{"id":3443,"date":"2025-06-25T06:36:24","date_gmt":"2025-06-25T06:36:24","guid":{"rendered":"https:\/\/skilledprofessors.com\/?p=3443"},"modified":"2025-06-25T06:36:24","modified_gmt":"2025-06-25T06:36:24","slug":"information-diabetes-patient_","status":"publish","type":"post","link":"https:\/\/writezilas.com\/essays\/information-diabetes-patient_\/","title":{"rendered":"Information Diabetes Patient_"},"content":{"rendered":"\n

Class Case Information<\/em><\/strong><\/p>\n\n\n\n

CC<\/em><\/p>\n\n\n\n

SS is a 50 yowf who comes to your office with a 3-day history of not feeling well. She complains of sneezing, stuffy nose, fatigue, slight fever, and a non-productive cough. She has taken pseudoephedrine (Sudafed\u00ae) for the past 48 hours to help relieve some of the sinus congestion. PMH:<\/em><\/p>\n\n\n\n

SS has a 7-year history of Type II diabetes which has been relatively well controlled. She brought in her log book of home blood glucose results over the past month. She suffered a MI 5 years<\/p>\n\n\n\n

ago with subsequent heart failure (most recent ejection fraction = 45%). She also has a history of GERD.<\/p>\n\n\n\n

Allergies: <\/em>NKDA<\/p>\n\n\n\n

Medications:<\/em><\/p>\n\n\n\n

Glyburide (Diabeta\u00ae) 5 mg two times daily<\/p>\n\n\n\n

Metformin XR (Glucophage XR\u00ae) 500 mg \u2013 4 tablets daily before breakfast Metoprolol tartrate (Lopressor\u00ae) 12.5 mg two times daily<\/p>\n\n\n\n

Furosemide (Lasix\u00ae) 40 mg daily Potassium chloride (K-dur\u00ae) 10 mEq daily Omeprazole (Prilosec\u00ae) 20 mg daily<\/p>\n\n\n\n

SH: <\/em>no alcohol, 1 pack per day cigarette habit<\/p>\n\n\n\n

Physical Exam:<\/em><\/p>\n\n\n\n

GEN: ill-appearing female<\/p>\n\n\n\n

VS: BP 150\/85, HR 62, RR 16, Temp 99.5, Wt. 62kg, Ht. 5’5”<\/p>\n\n\n\n

HEENT: nasal membranes red and irritated, watery eyes, clear nasal discharge CHEST: CTA<\/p>\n\n\n\n

COR: NMRG, RRR NEURO: WNL<\/p>\n\n\n\n

EXT: +1 pitting edema<\/p>\n\n\n\n

Laboratory:<\/em><\/p>\n\n\n\n

Na 140<\/td>Cl 100<\/td>BUN 18<\/td><\/tr>
K 4.0<\/td>HCO3 25<\/td>SCr 0.8 (stable)<\/td><\/tr>

BG 260<\/td>
A1C: 7.8%<\/td>		Urine microalbumin\/creatinine:45<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n

Blood glucose log:<\/em><\/p>\n\n\n\n

Date<\/td>Fasting<\/td>Post-prandial<\/td>Bedtime<\/td>Notes<\/td><\/td><\/tr>
Lunch<\/td>Dinner<\/td><\/td><\/td><\/td><\/tr>
Time<\/td>BS<\/td>Time<\/td>BS<\/td>Time<\/td>BS<\/td>Time<\/td>BS<\/td><\/tr>
1\/1<\/td>8:00<\/td>132<\/td>7:00<\/td>200<\/td><\/td><\/td><\/td><\/tr>
1\/2<\/td>1:45<\/td>210<\/td>9: 00<\/td>160<\/td><\/td><\/td><\/td><\/tr>
1\/3<\/td>6:58<\/td>125<\/td>7:45<\/td>220<\/td><\/td><\/td><\/td><\/tr>
1\/4<\/td>1:49<\/td>198<\/td><\/td><\/td><\/td><\/td><\/td><\/tr>
1\/5<\/td>7:20<\/td>135<\/td>7:36<\/td>250<\/td>Ate Dinner out<\/td><\/td><\/td><\/tr>


1\/6<\/td>

7:56<\/td>

160<\/td>

8:09<\/td>

202<\/td>		Glucose reading of 66 mg\/dL with shaking\/sweatingat 4:00pm (skipped lunch)<\/td><\/td><\/td><\/tr>
1\/7<\/td>2:07<\/td>189<\/td>10:32<\/td>153<\/td><\/td><\/td><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n


1\/8<\/td>

8:00<\/td>

124<\/td>

7:33<\/td>

209<\/td>		Glucose reading of 64 mg\/dL with shaking\/sweating at 3:30pm(skipped lunch)<\/td><\/td><\/td><\/tr>
1\/9<\/td>1:34<\/td>210<\/td><\/td><\/td><\/td><\/td><\/td><\/tr>
1\/10<\/td>7:50<\/td>120<\/td>7:23<\/td>195<\/td><\/td><\/td><\/td><\/tr>
1\/11<\/td>1:53<\/td>192<\/td>9:45<\/td>140<\/td><\/td><\/td><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n


1\/12<\/td>

8:05<\/td>

115<\/td>		Glucose reading of 60 mg\/dL with shaking\/sweatingat 2:00pm (skipped lunch)<\/td><\/tr>
1\/13<\/td>1:40<\/td>201<\/td><\/td><\/tr>
1\/14<\/td>7:56<\/td>232<\/td><\/td><\/tr>
1\/15<\/td>10:00<\/td>135<\/td><\/td><\/tr>
1\/16<\/td>7:45<\/td>118<\/td><\/td><\/tr>
1\/17<\/td>2:40<\/td>172<\/td><\/td><\/tr>
1\/18<\/td>7:32<\/td>190<\/td><\/td><\/tr>
1\/19<\/td>9:54<\/td>129<\/td><\/td><\/tr>
1\/20<\/td>7:32<\/td>111<\/td><\/td><\/tr>
1\/21<\/td>2:05<\/td>206<\/td><\/td><\/tr>
1\/22<\/td>7:59<\/td>193<\/td><\/td><\/tr>
1\/23<\/td>9:25<\/td>134<\/td><\/td><\/tr>
1\/24<\/td>7:06<\/td>113<\/td><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n
1\/25<\/td>2:20<\/td>179<\/td><\/td><\/tr>
1\/26<\/td>8:05<\/td>229<\/td>Sick<\/td><\/td><\/tr>
1\/27<\/td>7:45<\/td>170<\/td>7:30<\/td>210<\/td>Sick<\/td><\/tr>
1\/28<\/td>8:05<\/td>200<\/td>1:46<\/td>229<\/td>7<\/td><\/tr><\/tbody><\/table><\/figure>\n","protected":false},"excerpt":{"rendered":"

Class Case Information CC SS is a 50 yowf who comes to your office with a 3-day history of not feeling well. She complains of sneezing, stuffy nose, fatigue, slight fever, and a non-productive cough. She has taken pseudoephedrine (Sudafed\u00ae) for the past 48 hours to help relieve some of the sinus congestion. PMH: SS…<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_kad_post_transparent":"","_kad_post_title":"","_kad_post_layout":"","_kad_post_sidebar_id":"","_kad_post_content_style":"","_kad_post_vertical_padding":"","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"footnotes":""},"categories":[16],"tags":[],"class_list":["post-3443","post","type-post","status-publish","format-standard","hentry","category-blog"],"_links":{"self":[{"href":"https:\/\/writezilas.com\/essays\/wp-json\/wp\/v2\/posts\/3443","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/writezilas.com\/essays\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/writezilas.com\/essays\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/writezilas.com\/essays\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/writezilas.com\/essays\/wp-json\/wp\/v2\/comments?post=3443"}],"version-history":[{"count":0,"href":"https:\/\/writezilas.com\/essays\/wp-json\/wp\/v2\/posts\/3443\/revisions"}],"wp:attachment":[{"href":"https:\/\/writezilas.com\/essays\/wp-json\/wp\/v2\/media?parent=3443"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/writezilas.com\/essays\/wp-json\/wp\/v2\/categories?post=3443"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/writezilas.com\/essays\/wp-json\/wp\/v2\/tags?post=3443"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}