Clinical Diabetes 21:93-94, 2003
© American Diabetes Association ®, Inc., 2003
Case Study: Symptoms in a Diabetes Client: Type 1, Type 2, or Type 1.5?
Judy Friesen, RD, LD, FADA, CDE
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W.G. is a 41-year-old white man who was diagnosed with diabetes 15 months ago. He is now beginning diabetes education and medical nutrition therapy (MNT) to gain weight upon referral from his primary care physician. His most recent hemoglobin A1c (A1C) was 5.0%. His current diabetes medication is metformin (Glucophage), 500 mg with breakfast, and he was started on pioglitazone (Actos) 2 weeks ago. He takes no other medications; denies smoking, alcohol, and drug use; and knows of no health problems other than diabetes.
His history revealed a blood glucose level >500 mg/dl at the time of diagnosis, with negative ketones. He checked ketones occasionally in the first year of diabetes, and all tests were negative. His mother had diabetes and was on insulin. He reports that he was on glimepiride (Amaryl) during the first year of diabetes, but that it was discontinued when he was started on metformin.
He complains of frequent urination, hunger, and thirst, which leads to drinking more than 1 gallon of water daily. He is very concerned because he is often agitated, anxious, and impatient to the point that it is affecting his family and work life. He was employed as a technician but is on leave until he feels better. His physician prescribed alprazolam (Xanax) for anxiety, but he did not fill the prescription.
Physical assessment reveals a height of 74 inches, . . . [Full Text of this Article]
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Copyright © 2003 by the American Diabetes Association.
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