Glycemic Case Study 10 points
A 30-year-old male who works at your nutrition clinic believes he has diabetes mellitus. His father and paternal grandfather both developed this disease late in life. He has polyuria, polydipsia, and polyphagia accompanied by weakness, weight loss, and blurry vision. You test his urine and find 3+ glycosuria, and blood glucose is 450 mg/dl. He does not want to take insulin and hopes that pills will be enough. On the other hand, he has heard that oral hypoglycemics can be bad for you. Discuss this case with reference to oral glycemics, mechanism of action, and toxicity.
Folic Acid Case Study 10 points
A 50-year-old male with a long history of heavy drinking has been referred to your nutrition clinic. Four months ago, another physician told him he had an ulcer. He still has abdominal pain, but now he also complains of a painful tongue, sore mouth, and trouble walking. He attributes some of his weakness to all the diarrhea he is having. The patient's wife is impressed that her cousin had the same symptoms when he was receiving chemotherapy for his lymphoma. Discuss this case with reference to Folate absorption and malabsorption, Action in cancer, and Action in antibacterial drugs.