Question

A 52 year old African American female presents to your clinic. She is complaining of weakness, numbness and tingling in her feet as well as an itchy rash to her groin area. She states she was diagnosed with "sugar diabetes" (Type 2 diabetes) 6 years ago but she did not follow up with the recommendations for care from her previous provider. She states she doesn't like to go to the doctor because her dad had "a lot of health problems. He was always in the doctors office and it brings up bad memories." Her father died at age 60 from chronic kidney disease.

Additional history:

• Numbness and weakness present for one month
• Rash has been intermittent for years. Worse in the warm weather
• States her eyes are "tired" in the evening which makes it difficult watch television
• She denies chest pain, shortness of breath, edema, change in bowel habits, skin ulcers, difficulty walking, syncope or seizure
• 1. How would you describe the similarities and differences between type 1 and type 2 diabetes to this patient?

• 2.You tell to your patient her current symptoms may be present due to her diagnosis of diabetes which is not being adequately managed. How would you explain to her that her diabetes is contributing to her visual complaints, rash, and numbness to extremities?

  3. What treatment recommendations would you make for this patient? Consider pharmacologic (you do not have to be specific with the doses) and nonpharmacologic interventions, lifestyle recommendations and referrals.

• 4.Please list at least two scholarly references utilized in this assignment:

Answer 1

Our body needs glucose or sugar for energy. In diabetes body cannot utilize the sugar or glucose. Pancreas produce insulin which regulate blood sugar for energy .There are two types of diabtes.type 1 and type 2 diabetes. Let us see the simlarities and differences.

Similarities

• elevate blood sugar levels
• both types involve insulin
• symptoms such as frequent urination,excessive thirst,appetite,fatigue are common
• both can affect kidneys,heart, eyes,nerves and bloodvessels

Differences

	Type 1 diabetes	Type 2 diabetes
onset	early onset children and young adults are affected	late usually as people age
cause	pancreatic beta cells damaged	insulin resistance .cells cannot utilise insulin and blood sugar build up in the blood
course	worse quickly	slow progress
risk factors	family history ,genetic factors viral infections	life style factors such as lack of exercise,,smoking,unhealthy diet
treatment	life time treatment needed external insulin administered	life style modification delays the progress of disease insullin used in treatment
hypoglycemia	hypoglycemic episodes common	uncommon unless start using insulin