gd, continue capoten 50 mg bid. The proband is a 52yearold man with a 2year history of progressive symptoms including gait disturbance, hyperreflexia, muscle weakness, skeletal muscle atrophy, spasticity, and upper motor neuron dysfunction consistent with amyotrophic lateral sclerosis als. Diabetes uks indepth case studies provide reallife examples of good practice in diabetes care from across the country. Clinical nutrition case studies haiyan wangs eportfolio.
The following case study illustrates the clinical role of advanced practice nurses in the management of a patient with type 2 diabetes. Getting diabetes under control posted on 40112 rj is a 50yearold african american female who presented to an internist complaining of increased fatigue, thirst and urination with symptoms increasing in severity over the past couple of weeks. A case study of type 2 diabetes selfmanagement article pdf available in biomedical engineering online 41. Dm is a 55yearold woman with type 2 diabetes, obesity, and hypertension whom has been under a physicians care for diabetes for the past 2 years. Dunning 2014 recognises that diabetes mellitus dm is a condition where the body is unable to utilise glucose in the absence of insulin. Each study will illustrate real life dilemmas with a discussion as to how the diagnostic and therapeutic. Pdf case study analysis on type 1 diabetes mellitus louregine. Association between bone mineral density and type 2. The united kingdom prospective diabetes study ukpds, which followed patients with diabetes. Management of diabetes in a 72yearold man with type 2 diabetes, gi bleeding, and multiple other medical problems interactive diabetes case 08. Note that it is not possible to estimate the incidence of disease from a casecontrol study unless the study is population based and all cases in a defined population are obtained.
Heart outcomes prevention evaluation study investigators. A casecontrol study yun qian 0 1 feng lu 0 1 meihua dong 0 1 yudi lin 0 1 huizhang li 0 1 juncheng dai 0 1 guangfu jin 0 1 zhibin hu 0 1 hongbing shen 0 1 0 1 department of chronic noncommunicable disease control, wuxi center for disease control. The effect of intensive treatment of diabetes on the development and progression of longterm complications in insulindependent diabetes mellitus. The present study aimed to retrospectively compare bmi trajectories of individuals with and without diabetes in a casecontrol design and to assess. To analysis of lab values, insulin prescription analysis, calculation of nutritional needs and a sample diet plan are focusing on carbohydrate exchanges, and education on blood glucose management. She has been diagnosed with background retinopathy, which has. A patientcentered approach is shown in figure 4,4 an abbreviated algorithm showing treatment options when the goal is to avoid weight gain is shown in figure 5,4 suggesting that the best answer from the. Analysis of casecontrol studies the odds ratio or is used in casecontrol studies to estimate the strength of the association between exposure and outcome. The psychosocial implications for the patient are also discussed.
Type 1 diabetes cannot be prevented and usually involves episodes of low blood sugar. Download as pptx, pdf, txt or read online from scribd. You are encouraged to show this to your doctor and work out a plan with your doctor. Assignment instructions fshn 450 type 2 diabetes case study fall 2014 mrs.
A case study for an integrative approach by chhaya s. Chaudhry ma, delhi university, india, 1988 ba honors, delhi university, 1986 dissertation submitted in partial fulfillment of the requirements for the degree of doctor of philosophy health sciences walden university november 2014. Tigger has always been a big kitty we think he may have had some zootype animal breed in him. The objective of this study was to perform a metaanalysis and metaregression of the literature to estimate the difference in bmd gcm2 between diabetic and nondiabetic. A great deal of so call modern disease is be look up as lifestyle disease, which is to say the way we live, the way we rest, the way we eat, the way of our being. Diabetes mellitus type 2 pathophysiology case study. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Case study about type ii diabetes mellitus free download as word doc. Do body mass index trajectories affect the risk of type 2. I selected this case as to learn in depth about the disease. The reason that i have been an insulin dependent diabetic is in large part due to the fact that on initial diag. Diabetes mellitus, is a group of metabolic disorders that leads to high blood glucose level, resulting in excessive urination, increased thirst. This article examines the aetiology, pathophysiology, diagnosis and treatment of type 2 diabetes using a case study approach. Type 1 diabetes is often called childhood diabetes because it begins when a person is a child or in early adulthood.
Effect of intensive blood glucose control with metformin on complications in overweight patients with type 2. He has a history of heavy alcohol use but quit drinking alcohol 2 years ago. Cumulative effect and predictive value of genetic variants. T2dm recommend promptly starting pharmacotherapy, usually with metformin, for. Type 1 diabetes diabetes is a disease in which your blood glucose, or blood sugar, levels are too high. The following case study on diabetes mellitus was devel oped for a twoquarter lecture course on introductory biochemistry for 35 firstyear medical students. To get feedback from the supervisors and friends for further improvement. Diabetes mellitus dm is a chronic progressive metabolic disorder characterized by hyperglycemia mainly due to absolute type 1 dm or relative type 2 dm deficiency of insulin hormone. The most important preventive measure for an atrisk individual is a healthy lifestyle, including regular exercise. Full text full text is available as a scanned copy of the original print version.
A family history of t2dm indicates an increased risk for the disease. A 19year old marine was brought to the infirmary after passing out. Fasting plasma glucose 5,46,2 mmoll a and then 4,15,2 mmoll postprandial glucose up to 8,7 mmoll and then maximally 8 mmoll glycated hemoglobin 59 mmolmol what is the next step. Case study on diabetes mellitus wiley online library. A 57yearold man with type 2 diabetes, hypertension, and microalbuminuria. Insulin is a hormone that helps the glucose get into your cells to give them energy. Get a printable copy pdf file of the complete article 354k, or click on a page image below to browse page by page.
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. Uncontrolled diabetes in a 64yearold woman treated with insulin interactive diabetes case 07 interactive diabetes case 7. Since there is no insulin, the glucose just builds up in the blood. Additionally, an abnormality of the cerebral white matter was seen on mri. The diabetes control and complications trial research group.
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