Case StudiesMrs. Ingles, age 49, is diagnosed with Diabetes Mellitus, Type II. She works in a factor
Case StudiesMrs. Ingles, age 49, is diagnosed with Diabetes Mellitus, Type II. She works in a factory with rotating shifts and leads a sedentary lifestyle at home. Her vital signs are as follows: BP 128/82 mmHg, apical pulse of 93 beats per minute and regular, respiratory rate of 18 breaths per minute, fasting glucose 171; height 5’3″ and weight 212 pounds. Mrs. Ingles is given a diet and exercise program and revisits her healthcare provider 3 months later. Her fasting glucose is 164, and she has lost 1 pound. She feels that there are not enough hours in the day to adhere to an exercise program and “still live my life” and admits that she is not motivated to comply. The healthcare provider orders acarbose and metformin. What risk factors for diabetes does Mrs. Ingles have?2. What is the purpose behind prescribing a combination of medications to treat diabetes? 3. How does acarbose help control her blood glucose? What teaching would be pertinent for a client on this medication?4. How does metformin help control her blood glucose? What teaching would be pertinent for a client on this medication?5. Are there any risks for prescribing these medications together? If so, what are the risks?Case Study- Diabetes Mellitus2Fall 2021Mrs. Ingles is back in the office 6 months later. She has had a 15 pound weight loss and states she has more energy now. Her fasting glucose is 115. When reviewing her glucose log, you note her levels have been as high as 240. Upon further questioning, Mrs. Ingles admits she still has a couple regular sodas every day. She goes on to say that it is the one food she hasn’t been able to give up. 6. What would you advise her to do? How could she change this habit?7. What would be the effects for her in relation to her medications if she does not change her habits? Health Science Science Nursing ADN 112 Share QuestionEmailCopy link Comments (0)
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