Summary Of Problem 1 Diabetes Mellitus

Problem #1 Diabetes Mellitus. Mr. Borg is borderline obese, with a BMI of 29.3. He has had a 40 pound weight gain in the past 10 years, and does not follow any specific diet plan. As reported by Mrs. Borg, he drinks two to four alcohol beverages a day. His hemoglobin A1c was high at 11.2%, indicating that his type 2 diabetes is poorly controlled (See Table 8). Mrs. Borg also reports that Mr. Borg has had decreased energy levels, difficulty losing weight, and no motivation. Per Mrs. Borg, he does not participate in any physical activity and spends most of his day sitting in a chair watching television.
Prior to his hospitalization, Mr. Borg was taking 500 mg to control his blood sugar levels for his type 2 diabetes. Metformin (Glucophage) is used to help to lower blood sugar when it is too high and help restore the way you use food to make energy (“Metformin (Oral Route),” 2015). He was also being treated with insulin human regular (HumuLIN R), per sliding scale dosing, for type 2 diabetes. Insulin human regular (HumuLIN R) is a short acting insulin that helps people with diabetes keep their blood sugar levels under control (“Insulin Human Regular (Injection Route),” 2015).
According to Simmons et al. (2010), recent findings from cardiovascular …show more content…
Mr. Borg’s admission and follow up creatine phosphokinase levels showed indications of previous extensive myocardial infarction. Upon examination a questionable S3 heart sound was heard, and his ECG showed that two thirds of his left ventricle was akinetic. His potassium level was low at 3.0 mEq/L and his sodium level was within normal limits (See Table 4). Mr. Borg’s lab results show his B-type natriuretic peptide levels were increased at 150 pg/ml (See Table 6). He also had peripheral pulses of 1/1 with + 1 pitting edema extending to the mid-calf, and his chest x-ray revealed bilateral atelectasis in the lower bases with a mildly enlarged left ventricular cardiac