Mrs. G, a 55 year old Hispanic women, Diabetes Case Study by Bailey Udy, Primary Diagnosis- Type 2 diabetes with unspecified complications (E11.8)

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Diabetes Case Study Bailey Udy Chamberlain College of Nursing In this case study I will be looking at the overall health of Mrs. G, a 55 year old Hispanic women. She is coming into the office with... multiple health complaints. After reviewing her his- tory and doing my physical exam I have decided to diagnose Mrs. G with type 2 diabetes. This case study goes over this diagnosis, other secondary diagnoses, differential diagnoses, a treat- ment plan, as well as education I would provide to the patient. Assessment Primary Diagnosis- Type 2 diabetes with unspecified complications (E11.8) Pathophysiology- Type 2 diabetes is a chronic, multisystem, metabolic syndrome of gradual onset characterized by an insufficient body tissue response to insulin and im- paired pancreatic production of insulin. Signs and symptoms of type 2 diabetes are fa- tigue, recurrent infections, prolonged wound healing, polyuria, polydipsia, weight changes, and polyphagia (Schub & Parks-Chapman, 2018). pertinent positive findings- Pt endorses polydipsia, polyphagia, weight gain, polyuria, fatigue. Physical exam shows obesity, +1 glucose in urine, small protein in urine, A1C of 6.9% (Schub & Parks-Chapman, 2018). pertinent negative findings- Glucose 95, no history of prediabetes, no family history of diabetes (Schub & Parks-Chapman, 2018). With the patient’s subjective findings and the A1C level of 6.9%, this patient meets the clinical diagnosis of type 2 diabetes (Schub & Parks-Chapman, 2018). rationale for the diagnosis- Because of the strong pertinent positives and associ- ated lab work with this patient, I would definitely diagnoses her with type 2 diabetes. Her subjective and objective data all fit within the common symptoms of type 2 diabetes. Also, according to the ADA guidelines, any patient with am A1C of >6.5% meets the cri- teria for the diagnosis of type 2 diabetes (American Diabetes Association, 2019). [Show More]

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