Respond to any one of the three exam questions assigned by your facilitator. Make sure you use the APA 6th edition style guidelines. Reference from 2010 to Present.
1. Your 45-year-old male had been diagnosed with Metabolic Syndrome many years ago and now has recently been diagnosed with Type 2 Diabetes Mellitus. He is concerned that he may have had high blood sugars before this recent diagnosis. Based upon your knowledge of the pathophysiology of Type 2 DM, what would you tell your patient with respect to the development of Type 2 DM overtime? What pathophysiologic changes take place in the patient’s blood vessels over time?
2. Your 55-year-old female patient has had Type 2 DM for 20 years and she has questions about diet control of her blood sugars. She tells you that she does not eat “sugar” but reports that after eating she notes that her blood sugars elevate dramatically. Discuss how you would explain to the patient the reason for her post prandial blood sugar spikes even if she does not eat “sugar” at each meal.
3. Your 49-year-old patient is interested in knowing how her HgbA1C helps indicate how well controlled her blood sugars have been over time. What would you tell her about how often this test needs to be performed and how the level goes up and down?
Assignment 2 Grading Criteria Maximum Points
Patient 1
Discusses in detail how Type 2 Diabetes Mellitus develops over time in patients with Metabolic Syndrome by focusing on the pathophysiologic changes that occur 10
Describes the changes that occur in the vessels in the body over time and the pathologic changes that occur 11
Patient 2
Describes the physiologic changes that occur with respect to blood sugars as a result of eating meals 10
Discusses the difference among carbohydrate, fat and protein metabolism and its release of sugar into the blood stream 11
Patient 3
Discusses the usefulness of the HgbA1C and how the level is determined based upon blood sugar elevations over time 11
Describes a patient education plan that details how often the HgbA1C is ordered and what they can do to help control this level 10
Submitted the exam response document on time in the required format. 3
Used APA 6th edition style guidelines consistently and accurately. 3
Used correct spelling and grammar. 3
Total: 30
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