Case Study: Angela is a 35-year-old woman diagnosed 2 years ago, with type 2 Dia
ID: 165998 • Letter: C
Question
Case Study: Angela is a 35-year-old woman diagnosed 2 years ago, with type 2 Diabetes Mellitus. She has 3 children whose birth weights were in the range of 4.5 to 5 kgms. The children now teenagers, show no signs of diabetes, and their weights are reported to be within normal limits despite their mother's fondness for cooking. Her husband, an underpaid construction worker is slightly overweight. Approximately 6 months ago, Angela was seen with a complaint of a series of infections that lasted longer than usual during the past 2 months. At the time she was measured as a 165 cm ( 5 feet 5 inches) and 71 kg (156 lb.) Her glucose tolerance test was positive. She was seen for follow up twice during the next month, each time showing hyperglycemia and glycosuria. At the second follow up, antidiabetic medication was prescribed, and she was referred for medical nutrition therapy (MNT). Angela did not keep this appointment or her subsequent medical appointment. She was not seeing again until 1 month ago, when she arrived to the emergency department with ketoacidosis. She responded well to treatment and was placed on a 1200 kcal diet and a mixture of intermediate and rapid acting insulin given in two injections a day. Her discharge plan included a referral for a MNT consultation session and diabetes education classes.
What relation do these factors have to diabetes control?
Explanation / Answer
Diabetes mellitus, condition with inadequate insulin known as Diabetic Ketoacidosis (DKA). In this case, without insulin, glucose remains unused and fat comes out of fat cells. fat comes out of fat cells. Patients suffering from Diabetes mellitus are dependent on exogenous insulin to prevent ketoacidosis and diabetes mellitus. MNT is best for diabetes management nad care process. MNT requires monitoring and effective nutrition management education. This MNT comprises of systematic study and diagnoses of various parameters related to disease. The MNT controls the nutritional intake and follow the required diet chart. MNT also include physical exercises on the basis of nutrition intake, which control the diabetes.