Summary NR 565 Week 5 Endocrine Case Study Q&A

Using diagnostic criteria for diabetes, what is John’s diabetic status? What treatment plan should be introduced at this time? According to the Diagnostic Criteria presented by Rosenthal & Burchum (2021, p.398), John is a diabetic and needs to begin initiating lifestyle modifications and pharmacological therapy immediately. The DM Diagnostic Criteria by Rosenthal & Burchum (2021) states that there are four criteria to diagnose Diabetes Mellitus. They include: Fasting plasma glucose ≥126mg/dL or Random plasma glucose ≥ 200 mg/dL plus symptoms of diabetes or Oral glucose tolerance test (OGTT): 2-h plasma glucose ≥200 mg/dL or Hemoglobin A1c 6.5% or higher. John’s HgbA1C level is 8.1% which surpasses prediabetes and puts him in a disease diagnostic state. Additionally, his plasma glucose level is 200md/dL and he is exhibiting signs and symptoms of diabetes, such as frequent urination during the night. He also endorses weight gain of 3 pounds in the past year. Metformin is the preferred initial pharmacologic agent for the treatment of type 2 diabetes as identified by (American Diabetes Association, 2020). John should be started on Metformin as tolerated. His treatment plan can also include diet, physical activity, and behavioral therapy designed to achieve and maintain weight loss especially with his past medical history of obesity and hyperlipidemia