NURS 6521 – Advanced Pathophysiology
[Diabetes Case Study #1]
Jenny is a 56-year-old female who is scheduled for a routine primary care
provider’s (PCP) visit to followup on her hypertension. She reports no significant
complaints other than her vision being blurry; she states, “I need to go to the eye
doctor to have my eyes checked.” At the conclusion of her visit, the PCP orders a
basic metabolic panel (BMP) and complete blood count (CBC) to be drawn. Jenny
receives a phone call 2 days later from her PCP’s office to schedule an
appointment for later that day. Jenny is told that her blood sugar is elevated. At
her appointment, Jenny and the nurse begin by reviewing Jenny’s risk factors for
diabetes.
1. Identify risk factors commonly associated with diabetes mellitus Type 2. Select
all that apply.
❑Obesity
❑Age less than 30 years – older age
❑Caucasian race – AA, Hispanic, NA,
❑Family history -- predisposition
❑History of gestational diabetes
❑History of delivering babies over 9 pounds
, Jenny reports that her mother and grandmother were diabetics. She is also over
45 years old and overweight at 5 feet 2 inches and 200 pounds. Jenny still finds it
hard to believe that she could be diabetic since she is feeling okay; she asks the
nurse to explain to her how diabetes occurs.
2. The nurse educating Jenny on type 2 diabetes determines that she understands
the information when she states:
A. “I am not producing any insulin because of a problem with my immune
system.” Type 1
B. “I will need to take insulin for the rest of my life.” Type 1
C. “I’m not making enough insulin or my body isn’t as sensitive to it.”
D. “I won’t need to make any dietary changes if I take my medicine.” False-
lifestyle changes
[Diabetes Case Study #1]
Jenny is a 56-year-old female who is scheduled for a routine primary care
provider’s (PCP) visit to followup on her hypertension. She reports no significant
complaints other than her vision being blurry; she states, “I need to go to the eye
doctor to have my eyes checked.” At the conclusion of her visit, the PCP orders a
basic metabolic panel (BMP) and complete blood count (CBC) to be drawn. Jenny
receives a phone call 2 days later from her PCP’s office to schedule an
appointment for later that day. Jenny is told that her blood sugar is elevated. At
her appointment, Jenny and the nurse begin by reviewing Jenny’s risk factors for
diabetes.
1. Identify risk factors commonly associated with diabetes mellitus Type 2. Select
all that apply.
❑Obesity
❑Age less than 30 years – older age
❑Caucasian race – AA, Hispanic, NA,
❑Family history -- predisposition
❑History of gestational diabetes
❑History of delivering babies over 9 pounds
, Jenny reports that her mother and grandmother were diabetics. She is also over
45 years old and overweight at 5 feet 2 inches and 200 pounds. Jenny still finds it
hard to believe that she could be diabetic since she is feeling okay; she asks the
nurse to explain to her how diabetes occurs.
2. The nurse educating Jenny on type 2 diabetes determines that she understands
the information when she states:
A. “I am not producing any insulin because of a problem with my immune
system.” Type 1
B. “I will need to take insulin for the rest of my life.” Type 1
C. “I’m not making enough insulin or my body isn’t as sensitive to it.”
D. “I won’t need to make any dietary changes if I take my medicine.” False-
lifestyle changes
