Case study Outline This paper will present a case study for a 46 years old patient who previously had shown minimal symptoms of hypertension and moderate obesity. The major issues discussed in this paper include the following: the initial diagnosis of the patient, steps that ought to be taken, methods and ways of monitoring the patient, management of the condition and complications of the disease. Introduction and patient history A 46 year’s old patient had previously presented herself for checkups and her medical history had shown borderline hypertension and moderate obesity.
Her fasting lipid profile was normal and after several counseling sessions relating to her eating habits, still she did not follow the instructions. Her family history shows that her mother and brother have hypertension and diabetes. After performing a physical examination on the patient, her blood pressure was 140/92 mmHg while her body mass index (BMI) was 27Kg/m2. Since the patient had not eaten anything. an initial plasma glucose test was performed, and the results were 10mmol/L against the normal range of < 6mmol/L. Initial diagnosisAfter the above mentioned tests, the initial diagnosis given revealed that the patient was suffering from Hypertension and diabetes mellitus type 2, also called non-insulin-dependent diabetes mellitus or adult-onset diabetes.
The condition is mostly common among people with over 40 years and mostly begins with insulin resistance, a situation in which body components like muscles, fat cells and liver fail to utilize insulin effectively. Type 2 diabetes mellitus diagnosed is also associated with patients being overweight with body mass index (BMI) of more than 25.From our tests the patients BMI was 27Kg/m2.The condition is also associated with unhealthy eating habits and lack of body exercise (Silvestre 24). This continued non effective use of body’s insulin result in increased glucose in urine and blood.
The commonly acknowledged classical symptoms with type two diabetes mellitus include frequent urination or polyuria and increased thirst, also known as polydipsia. At times the patient will show signs of increased hunger and sudden loss of weight. Majority of people suffering from type 2 diabetes will more often than not have a number of common symptoms and signs. Most of these signs and symptoms are caused by the increased glucose levels in blood.
This situation of increased blood sugar levels is known as hyperglycemia. The major signs and symptoms caused by the glucose levels include excessive thirst, frequent urination, and continued loss of weight. As well, majority of patients will experience blurred visions and feel tired more frequently. In diagnosing the condition, the analysis depends on results of a specific glucose tests which in our case we used plasma glucose test. The results were 10mmol/L against the normal range of < 6mmol/L. The test was used primarily to measure the presence and level of sugar in the blood.
Since the patient had no eaten anything, the level of sugar was elevated and the level more 6 mmol/L revealed the patient had diabetes. The tests also revealed the patient had hypertension which is characterized by high blood pressure with systolic pressure of 140mmHg and diastolic pressure of 92 (Wilkins & Williams 76). Further investigations and monitoring of the patient