Question

case study #2 donnas diabeteas

Case Study #2: Donna's Diabetes For the past 2 or 3 years, Donna has always had fasting blood sugar levels in the 100-120 mg/dl. range. When she presents in your clinic however, her fasting blood sugar is 137 mg/dL and her hemoglobin Alc is 8.3%. Donna's 24-hr recall includes: • Breakfast: English muffin with 2 t. butter, 1 slice American cheese, 1 Jimmy Dean sausage patty, 20 oz. water • Snack 1 large (4x4) brownie Lunch: Chicken salad sandwich on 2 slices wheat bread with lettuce tomato, and mayonnaise, 1 oz. BBQ chips, 12 oz. orange soda • Dinner: Lean Cuisine Alfredo Pasta with Chicken & Broccoli. 16 oz. sweet tea • Snack: 2 c. chocolate Haagen-Dazs ice cream Donna is 58 years old, does not have a history of diabetes, is 52 and weighs 1654, and she is on medication for hypertension. She says she has tried to lose weight many times in the past and often has success, but she always gains it back. She reports that she eats a fairly healthy diet but just loves to bake and often indulges in sweets. She does not know much about diabetes, except that it requires you to give yourself shots-and she hates needles, saying "Don't expect me to give myself a shot 1. What can you tell Donna about her current and past diabetes status? What lab values helped you to determine that, and what are the relevant cut-points? Describe some risk factors that Donna exhibits for developing diabetes. 2. If Donna's hemoglobin Alc is 8.3%, what is her average blood sugar? How did you figure this out? How does that compare to her fasting blood sugar, and why is it different or similar? 3. Donna is so scared of needles that at any mention of diabetes, she immediately resists, saying, "Don't expect me to give myself a shot. What can you tell her about various diabetes treatments and the likelihood of her needing to give herself a shot? Will Donna need to use a needle for her diabetes management? What are some strategies she can implement to avoid this? 4. Explain why Type 2 diabetes often shows up later in life and how it differs from Type 1 Diabetes. How do the treatments for the two diseases compare? 5. What lifestyle changes would you recommend for Donna? What dietary recommendations would you make? Explain why you decided to focus on the behaviors that you did.

Answer 1

Answer: The information given in the case study reveals that her blood sugar was high. The normal fasting range of blood sugar level is 100mg/dL. The present status of the blood glucose level is more than normal. This shows increased blood glucose level. Hence, the client is more prone to the diabetes. The diet is consists of high sugar content food such as a large size of brownie, sweet tea as well as chocolate ice cream. Hence this causes high risk of developing diabetes. The intake of high carbohydrates also contributes in the increase in the blood level.