Diabetes Mellitus Type 2: A Case Study

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Diabetes Mellitus type 2 is a common chronic metabolic disorder and of the main causes of death in the United States. The total prevalence of diabetes in the United States is 25.8 million people, of these; 7.0 million have undiagnosed diabetes (Centers for Disease Control and Prevention, 2011). Among adults, diabetes is the leading cause of cardiovascular disease, renal failure, blindness, and non-traumatic amputations of lower extremities (Buttaro, Trybulski, Bailey, & Sandberg-Cook, 2013). The purpose of this paper is to discuss the latest evidence base information available to diagnose, and manage patients with diabetes mellitus type 2. A clinical scenario with an assessment, diagnostic tests, management plan, and a theoretical framework will be included. To help minimize the destructive long term effects of this disease, prevention, early detection and proper treatment of diabetes mellitus type 2 are essential. Keywords: diabetes mellitus type 2, diagnosis, management, Orem’s theory, evidence base

Clinical Case
Subjective Information A.V. is a sixty-eight year old male, who presents with spouse and appears to be a reliable historian. A.V. is currently retired but occasionally does private mechanic jobs. A.V. presents today to establish PCP with spouse. He was previously attending Dr. Yazmin
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Overexposure of the tissues to corticosteroids may result from medications, pituitary, adrenal tumors. The assessment findings include: truncal obesity, facial edema, hirsutism, weakness, fatigue, polyuria, polydipsia, and mood changes (Hollier & Hensley, 2011). Long term use of corticosteroids is a common risk factor. An elevated salivary cortisol or 24 hour urinary free cortisol indicates a positive diagnosis. A.V. presents with polyuria and polydipsia. This is a possible but not likely diagnosis due to lack of risk factors and other clinical

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