Managing Type 2 Diabetes and Kidney Failure

Case Study
The patient is the case is aged and suffering from diabetes which leads to kidney failure.
Diabetes occurs when the body is capable of producing the desired insulin or unable to make use
of insulin in a proper manner. Moreover, hormones of insulin regulate the flow of blood in the
body and the disturbance in the blood due to hormones damages the various parts of the body
such as the kidney. Moreover, the continuous diabetic disease is the leading cause of kidney
failure because of the injury of blood vessels (Zinman, 2015). Furthermore, these injuries in the
blood vessels damage the kidney. The patient is suffering from type 2 diabetes which is generally
an elderly people disease because in this type of disease the pancreas is ready to make insulin but
the body is unable to use it properly due to the weakness of muscles. As the weight of the patient
is 120 kg which is above than the normal so the metformin is the best medicine to deal with the
type 2 diabetes. The particular medication is considered as the most effective one during the
treatment of type 2 diabetes (ACCORD, 2010).
The metformin is very much useful and effective in the Judy case because it decreases the
production of glucose in the liver and decreases the absorption of glucose as well. Moreover, the
particular medication allows insulin to work properly because the production of insulin is not an
issue in type 2 diabetes. However, the elderly people faces issues regarding renal failure and this
disease are not in this context. In this case, the medicine is quite effective because it maintains
the glucose and sugar level of the body. The 1000mg metamorphic dose is not good for the
elderly patient because of the weakening body parts. The high mg medications can cause other
problems as well such as kidney failure (Donath, 2011).
BGL Level
The blood and glucose or sugar level of the body is very much important in maintaining good
health. The normal personal observes the blood sugar level of up to 4 to 5.9 mmol/L and it
reaches to 7.8 after breakfast. However, Judy is suffering from diabetes so her sugar level differs
in the intensity and quantity. The current BGL (Blood and glucose level) of the patient is 8 to 11
mmol/L which is quite dangerous for health. Judy should have the BGL level is in between 5 to 7
mmol/L which is an ideal sugar level for the patient of type 2 diabetes. However, the ideal

fasting range is in between 5 to 8 mmol/L. The higher sugar level is very much dangerous for the
patient because it does not allow the wound to heal from inside the body which leads to many
other diseases as well. In the particular scenario, the patient is aged and overweight so the
controlled sugar level is vital to maintaining the level of health. The damage of blood vessels
leads to chronic kidney disease in a particular case. The sugar level can be controlled by the
medication and diet plan as well (Donath, 2011).
Glucovance and its concerns
This medicine is suggested for patients suffering from type 2 diabetes. Particular antibiotic
decreases the amount of sugar that is generated by your liver. Moreover, it decreases the
absorption rate of the sugar as well. However, the increase in weight due to the use of this
medicine is one of the major concerns for elderly people. Moreover, due to this problem doctors
do not recommend this medicine more frequently to the elder people. In a particular scenario,
Judy is an aged lady and suffering from kidney disease as well. The particular medication
increases the weight of the person which ultimately affects all parts of the body as well. The
increase in weight is very dangerous more specifically in elderly people because it is the cause of
various other diseases such as liver and kidney failure. Judy is an overweight lady and can’t
afford to take this medicine regularly (Cusi, 2016).
Suggested Medications
Judy is suffering from type 2 diabetes which means the problem in insulin and high blood sugar
and lack of insulin as well. Minidiabeties is the best-suggested medication for Judy due to three
major reasons. Firstly, it reduces the sugar level in the pancreas. Moreover, it stimulates the
pancreas to generate more insulin. Besides these functions, the medication reduces the absorption
rate of sugar in the blood. This medicine is very effective for elderly people because of the
modest reaction of the particular medicine. Secondly, Judy is suffering from chronic kidney
diseases and the side effects of the biological treatment are harmful to her body. The particular
medicine has very fewer side effects as compared to other medicines (Inzucchi, 2012). For
instance, it does not cause sudden weight gain which is the major problem for the patient in the
scenario. At last the particular medicine has long term effects on the patient and maintain the
quality of life as well. The patient who above the age of 50 years need a treatment which has
gradual effects on the health but should not have side effects because the side effects can be the