Type 2 Diabetes Mellitus: A Case Study

Bckground While modern lifestyles and medical care have certainly improved the longevity of humans in the developed world, and contributed to a greater quality of life scenario, those same lifestyles have engendered a number of issues that contribute to disease. Lack of proper diet, fast food, high fat and carbohydrate diets without adequate fruits and vegetables, lack of exercise, smoking and alcohol contribute to an epidemic of obesity which, in turn, contributes to a serious metabolic disorder called Diabetes Mellitus Type 2. While not managed by insulin injections, it is nevertheless quite serious and has a number of progressing symptoms that, if not treated properly, can result in cardiovascular, renal and neurological problems, as well as amputation, ocular issues, and even cognitive dysfunction.

This essay will focus on type 2 diabetes, which is becoming one of the fast growing chronic health conditions in the United Kingdom (UK). Approximately 700 people are diagnosed with type 2 diabetes each day in the UK (Diabetes Uk, (2014)a). It is costing the NHS about £10billion pounds each year to treat diabetes along with its complication and it is expected to rise in the next couple of years (Diabetes UK, (2014)b).

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Obesity remains an extremely serious issue worldwide. Once considered a problem for wealthier counties, overweight and obesity are now dramatically increasing in low and middle income countries (WHO, 2011). In American, the rates of obesity continue to soar. CDC (2009) recognizes obesity as a risk factor for diabetes, heart disease, high blood pressure, and other health problems. According to NHANES over two-thirds of the US are overweight or obese, and over one-third are obese (CDC, 2009). Treatment for this illness varies; it may include the incorporation of diet, exercise, behavior modification, medication, and surgery. Since there is no single cause of all overweight and obesity, there is no single way to prevent or treat overweight

A common theme among the concerns of today’s American citizens is that of obesity. Obesity, identifiable by abnormal fat accumulation, can be defined in absolute terms by one who has a Body Mass Index (BMI) over 30. It is estimated that over 30 percent of American adults are clinically obese. This number has shown a dramatic increase from the 15 percent of American adults suffering from obesity in 1980. Globally, 400 million adults are obese, while predictions place this number at 700 million by 2015. The major issue confronting this adiposity is the health conditions that accompany states of extreme obesity. These include cardiovascular diseases, diabetes, sleep apnea, and osteoarthritis among others. The escalating number of obese and

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,

Subjective ED is a 71 y/o African American female, who came to the hospital complaining of blurry vision, non-healing wounds, frequent bladder infections, tingling and numbness in her feet. Her sister is a known type II diabetes patient. She is of low socioeconomic status. She denies smoking and any food allergies. She is currently diagnosed with Cellulites and T2DM.

Aaron is a 25-year-old Caucasian (Hispanic/white) male who is over weight, he was recently diagnosed with type 2 diabetes and has a long history of sever asthma. Aaron is a full time college student majoring in graphic design and works part time at GameStop during the week. He is a very sedentary individual and spends most of his time playing games or watching TV indoors. On occasions he spends time going to hockey games and parties with his friends but does not spend much time doing any physical activities. Aaron has had sever asthma since he was a child and has been taking a variety of medications from and early age. Up till the age of 18 Aaron too anti-inflammatories, albuterol the generic name is albuterol sulphate inhalation solution and some of the Brand names are ProAir HFA, ProAir

Type 2 Diabetes is a continuing epidemic in the United States, particularly among African Americans. According to the American Diabetes Association (n.d.): "African Americans are 70% more likely to have diagnosed diabetes compared to Non-Hispanic Caucasians." The two most prominent health disparities implicated in Type 2 Diabetes with African Americans are: proportionally higher rates of diagnosis and disease-related complications (Byers et al, 2016). Notably, "ineffective patient-provider communication" and "disconnection" between a patient's diagnosis and their culture/lifestyle are thought to contribute to these disparities (Kirk et al, 2014). This disconnect between biological and social reality is likely due to ineffectual patient-provider

Obesity is one of the biggest public health challenges facing adult in the United State of America today. Excess weight can lead to a number of debilitating conditions including Type 2 diabetes, cardiovascular disease and stroke. Obesity is a rapidly increasing problem. According to Center for Disease Control and Prevention Fact sheet In the last ten years obesity has nearly trebled adult women and nearly quadrupled in men it now affects over one in five adults in the in United States. Central for disease and prevention, stated that the prevalence of Type 2 diabetes has increased dramatically in the last decade, primarily because of the link with obesity (CDC)

There are a multitude of public health topics that are affected by policy and intervention. One disease that is extremely prevalent in society is Type 2 Diabetes Mellitus (T2DM), which is primarily affected by individuals between forty to sixty years of age (Olokoba, Obateru, & Olokoba, 2012).

Type 2 diabetes is a very well known disease throughout the US. There are about 27 million people in the US with the disease and 86 million others have prediabetes which means their blood glucose is not right but also not high enough to be diabetes yet. 208,000 people under the age of twenty have been diagnosed with either Type 1 or 2 Diabetes.

Obesity rates in the United States are alarming, with more than one-third of U.S. adults and 17% of children qualifying as obese with a Body Mass Index greater than 30.0 (Centers for Disease Control (CDC), 2015). Even more frightening is the growth rate of this crippling health epidemic; between 1980 and 2014, obesity has doubled for adults and tripled for children (CDC, 2015). The physical consequences of rising obesity rates in our country include an abundance of physical ailments including type-2 diabetes, cardiovascular disease, sleep apnea, arthritis, elevated cholesterol, and even some cancers. Additionally, obesity-related health care costs to our country are estimated at $147 billion annually, plus the costs of productivity lost at

“A major concern at this time is the rapid climb in incidence of Type 2 diabetes, with prevalence now estimated at about 9% (18 million) of the population greater than 20 years of age.” Obesity and Type 2 diabetes are commonly associated (Gould & Dyer, 2011). In addition to the two types of diabetes, there are signs and symptoms that are easily detected and some that develop after diagnosis.

What are K.J.’s risk factors for diabetes? Risk factors for K. J include hyperlipidemia, overweight, and not enough exercise. Which are modifiable? I would say that cigarette smoking and hyperlipidemia with a good diet and exercise routine K. J can see changes in his health.