Week 5
Endocrine Case Study 2025
Doing your own work and refraining from copying or claiming someone else's work as your own holds great value.
It upholds academic integrity, promotes personal growth, fulfills ethical responsibilities, builds trust and reputation,
and facilitates effective learning and mastery. By engaging in original work, you demonstrate honesty, develop
essential skills, respect intellectual property rights, establish credibility, and enhance your understanding of the
subject matter. Overall, it is a practice that benefits you and the wider academic and professional communities.
Question 2
Question 1 0 pts
Please explain the value and reason for doing your own work and not copying or
taking answers from another source and claiming them as your own.
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Use the John Jones case study to answer the following question.
Using diagnostic criteria for diabetes, what is John's diabetic status? What treatment plan should be
introduced at this time?
Based on the information provided in the case study, the diagnostic criteria for diabetes includes fasting plasma
glucose (FPG) levels, oral glucose tolerance test (OGTT), or glycated hemoglobin (hba1c) levels. In John Jones' case,
his hba1c level is 8.1%, which is above the diagnostic threshold for diabetes (which is usually 6.5% or higher).
Therefore, John Jones is classified as having diabetes based on his hba1c level.
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Considering his diabetic status, the treatment plan that should be introduced at this time includes:
1. Lifestyle modifications: Since John has a sedentary lifestyle, it is important to encourage regular physical
activity and exercise (American Diabetes Association, 2021). He should aim for at least 150 minutes of moderate-
intensity aerobic exercise per week, along with muscle-strengthening activities. It would be beneficial to consult a
healthcare professional or a certified exercise specialist to develop an exercise plan suitable for his condition.
6/4/23, Quiz: Case Study
2. Diet changes: John's diet, consisting mostly of fast food meals and sweet tea, needs to be improved. He
should be advised to follow a balanced and healthy diet with a focus on whole foods, fruits, vegetables, whole
grains, lean proteins, and healthy fats. He should limit his intake of sugary beverages, processed foods, and foods
high in saturated and trans fats (American Diabetes Association, 2021). Consultation with a registered dietitian can
be helpful in creating a personalized meal plan.
3. Weight management: As John has a history of obesity, weight management is crucial for his overall health
and diabetes control. Setting realistic weight loss goals and working towards achieving a healthy weight through a
combination of diet and exercise is recommended.
4. Medication: Given John's hba1c level of 8.1% and his other risk factors (obesity and hyperlipidemia),
medication may be necessary to help manage his diabetes. The specific choice of medication should be determined
by a healthcare professional, taking into account various factors such as his overall health, preferences, and
potential side effects. Medications commonly used for diabetes management include metformin, sulfonylureas,
DPP-4 inhibitors, GLP-1 receptor agonists, and insulin (Rosenthal & Burchum, 2021).
5. Regular monitoring: John should undergo regular monitoring of his blood glucose levels, hba1c, blood
pressure, and lipid profile. This will help track his progress and make any necessary adjustments to his treatment
plan.
Question 3 10 pts
Use the John Jones case study to answer the following question.
Which of John's behaviors should be addressed to encourage lifestyle changes and decrease AIC
levels?
Based on the provided case study of John Jones, several behaviors should be addressed to encourage lifestyle
changes and decrease A1C levels:
1. Sedentary Lifestyle: John Jones reports a very sedentary lifestyle, spending most of his time sitting at a desk
and relaxing in front of the television. Encouraging him to incorporate regular physical activity into his routine is
crucial ( American Diabetes Association, 2021). He should be advised to engage in aerobic exercises, such as
walking, jogging, or cycling, for at least 150 minutes per week. Adding strength training exercises to improve
muscle strength and metabolism would also be beneficial.
2. Unhealthy Diet: John's diet consists mostly of fast-food meals and sweet tea, along with excessive coffee
consumption. His diet lacks proper nutrition and is likely high in calories, unhealthy fats, and added sugars. He
should be educated about the importance of a balanced diet rich in fruits, vegetables, whole grains, lean proteins,
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and healthy fats. Limiting processed foods, sugary beverages, and excessive caffeine intake would be essential.
Encourage him to prepare home-cooked meals and pack healthy snacks for work.
3. Excessive Weight: John's past medical history includes obesity. Addressing his weight concern is crucial for
improving his overall health and glycemic control. He should be motivated to achieve a healthy weight through a
combination of dietary modifications and regular physical activity. Setting realistic weight loss goals and providing
support through counseling or referral to a registered dietitian can be beneficial (American Diabetes Association,
2021).
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4. Sedentary Work Environment: As John works in real estate management, which involves prolonged periods
of sitting, he should be advised to incorporate movement breaks during the workday. Encourage him to stand up,
stretch, and walk around periodically. Consider suggesting options like a standing desk or using a stability ball as a
chair to promote better posture and increase calorie expenditure.
5. Excessive Alcohol Consumption: While John reports drinking "a few beers on the weekend during football
season," it is essential to discuss the potential impact of alcohol on his health. Alcohol consumption can contribute
to weight gain, interfere with blood sugar control, and have adverse effects on liver function. Encourage him to
reduce or eliminate alcohol consumption for better glycemic control and overall health.
Addressing these behaviors through counseling, education, and setting achievable goals will help John Jones make
positive lifestyle changes, improve his A1C levels, and overall well-being. Collaborating with a multidisciplinary
healthcare team, including a registered dietitian and possibly a physical therapist, can provide comprehensive
support and guidance in implementing these changes.
Question 4 10 pts
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