Tuesday, October 29, 2019

Metabolic Disorders Case Studies Essay Example | Topics and Well Written Essays - 500 words

Metabolic Disorders Case Studies - Essay Example Other risk factors to developing type II diabetes include age, race, and history of glucose intolerance, polycystic ovarian syndrome, dyslipidemia or hypertension. Some genes that were found to play a role in type II diabetes include HNF-1-alpha and beta, CEL, APF-1, BLK, INS just to mention a few (Vijan, 1). The patient may have genetic predisposition to tyoe II diabetes. The patient’s treatment shows that she is taking Ramipril which is an ACE inhibitor suggesting that her hypertension and underlying causes may have been one of the etiological factors towards her development of type II diabetes. Clinical signs of diabetes mellitus can vary depending on the stage of the disease. The main presentations include, weight loss, polydypsia, polyuria and polyphagia. Other signs that may indicate an elevated level of blood glucose include yeast infections, blurred vision and paresthesias. As mentioned above, the symptoms depend on the stage and severity of damage that has been caused to the organism by the hyperglycemic state. In the majority of patients, the disorder is undiagnosed for many years due to the asymptomatic state of patients. According to several studies, patients with type II diabetes may remain asymptomatic for approximately six years. In later cases of the disease patients may lose all sensation in the extremeties due to the development of diabetic polyneuropathy and they will also have signs of macroangiopathies. The atient had already developed Diabetic Ketoacidosis which may suggest that she has the majority of symptoms mentioned above as her condition has alread y progressed. There several different groups of drugs that have been used to treat type II diabetes. The drugs are chosen based on the lifestyle of the patient and response to different treatment plans. This is assessed by the HbA1c level of the patient which is usually targeted at 7%. The first line of treatment involves changes of lifestyle along with the use of a Biguanide

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