Jones Diabetes Case Study Chamberlain University, NR601: Primary Care of the Maturing and Aged Family, Primary Diagnosis: Type 2 diabetes (E11.9)

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Running head: JONES DIABETES CASE STUDY Jones Diabetes Case Study Chamberlain University NR601: Primary Care of the Maturing and Aged Family This case study analyses the visit of a 60-year old... African American businessman presenting with complaints of fatigue, weight loss, increased hunger and thirst, increased urination during the day and at night. He has a medical history of osteoarthritis and hyperlipidemia and is currently taking simvastatin. All his vital signs are within normal limits; however, his BMI is elevated at 31. Based on lab work and physical exam, I’ve diagnosed him with type 2 diabetes. Assessment Primary Diagnosis: Type 2 diabetes (E11.9) Pathophysiology: Type 2 diabetes is based on development of insulin resistance and low insulin secretion by beta cells. Symptoms include thirst, nocturia, hunger and fatigue (American Diabetes Association, 2019). pertinent positive findings (ADA, 2019) A1C 6.9, FPG 135, 1+ glucose, fatigue, nocturia, weight gain, increased thirst, increased hunger, urinary frequency, obesity pertinent negative findings Negative EKG, no prostate enlargement, no painful urination or dribbling, no sexual dysfunction, lack of weight loss, no family history Rationale for the diagnosis: American Diabetes Association (2019) states the diagnosis of diabetes is based on FPG > 126 or A1C > 6.5%. Mr. Jones has an A1C of 6.9% and FPG of 135. Secondary Diagnosis: Hyperlipidemia (E78. 5) Pathophysiology: Hyperlipidemia is a high concentration of fats in the blood, such as lipoproteins and cholesterol. Advanced symptoms include chest pain, hypertension or stoke (American College of Cardiology, 2018). [Show More]

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