B. RELATED QUESTIONS:1. Discuss what is Diabetes Mellitus and its pathophysiology.2. Discuss the pharmacologic and nonpharmacologic interventions for Type 2 Diabetes Mellitus. SubjectiveChief Complaint: "I was recently diagnosed with possible diabetes and would like to have my blood sugar tested. I thinkthat my blood sugar is running low because I have a terrible headache."HPI: Sarah Martin is a 43-year-old woman who comes to the pharmacy for a diabetes education class taught by thepharmacist. She would like for the pharmacist to check her blood sugar before the class begins. She was diagnosed withdiabetes mellitus Type 2 about 6 months ago. She has been attempting to control her disease with diet and exercise buthas had no success. Her physician has recently started her on glyburide 5 mg. She has gained 15 lb. over the past year.She monitors her blood sugar once a day, per her physician, with a range of 215-260 mg/dL. Her fasting blood sugarsaverage 170 mg/dL.PMH: Type 2 DM x 6 months, HTN × 15 years, bipolar disorder × 25 years, Dyslipidemia × 10 years, Morbid obesity *15 yearsFH: Father has a history of HTN and bipolar disorder. The mother has a history of dyslipidemia. Brother has DM secondaryto alcoholism. SH: Has been married for 21 years. She has two children who are teenagers. She works in a floral shop making deliveries.Denies any use of tobacco products but does drink alcohol occasionally (five beers/wine per week).Meds: Glyburide 5 mg po BID, Lisinopril 20 mg po once daily, Zyprexa 5 mg po Q HS, Carbamazepine 200 mg po TID,Lorazepam 1 mg po TID PRN, Fluoxetine 20 mg po Q AM, EC ASA 81 mg po once daily, Pravastatin 40 mg po oncedailyAll: Morphine-hivesROS: Complaints of nocturia, polyuria, and polydipsia on a daily basis. Denies nausea, constipation, diarrhea, signs orsymptoms of hypoglycemia, paresthesias, and dyspnea.ObjectivePHYSICAL EXAMINATIONGen: WDWN severely obese, Caucasian woman in NADVS: BP 165/90, P 98, RR 18, T 38.6°C; waist circ 38 in, Wt 109 kg, Ht 5'8"HEENT: PERRLA, EOMI, R, and L fundus exam without retinopathyNeck/Lymph Nodes: WNLLungs: Clear to A & PCV: RRR, no MRGAbd: NT/NDGenit/Rect: DeferredMS/Ext: Carotids, femoral, popliteal, and right dorsalis pedis pulses 2+ throughout; left dorsalis pedis 1+; feetshow mild calluses on MTPsNeuro: DTRs 2+ throughout, feet with normal sensation (5.07 monofilament) and vibrationLABORATORY EXAMINATIONNa 139 mEq/LK 3.6 mEq/LCl 103 mEq/LCO₂ 31 mEq/LBUN 15 mg/dLSCr 0.8 mg/dLGluc (random) 232 mg/dLUA: 1+ protein, (+) microalbuminuriaCa 9.4 mg/dLPhos 3.3 mg/dLAST 15 IU/LALT 18 IU/LAlk Phos 62 IU/LT. bili 0.4 mg/dLAIC 9%Fasting Lipid Profile:T. chol 236 mg/dLLDL 135 mg/dLHDL 56 mg/dLTrig 223 mg/dLTC/HDL ratio 4.2

Question

B. RELATED QUESTIONS:1. Discuss what is Diabetes Mellitus and its pathophysiology.2. Discuss the pharmacologic and nonpharmacologic interventions for Type 2 Diabetes Mellitus. SubjectiveChief Complaint: &#34;I was recently diagnosed with possible diabetes and would like to have my blood sugar tested. I thinkthat my blood sugar is running low because I have a terrible headache.&#34;HPI: Sarah Martin is a 43-year-old woman who comes to the pharmacy for a diabetes education class taught by thepharmacist. She would like for the pharmacist to check her blood sugar before the class begins. She was diagnosed withdiabetes mellitus Type 2 about 6 months ago. She has been attempting to control her disease with diet and exercise buthas had no success. Her physician has recently started her on glyburide 5 mg. She has gained 15 lb. over the past year.She monitors her blood sugar once a day, per her physician, with a range of 215-260 mg/dL. Her fasting blood sugarsaverage 170 mg/dL.PMH: Type 2 DM x 6 months, HTN × 15 years, bipolar disorder × 25 years, Dyslipidemia × 10 years, Morbid obesity *15 yearsFH: Father has a history of HTN and bipolar disorder. The mother has a history of dyslipidemia. Brother has DM secondaryto alcoholism. SH: Has been married for 21 years. She has two children who are teenagers. She works in a floral shop making deliveries.Denies any use of tobacco products but does drink alcohol occasionally (five beers/wine per week).Meds: Glyburide 5 mg po BID, Lisinopril 20 mg po once daily, Zyprexa 5 mg po Q HS, Carbamazepine 200 mg po TID,Lorazepam 1 mg po TID PRN, Fluoxetine 20 mg po Q AM, EC ASA 81 mg po once daily, Pravastatin 40 mg po oncedailyAll: Morphine-hivesROS: Complaints of nocturia, polyuria, and polydipsia on a daily basis. Denies nausea, constipation, diarrhea, signs orsymptoms of hypoglycemia, paresthesias, and dyspnea.ObjectivePHYSICAL EXAMINATIONGen: WDWN severely obese, Caucasian woman in NADVS: BP 165/90, P 98, RR 18, T 38.6°C; waist circ 38 in, Wt 109 kg, Ht 5'8&#34;HEENT: PERRLA, EOMI, R, and L fundus exam without retinopathyNeck/Lymph Nodes: WNLLungs: Clear to A & PCV: RRR, no MRGAbd: NT/NDGenit/Rect: DeferredMS/Ext: Carotids, femoral, popliteal, and right dorsalis pedis pulses 2+ throughout; left dorsalis pedis 1+; feetshow mild calluses on MTPsNeuro: DTRs 2+ throughout, feet with normal sensation (5.07 monofilament) and vibrationLABORATORY EXAMINATIONNa 139 mEq/LK 3.6 mEq/LCl 103 mEq/LCO₂ 31 mEq/LBUN 15 mg/dLSCr 0.8 mg/dLGluc (random) 232 mg/dLUA: 1+ protein, (+) microalbuminuriaCa 9.4 mg/dLPhos 3.3 mg/dLAST 15 IU/LALT 18 IU/LAlk Phos 62 IU/LT. bili 0.4 mg/dLAIC 9%Fasting Lipid Profile:T. chol 236 mg/dLLDL 135 mg/dLHDL 56 mg/dLTrig 223 mg/dLTC/HDL ratio 4.2

Accepted Answer

Diabetes Mellitus is a group of metabolic diseases characterized by increased levels of Glucose in…

Discuss what is Diabetes Mellitus and its pathophysiology. 2. Discuss the pharmacologic and nonpharmacologic interventions for Type 2 Diabetes Mellitus.