Type 2 Diabetes Mellitus

1749 Words4 Pages

Type 2 Diabetes Mellitus (T2DM) is a chronic disease that is modifiable and preventable through diet and exercise. The incidence of T2DM is propagated by a sedentary lifestyle and excessive caloric intake. Maintenance of a desirable body weight, diet, and exercise are the mainstay therapy for T2DM (Buttaro, Trybulski, Bailey, & Sanberg-Cook, 2013). I have chosen Shannon, a 30 year old single African American female who is newly diagnosed with T2DM for my health promotion paper. Shannon is obese with a Basal Metabolic Index (BMI) of 32 and HbA1c of 9.8 %. She is otherwise healthy with no known medical problems. When I first met Shannon, she was petrified of her diagnosis and the accompanied symptoms (polyruria, polydipsia, fatigue, blurry vision and paresthesia of fingers and toes) and stated "I have to do something with my weight this time, I am scared!". During this initial clinic visit, we discussed T2DM disease process, its management, and complications. Shannon was very receptive of the information and is looking forward to her diabetic education class at Harper Hospital. Two mutually agreed health promotion goals that are simple, attainable, realistic and sustainable were developed for Shannon. First, we agreed on a normal or near normal fasting and two hour postprandial blood glucose levels within 6 weeks of her diagnosis. Second, we agreed on the importance of adhering to a healthy well balanced diet and incorporation of an exercise regimen to help her lose weight by one to two pounds per week. Our second goal can be achieved by decreasing her current caloric intake by 500 kcal/day (with the final goal being 1500 kcal/day), limiting intake of carbohydrates (160-240 g/day), protein (40-60 g/day), saturated fat (<... ... middle of paper ... ...red to Harper Hospital diabetic education program at end of the clinic visit. Week 2- Phone conversation for 30 minutes. Shannon shared her learning of the diabetic education program and I was told how informative and helpful it was. She learned how to properly use her personal glucometer machine and diet regimen for diabetic as well. I commended her determination. I suggested downloading an "APP" on her mobile device called "My Fitness APP" to keep log/diary of her daily activities. Week 3- Shannon was very happy to inform me that her diet and exercise are working. She lost 3 lbs already. She takes a 30 minute walk during her lunch breaks and has joined a fitness club. I suggested signing up for fun activities at the gym like aerobics exercises or Zumba classes. Week 4- During our phone conversation, she was stressed at work and did not feel like

More about Type 2 Diabetes Mellitus

Open Document