Year Southern Asian Assignment Help: How to Answer This Question

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What This Question Is About

This question relates to year southern asian and requires a structured academic response.

How to Approach This Question

Use appropriate theories and support your answer with clear reasoning.

Key Explanation

This topic involves year southern asian. A strong answer should include explanation, application, and examples.

Original Question

Y.L., a 34-year-old Southern Asian woman, comes to the clinic with chronic fatigue, increased thirst, constant hunger, and frequent urination. She denies any pain, burning, or low-back pain on urination. She tells you she has a vaginal yeast infection that she has treated many times with over-the counter medication. She works full-time as a clerk in a loan company and states she has difficulty reading numbers and reports, resulting in her making frequent mistakes. She says, “By the time I get home and make supper for my family, then put my child to bed, I am too tired to exercise.” She reports her feet hurt; they often “burn or feel like there are pins in them.” She has a history of gestational diabetes and reports following a traditional eating pattern, which is high in carbohydrates. In reviewing Y.L.’s chart, you note she last saw the provider 6 years ago after the delivery of her last child. She has gained considerable weight; her current weight is 173 pounds (78.5kg). Today her BP is 152/97, and a random plasma glucose level is 291 mg/dL (16.2 mmol/L). The provider suspects she has developed type 2 diabetes mellitus (DM) and orders the lab studies shown in the chart. CHART VIEW Laboratory Test Results Fasting glucose- 184 mg/dL (10.2 mmol/L) Hemoglobin A1C (A1C)- 8.8% Total cholesterol- 256 mg/dL (6.6 mmol/L) Triglycerides- 346 mg/dL (3.91 mmol/L) Low-density lipoprotein (LDL)- 155 mg/dL (4.01 mmol/L) High-density lipoprotein (HDL)- 32mg/dL (0.83 mmol/L) Urinalysis (UA)- + glucose, – ketones 1. Interpret Y.L.’s lab results. 2. Identify 3 methods used to diagnose DM. 3. Describe the major pathophysiologic difference between type 1 and type 2 DM. 4. Name 6 risk factors for type 2 DM. Underline those that Y.L. has. Y.L. is diagnosed with type 2 DM. The provider starts her on metformin (Glucophage) 500 mg, glipizide (Glucotrol) 5 mg, orally each day at breakfast and atorvastatin 20 mg orally at bedtime. She is referred to the dietitian for instructions on starting a 1200-calorie diet using an exchange system to facilitate weight loss and lower blood glucose, cholesterol, and triglyceride levels. You are to provide teaching about pharmacotherapy and exercise. 5. How can you incorporate Y.L.’s cultural preferences as you develop her teaching plan? 6. What is the reason for starting Y.L. on metformin and glipizide? 7. Outline the teaching you need to provide to Y.L. about oral hypoglycemic therapy. 8. What do you teach Y.L. to do if she becomes ill with the flu or viral illness? 9. You determine she understands your teaching about treating hypoglycemia is she states, “Of my blood sugar is low, I should first have: An apple with milk.” Peanut buyer sandwich.” Fruit juice or regular soda.” Crackers with cheese slices.” 10. What benefits should Y.L. receive from exercising? 11. What do you need to teach Y.L. about exercise? 12. Besides the dietitian, what interprofessional and community referrals may be appropriately for Y.L.? Y.L. comments, “I’ve heard many people with diabetes lose their toes or even their feet.” You take this opportunity to teach her about neuropathy and foot care. 13. Which symptoms that Y.L. reported today led you to believe she has some form of neuropathy? 14.What other findings in Y.L.’s history increased her risk for developing neuropathy? 15. What would you teach Y.L. about neuropathy? 16. Because Y.L. has symptoms of neuropathy, placing her at risk for foot complications, you realize you need to instruct her on proper foot care. Outline what you will include when teaching her about proper diabetic foot care. 17. What monitoring will Y.L. need for nephropathy and retinopathy? Y.L. returns to the clinic 6 weeks later. Her BP is 130/78 and fasting glucose level is 153 mg/dL (8.5 mmol/L). She says she has not had any episodes of tingling in her toes or blurred vision lately. She did meet with the diabetic educator. She is making changes to her eating, has started walking, and is happy to have lost 6 pounds (2.7 kg).

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