Case Study for Care Plan Essay 6
Case Study for Care Plan Essay 6
A retired 69-year-old man “Mr. Casey” with a 5-year history of type
2 diabetes. Although he was diagnosed 5 years ago he had
symptoms indicating hyperglycemia for 2 years before diagnosis.
His fasting blood glucose values of 118–127 mg/dl, which was
explained to him as “borderline diabetes.” He also states he has
had past episodes of nocturia with large pasta meals and Italian
pastries. At the time of diagnosis, he was advised to lose 10 lbs.
Referred by his family physician to the diabetes clinic, Mr. Casey
presented with recent weight gain, suboptimal diabetes control,
and foot pain. He has been trying to lose weight and increase his
exercise for the past 6 months without success. He had been
started on glyburide (Diabeta), 2.5 mg every morning, but had
stopped taking it because of dizziness, often accompanied by
sweating and a feeling of mild agitation, in the late afternoon.
Mr. Casey also takes atorvastatin (Lipitor), 10 mg daily, for
hypercholesterolemia. He has tolerated this medication and
adheres to the daily schedule. During the past 6 months, he has
also taken OTC medications to try to control his diabetes. He
stopped these supplements when he did not see any positive
results.
He does not test his blood glucose levels at home and expresses
doubt that this procedure would help him improve his diabetes
control.
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