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Obesity Case Study

Case Study: A 52-Year-Old Woman With Obesity, Poorly ... Case Study: A 52-Year-Old Woman With Obesity, Poorly ...
A 52-year-old woman with obesity and a 9year history of type 2 diabetes presents with complaints of fatigue, difficulty losing weight, and no motivation. She denies polyuria, polydipsia, polyphagia, blurred vision, or vaginal infections.

Obesity Case Study

Marjorie cypress, ms, c-anp, cde, is a nurse practitioner in the lovelace regional diabetes program at lovelace health systems in albuquerque, n. She notes a marked decrease in her energy level, particularly in the afternoons. She was feeling much more energetic, no longer felt depressed, and was able to start a walking program.

Two months later, she returned to the clinic with an average blood glucose level of 160 mgdl. Her health care practitioners have repeatedly advised weight loss and exercise to improve her health status. These symptoms can escalate into symptoms of poor selfimage, low self-esteem, low energy, difficulty concentrating, and poor selfcare.

In this case, the patients symptoms of depression improved with improved blood glucose control, which resulted in increased energy. The remainder of the physical exam is unremarkable. On physical exam, her height is 5 1 12 and her weight is 265 lb.

Prospective diabetes study group effect of intensive blood glucose control with metformin on complications in overweight patients with type 2 diabetes (ukpds 34). She was then able to exercise, further reducing her insulin requirements and leading to successful weight loss. Her weight has continued to increase over the past 5 years, and she is presently at the highest weight she has ever been.

Her current insulin regimen is 45 u of nph plus 10 u of regular insulin before breakfast and 35 u of nph plus 20 u of regular before supper. As she had no contraindications to metformin (glucophage), she was also started on 500 mg orally twice daily. Once this woman was convinced that lowering her insulin dose would prevent hypoglycemia and that this would enable her to decrease calories and lose weight, she was much more adherent to her treatment regimen.

The perception of and fear of hypoglycemia is a major problem for individuals treated with insulin, and it is often unrecognized by health care providers. She states that she has gained an enormnous amount of weight since being placed on insulin 6 years ago. She complains that the pain in her knees and ankles makes it difficult to do any exercise. Current medications include only insulin, lisinopril (prinivil), and hydrochlorthiazide (dyazide) with triarnterene. When accessing obese, insulin-treated patients, decrease insulin doses at the same time.


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Obesity Case Study

Obesity Case Study | Obesity | Weight Loss
Denielle Saitta. NCP Obesity I. Introduction: Patient Profile Patient 1 is a 43 year-old African American female. She was initially diagnosed with mental illness in 2003.
Obesity Case Study Case study a 52-year-old woman with obesity, poorly controlled type 2 diabetes, Current medications include only insulin, lisinopril (prinivil). Prospective diabetes study group effect of intensive blood glucose control with metformin on complications in overweight patients with type 2 diabetes (ukpds 34). The remainder of the physical exam is unremarkable. Her weight has continued to increase over the past 5 years, Van der does fee, de neeling jnd, snoek fj, kostense pj, grootenhuis pa. Case Study : Health Issue Of Obesity 1331 Words | 6 Pages Unit IV Research Paper - Case Study Stage 3 Health Issue The health issue I will be addressing in my case study is obesity, which is a growing health issue in every age category. She does not follow any specific diet and has been so fearful of hypoglycemia that she often eats extra snacks. Recently published studies have shown that overweight children and adolescents are at greater risk for health problems during their youth and as adults than other children and adolescents. Polonsky wh, anderson bj, lohrer pa, welch g, jacobson jm, aponte je, schwartz c assessment of diabetes-related distress.
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    On laboratory testing, chemistries, bun, creatinine, and liver function tests are normal. Her weight has continued to increase over the past 5 years, and she is presently at the highest weight she has ever been. She was reassured that further insulin reduction would prevent hypoglycemia. When they present with poorly controlled diabetes, practitioners usually increase the insulin dose and advise them to lose weight and exercise. She notes a marked decrease in her energy level, particularly in the afternoons.

    What is a possible approach to obese patients with insulintreated, poorly controlled type 2 diabetes? This is a common case that illustrates several issues high insulin doses contributing to weight gain, fear of hypoglycemia, the similarity of symptoms of depression and hyperglycemia, and the use of combination therapy in type 2 diabetes. She complains that the pain in her knees and ankles makes it difficult to do any exercise. The use of metformin may have helped decrease her hunger and insulin requirements and thus assisted in her weight loss. She is tearful and states that she was diagnosed with depression and prescribed an antidepressant that she chose not to take. When viewed with other browsers, some characters or attributes may not be rendered correctly.

    Her blood pressure is 16088 mmhg. Prospective diabetes study group effect of intensive blood glucose control with metformin on complications in overweight patients with type 2 diabetes (ukpds 34). These pages are best viewed with netscape version 3. In this case, the patients symptoms of depression improved with improved blood glucose control, which resulted in increased energy. She continued to complain of fear of hypoglycemia in the middle of the night and was overeating at night. Adding metformin to insulin can help decrease insulin requirements and assist with weight loss. Korzon-burakowska a, hopkins d, matyka k, lomas j, pernet a, macdonald i, amiel s effects of glycemic control on protective responses against hypoglycemia in type 2 diabetes. Before supper and bedtime values range from 150 mgdl to 300 mgdl. After an explanation that the increasing insulin doses were contributing to her weight gain and that she would need to decrease her insulin dose along with her food intake to prevent hypoglycemia, the patient agreed to follow a restricted-calorie diet and to decrease her insulin to 30 u of nph and 10 u of regular insulin twice daily. Even with the use of metformin, which will usually lower insulin requirements, fear of hypoglycemia may persist with increased eating and high blood glucose levels.

    Obesity Case Study: Obesity is a very high level of fat which is accumulated in the body. When the quantity of body fat is too high, it starts to affect badly on the normal functioning of the human organism.

    Childhood Obesity: A Case Study Essay examples - 1099 Words ...

    Case Study : Health Issue Of Obesity 1331 Words | 6 Pages Unit IV Research Paper - Case Study Stage 3 Health Issue The health issue I will be addressing in my case study is obesity, which is a growing health issue in every age category.
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    What is a possible approach to obese patients with insulintreated, poorly controlled type 2 diabetes? This is a common case that illustrates several issues high insulin doses contributing to weight gain, fear of hypoglycemia, the similarity of symptoms of depression and hyperglycemia, and the use of combination therapy in type 2 diabetes. She returned to clinic 3 months later, still on the same dose of insulin. When they present with poorly controlled diabetes, practitioners usually increase the insulin dose and advise them to lose weight and exercise. Case study a 52-year-old woman with obesity, poorly controlled type 2 diabetes, and symptoms of depression a 52-year-old woman with obesity and a 9year history of type 2 diabetes presents with complaints of fatigue, difficulty losing weight, and no motivation Buy now Obesity Case Study

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    As she had no contraindications to metformin (glucophage), she was also started on 500 mg orally twice daily. The remainder of the physical exam is unremarkable. When they present with poorly controlled diabetes, practitioners usually increase the insulin dose and advise them to lose weight and exercise. She states that every time she tries to cut down on her eating she has symptoms of shakiness, diaphoresis, and increased hunger. She returned to clinic 3 months later, still on the same dose of insulin.

    Her blood glucose values on capillary blood glucose testing have been 170200 mgd1 before breakfast. The perception of and fear of hypoglycemia is a major problem for individuals treated with insulin, and it is often unrecognized by health care providers Obesity Case Study Buy now

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    Even with the use of metformin, which will usually lower insulin requirements, fear of hypoglycemia may persist with increased eating and high blood glucose levels. She states that every time she tries to cut down on her eating she has symptoms of shakiness, diaphoresis, and increased hunger. After an explanation that the increasing insulin doses were contributing to her weight gain and that she would need to decrease her insulin dose along with her food intake to prevent hypoglycemia, the patient agreed to follow a restricted-calorie diet and to decrease her insulin to 30 u of nph and 10 u of regular insulin twice daily. When recommending caloric restriction to obese, insulin-treated patients, decrease insulin doses at the same time Buy Obesity Case Study at a discount

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    These pages are best viewed with netscape version 3. When recommending caloric restriction to obese, insulin-treated patients, decrease insulin doses at the same time. Current medications include only insulin, lisinopril (prinivil), and hydrochlorthiazide (dyazide) with triarnterene. In this case, the patients symptoms of depression improved with improved blood glucose control, which resulted in increased energy. When assessing obese, insulin-treated patients with diabetes, ask about symptoms of hypoglycemia and overeating.

    This dose was recently increased after her hba past medical history is remarkable for hypertension, hypertfiglyceridemia, and arthritis. The continual increase in insulin doses to correct hyperglycernia can cause weight gain from cessation of glycosuria, fluid retention, and increased synthesis of fat Buy Online Obesity Case Study

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    This dose was recently increased after her hba past medical history is remarkable for hypertension, hypertfiglyceridemia, and arthritis. She denies polyuria, polydipsia, polyphagia, blurred vision, or vaginal infections. Her health care practitioners have repeatedly advised weight loss and exercise to improve her health status. She was reassured that further insulin reduction would prevent hypoglycemia. Her blood glucose values on capillary blood glucose testing have been 170200 mgd1 before breakfast.

    She is tearful and states that she was diagnosed with depression and prescribed an antidepressant that she chose not to take. Her weight has continued to increase over the past 5 years, and she is presently at the highest weight she has ever been Buy Obesity Case Study Online at a discount

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    Her blood glucose values on capillary blood glucose testing have been 170200 mgd1 before breakfast. Whether these symptoms represent depression or are a result of severe hyperglycernia is confusing and difficult to determine. She returned to clinic 3 months later, still on the same dose of insulin. She notes a marked decrease in her energy level, particularly in the afternoons. The perception of and fear of hypoglycemia is a major problem for individuals treated with insulin, and it is often unrecognized by health care providers.

    Thyroid function tests and urine microalburnin are also normal. Her blood pressure is 16088 mmhg. She denies polyuria, polydipsia, polyphagia, blurred vision, or vaginal infections Obesity Case Study For Sale

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    These symptoms can escalate into symptoms of poor selfimage, low self-esteem, low energy, difficulty concentrating, and poor selfcare. After an explanation that the increasing insulin doses were contributing to her weight gain and that she would need to decrease her insulin dose along with her food intake to prevent hypoglycemia, the patient agreed to follow a restricted-calorie diet and to decrease her insulin to 30 u of nph and 10 u of regular insulin twice daily. Polonsky wh, anderson bj, lohrer pa, welch g, jacobson jm, aponte je, schwartz c assessment of diabetes-related distress. She states that every time she tries to cut down on her eating she has symptoms of shakiness, diaphoresis, and increased hunger For Sale Obesity Case Study

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    She states that every time she tries to cut down on her eating she has symptoms of shakiness, diaphoresis, and increased hunger. Prospective diabetes study group effect of intensive blood glucose control with metformin on complications in overweight patients with type 2 diabetes (ukpds 34). Polonsky wh, anderson bj, lohrer pa, welch g, jacobson jm, aponte je, schwartz c assessment of diabetes-related distress. When they present with poorly controlled diabetes, practitioners usually increase the insulin dose and advise them to lose weight and exercise. In this case, the patients symptoms of depression improved with improved blood glucose control, which resulted in increased energy.

    Case study a 52-year-old woman with obesity, poorly controlled type 2 diabetes, and symptoms of depression a 52-year-old woman with obesity and a 9year history of type 2 diabetes presents with complaints of fatigue, difficulty losing weight, and no motivation Sale Obesity Case Study

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