Question

You have been following Mr. Milosky for the past 2 years. You have worked with him, trying to get him to lose weight by changing his lifestyle and nutritional habits. He continues to be overweight (body mass index [BMI] of 33) and has tried to cut down his carbohydrate and fat intake, but now presents with polyuria, polydipsia, and an elevated random blood sugar of 164. You have ordered an HbA1c test in the past, as he is at high risk for diabetes, and the values have been less than 6.2%. However, his most recent test indicated an HbA1c greater than 7%. He is diagnosed with type 2 diabetes mellitus. 2. What education regarding Mr. Milosky’s medication management would you need to do? Think of motivational interviewing to help set personalized goals.

Answer 1

Q1.You have been following Mr. Milosky for the past 2 years. You have worked with him, trying to get him to lose weight by changing his lifestyle and nutritional habits. He continues to be overweight (body mass index [BMI] of 33) and has tried to cut down his carbohydrate and fat intake, but now presents with polyuria, polydipsia, and an elevated random blood sugar of 164. You have ordered an HbA1c test in the past, as he is at high risk for diabetes, and the values have been less than 6.2%. However, his most recent test indicated an HbA1c greater than 7%. He is diagnosed with type 2 diabetes mellitus.

Ans-mr miloskey gradually increase their hba1c level so high they going towards more dangerous life .first miloskey controle their diet in daily life.they have to take low carbohydrate , low fat and low cholesterol diet and it should be taken light every amount in 2-3 hour interval .then every day hard exercise they have to do otherwise their obesity dose not reduce that's why they have more chance of another disease like cardiac problem.A study says the diabetic people are twice chances in cardiac bluckage than without diabetic person.In medication they can take oral medication as per advice of a endocrinologist.in their case case they will check their glucose lavel daily and take medication.if hba1c higher than 7 and daily rbs greater than 180 then they will take insuline therapy ( short acting and long acting both).any how they have to mentain their daily glucose lavel and loss their weight .