Question

CASE STUDY B Diabetes Mellitus Type 2 Mr. F. was diagnosed with Type 2 diabetes mellitus at age 46. At that time, he was overweight, enjoyed foods with high car- bohydrate and fat content, and led a sedentary life. His family history indicated that his mother and his brother had diabetes Weight loss, appropriate diet, and exercise were recommended to reduce blood glucose levels. 1. List the factors contributing to diabetes mellitus in this case. At age 50, Mr. F. noticed that his vision was cloudy particularly in one eye. Cataracts were removed from both eyes 2. Describe a cataract and explain how diabetes promotes cataract formation. 3. Glyburide (DiaBeta) was prescribed at this time. Describe the action of this drug. At age 56, a blister developed on the heel of one foot, which did not heal. An ulcer formed and persisted. Finally the foot was placed in a cast for 13 weeks to promote healing. 4. Explain several factors contributing to the delayed healing in Mr. F. 5. Why was it necessary in this case, to remove the cast and replace it each week? Peripheral neuropathy with total loss of sensory function had developed in both feet. Motor function was not directl affected. Orthopedic shoes were ordered and arrangements made for a podiatrist to provide regular foot care.

Answer 1

1. Mr. F was diagnosed with diabetes type 2 and some major factors contributed to this diagnosis-

Mr. F was 47 years old as diabetes type 2 is prevalent in middle aged males more than other ages, age plays a role in risk factor here, he was overweight, it is seen that obesity and overweight induced atherosclerosis and high risk towards development of diabetes and hypertension, he used to have oily and carbohydrate rick food, this is another major risk factor for diabetes development as unhealthy diet and reduced physical activity enhances risk of diabetes, moreover, the genetic and hereditary susceptibility to this disease was present in this case as Mr. F's mother and brother were sufferers of diabetes.

All these factors enhances the risk of patient to develop type 2 diabetes as this kind of diabetes is dependent on lifestyle habits and choices.

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