Patients With Type 2 Diabetes Mellitus

878 WordsMay 14, 20174 Pages
Cynthia is a 65 year old African American female diagnosed with type 2 diabetes mellitus, diabetic peripheral neuropathy, hypertension, kidney disease, hyperlipidemia and hypothyroidism. She is on glipizide 5 mg po daily to treat her type 2 diabetes. Cynthia revisited the clinic soon after the initiation of the treatment with symptoms of shakiness, sweating, chills, clamminess, lightheadedness and moderately severe headache. In this case study, Cynthia is exhibiting the symptoms of hypoglycemia as she is on sulfonylurea therapy. Sulfonylureas, such as glipizide commonly used as a second-line of therapy in patients with Type 2 Diabetes Mellitus (T2DM), promote insulin release independent of prevailing glucose value and as a result,…show more content…
Impaired cognitive function can cause harmful and cumulative long-term effects on intellectual function, particularly in young children. The most common risk factor for the occurrence of hypoglycemia is the aggressiveness of therapy applied to achieve glycemic control. The other factors include, antecedent hypoglycemia, alcohol, increased glucose utilization, decreased glucose production, female sex, sleep, duration of diabetes, age and progressive insulin deficiency were also associated with an increased risk of hypoglycemia in patients with T2DM. Multiple risk factors are associated with precipitation of hypoglycemia in the general population. When it comes to elderly patients with diabetes, the problem of hypoglycemia is a major concern. Hypoglycemia is an expected side effect of sulfonylurea. Hypoglycemia unawareness is a major cause of severe hypoglycemia in patients with T2DM. Hypoglycemia awareness in patients can bring better results in managing hypoglycemic events. Symptoms of hypoglycemia become progressively less intense over the time or diminish. Management of hypoglycemia consists of strategies such as prevention of hypoglycemia, use of therapeutic agents with low or no occurrence of hypoglycemia and treatment of hypoglycemia. It is important for the patient to understand and agree to adhere to treatment plan in terms of both medication and lifestyle modification. Self-monitoring of the glucose is very
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