Diabetes Mellitus Type 2: A Case Study

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 …show more content…
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