The Problem Of Diabetes Mellitus Essays

1226 Words Nov 6th, 2015 null Page
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 prevention trials cast doubt on the benefits of intensive treatment of glycaemia, but highlight the benefits of early treatment of diabetes. If patients will focus on “small change” it may be possible to shift the population…

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