Dr. Johnson is a family practice doctor in Grand Forks with a special interest in diabetes -- and a special knack for writing. As a member of the Dakota Diabetes Coalition, he has generously made himself available to answer questions through our listserv. If you throw away comments, or questions for Dr. Johnson to address in future columns, please jobber gailhand@q.com
Visit the Coalitions website!
http://www.ndhealth.gov/diabetescoalition/
Meet M.G.
Diabetes slick Study
M.G. is a 58 y/o white pistillate who presents to her primary care physician with a complaint of shopworn all the time. Its been going on for several months, and she doesnt report all concerns with nighttime sleep. She doesnt note any new stress or other life changes, and denies printing or anxiety. Alcohol consumption is limited to one to both drinks per week, and she quit smoking over 10 years ago. Family explanation is notable for type 2 diabetes in an older sis; her mother had hypothyroidism and heart disease. The patient also has high cholesterol that she has been trying to treat with weight loss and exercise. She walks about 20 minutes three times weekly when the weather allows.
She has been hard-boiled for about five years for hypertension with hydrocholorthiazide. The pertinent findings on physical exam: Height:54 cant:212 lbs. BMI:36 BP:135/86 Heart/Lungs: Normal exam
stomach: Obese and benign No thyromegaly Vision and eye fundi: normal Feet: normal Remainder unremarkable
Risk factors for development of diabetes?
Yes. Her encounter factors include hypertension, dyslipidemia (cholesterol disease), obesity, family history of type 2 diabetes, and cigarette smoking, which is an self-supporting risk factor for the development of type 2 diabetes.
What labs would you cast for this patient?
Typically, for a patient with this complaint and history, type 2 diabetes would be...If you want to get a full essay, order it on our website: Ordercustompaper.com
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