Diabetic Case Study Question & Answer Guide (With Explanation)

Students often encounter this when studying fundamental concepts.

What This Question Is About

This question relates to diabetic case study and requires a structured academic response.

How to Approach This Question

Structure your response with introduction, analysis, and conclusion.

Key Explanation

This topic involves diabetic case study. A strong answer should include explanation, application, and examples.

Original Question

Diabetic Case study Jack a 47-year-old white male presents to your office for a follow-up visit. He was seen 2 weeks ago for an upper respiratory infection and noted incidentally to have a blood pressure of 164/98. He vaguely remembered told in the past that his B/P was “borderline”. Labs were also done last visit and you are going over the results with him today. He brings his B/P diary in and it is showing elevated pressures from 144/94 to 176/96 Today: V/S: Right arm: 172/98; Left arm: 170/96; P 76; resp 16; 70 inches tall weighs 210 BMI 29 DOB: 3-12-7 Labs from last week: CBC normal; CMP normal; A1C 7.4; TSH normal; Lipids:Total cholesterol is 250; LDL is 190; HDL 35; Trigs 170 He feels fine, has no complaints. PMH Broken arm at age 12. Hernia repair 10 years ago No eye examination for about 1.5 years Meds: zero Allergies: NKDA Fam hx: Father died of stroke at age 69; diabetic Mother alive at age 69 with HTN, DM 2 sisters ages 45 and 43; the older sister has DM Social hx: Married. Son age 22 and daughter 20 both healthy. Sedentary job (Accountant) does not exercise. Smokes 1ppd for 10 years. Has “a couple of beers every weekend” ROS: Unremarkable except for above Physical examination No thyromegaly or lymphadenopathy Fundoscopic exam reveals narrowing of the arteries, arteriovenous nicking, and flame-shaped hemorrhages with cotton wool exudates. Cardiac exam: PMI is displaced 2 cm left of midclavicular line. S1 and S2 are normal and no murmurs are auscultated Lung and abdominal examinations are normal. EKG shows nonspecific T wave changes; no acute ischemic changes Assessment Stage 2 HTN Obesity DM type 2 Hyperlipidemia Tobacco abuse Should plug data in cardiac risk into ASCVD risk calculator: https://tools.acc.org/ASCVD-Risk-Estimator-Plus- use today’s b/p; he now has past hx of diabetes; go to view advice See AACE/ACE Guidelines posted in the readings in Module 6 What is the treatment plan for Jack today? Must use evidence-based reference with citations on all questions Pharmacologic? This should include any OTC medications Use blank prescription document to write prescriptions for your pharmacologic treatments Nonpharmacologic? This should also include any patient education Follow up and Referral

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