Case Study Of Type 2 Diabetes Assignment Discussion

Case Study Of Type 2 Diabetes Assignment Discussion

Need Help Writing an Essay?

Tell us about your assignment and we will find the best writer for your paper

Write My Essay For Me

Discussion Forum:
Case Study: A 64-Year-Old Man With a 9-Year History of Type 2 Diabetes in Whom Insulin Therapy Led to Improved Control but No Weight Gain After 6 Months

To prepare:

Read and review the case study (the pdf is also provided). https://clinical.diabetesjournals.org/content/21/4/190.fullLinks to an external site. (PDF Download PDF). Answer the following questions. Case Study Of Type 2 Diabetes Assignment Discussion

ORDER A PLAGIARISM-FREE PAPER HERE

Do all patients starting on insulin gain weight? How much weight gain is to be expected?
How would one optimize chances to limit weight gain or assist a patient in maintaining or even losing weight?
If this patient had gained weight instead of lost weight, would he have increased his risk of cardiovascular disease even though he dramatically improved his glycemic control?
Remember to cite the supporting sources.

Guidelines
For each discussion, you must create one initial post and follow up with at least two response posts.

For your initial post, do the following:

Write a post of 1 to 2 paragraphs.
In Module 1, complete your initial post by Thursday at 11:59 p.m. Eastern.
In Modules two through ten, complete your initial post by Thursday at 11:59 p.m. of your local time zone.
Consider content from other parts of the course where appropriate. Use proper citation methods for your discipline when referencing scholarly or popular sources. Case Study Of Type 2 Diabetes Assignment Discussion

Case Study: A 64-Year-Old Man With a 9-Year History of Type 2 Diabetes

Do all patients starting on insulin gain weight? How much weight gain is to be expected?

Weight gain is commonly observed in patients started on insulin therapy. Hodish (2018) cited that insulin is used in instances of failed oral therapies with accompanying insulin resistance. Although most patients who started on insulin therapy or intensified its use report significant weight gain, not all who started on insulin are subject to weight gain (Thomas-Dobersen, 2003). The modest weight gain on twice a daily insulin administration is 3.3kg for the first six months and 1.3kg for the second six months (Thomas-Dobersen, 2003). The relationship between type 2 diabetes and obesity increases the concern over the prognostic of insulin therapy and the associated weight gain.

How would one optimize chances to limit weight gain or assist a patient in maintaining or even losing weight?

Chances of weight gain can be limited through pharmaceutical regimens and medical nutrition therapy (MNT). According to Thomas-Dobersen (2003), MNT performed by registered dietitians reported reduced weight gain in six months and was associated with an insignificant increase in the waist-to-hip ratio. Besides, adding NPH insulin to an existing antidiabetic regimen report reduced weight gain than in two-injection insulin regimens. Moreover, glargine used once at bedtime has reported a significant impact on reducing weight gain than in NPH insulin use. Therefore, MNT and new insulin regimens can be used to reduce the weight gain associated with insulin therapy.

If this patient had gained weight instead of lost weight, would he have increased his risk of cardiovascular disease even though he dramatically improved his glycemic control?

Weight gain is a risk factor for cardiovascular diseases. Although insulin therapy reduces the risk of cardiovascular diseases, additional weight gain is a concern.  According to Thomas-Dobersen (2003)Case Study Of Type 2 Diabetes Assignment Discussion, obesity increases the risk of arterial hypertension, dyslipidemia, and sudden cardiac failure. Despite the glycemic control, the associated weight gain concern predisposes the patient to the risk of cardiovascular diseases.

References

Hodish, I. (2018). Insulin therapy, weight gain, and prognosis. Diabetes, Obesity and Metabolism, 20(9), 2085-2092. https://doi.org/10.1111/dom.13367

Thomas-Dobersen, D. (2003). Case study: A 64-year-old man with a 9-year history of type 2 diabetes in whom insulin therapy led to improved control but no weight gain after 6 months. Clinical Diabetes, 21(4), 190-192. https://doi.org/10.2337/diaclin.21.4.190  Case Study Of Type 2 Diabetes Assignment Discussion

250933__Case_Study_72yo_Diabetes_Depression_6476bbf244241.pdf