Type 2 Diabetes Mellitus Case Study

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The cases of type 2 diabetes mellitus are on the rise, especially in the elderly population in the U.S. According to a study conducted by Centers for Disease Control (2017), about 25.2% of American age 65 years and older have diabetes out of the total population of 30.3 million Americans with type 2 diabetes mellitus, and this incidence is more common among some ethnic groups than the other. Due to many complications associated with this disorder, many factors such as lifestyle, societal factors, aging, genetics, ethnicity, etc. have been shown to be the culprit. Some of these factors are modifiable and can be controlled early by intervening appropriately at both the individual and the community level to decrease the rising incidence.
Interventions
The increasing incidence of type 2 diabetes mellitus among the elderly population has gained attention in the previous years, and many interventions have been studied and confirmed to help in reducing this incidence among this population. A steady and ongoing interventions based on individual’s capacities should be used among
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However, metformin should be avoided in the patients with risk of lactic acidosis such as people with stroke, pneumonia, myocardial infarction, heart failure, and renal insufficiency and should be stopped before any surgery or if an old person has to undergo an exploration requiring iodinated contrast, because of the risk for renal insufficiency whose risk is greater in the elderly population (Chentli, Azzoug, & Mahgoun, 2015). Other drugs such as pioglitazone can also be used in managing type 2 diabetes in the elderly, but a side effect of fluid retention needs to be monitored especially in those with congestive heart

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