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 kg. 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 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 seen again until 1 month ago when she arrived at 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 an MNT consultation session and diabetes education classes. 5. Identify any personal factors that may affect Angela's adherence to her treatment plan. Do you anticipate any problems? If so, how would you attempt to help her solve them?

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 kg. 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 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 seen again until 1 month ago when she arrived at 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 an MNT consultation session and diabetes education classes.

5. Identify any personal factors that may affect Angela's adherence to her treatment plan. Do you anticipate any problems? If so, how would you attempt to help her solve them?

Added by Adri-N V.

Question

Please give Ace some feedback