Answer: Type 2 Diabetes Mellitus and Body Weight

Running head: QUIZ ON CASE STUDY
QUIZ ON CASE STUDY
Name of the University:
Name of the Student:
Author Note:

1QUIZ ON CASE STUDY
Answer 1.
Mr. B has symptoms like polyuria, nocturia, polydipsia, lethargy along with
glycosuria and hyperglycaemia. All these symptoms are associated with type 2 diabetes
(Kennon& Carty, 2015). Hence, it can be decided that Mr. B has type 2 diabetes mellitus.
Answer 2.
BMI = Body weight in Kg / (Height in meter)2
Thus, BMI of Mr. B = 106 / (1.78)2 = 33.45 Kg/ M2
Answer 3.
The normal BMI range for an individual ranges from 18.5 Kg/M2 to around 25
Kg/M2. A BMI that exceeds 25 Kg/M2, can be considered as overweight or obese. An
individual can be considered to be obese if their BMI exceeds 30 Kg/M2. The person will be
considered to be morbidly obese if their BMI exceeds 40 Kg/M2 (Jih et al., 2014). Thus Mr. B
can be considered to be Obese, but not morbidly obese.
Answer 4.
The first factor to be considered is his excess weight. The risk of the associated
complications of diabetes and obesity is higher in his case (Korat, Willett & Hu, 2014).
The second factor can be his old age. The risk of morbidity is high at this age.
The third factor is his sedentary life style practice. He will face difficulties to adapt an
active life style.
The fourth factor is his choice to not to take medications for his diabetic condition,
which is necessary considering the type of his diabetes and his age (Korat, Willett & Hu,
2014).

2QUIZ ON CASE STUDY
Answer 5.
The first aspect to be considered is that Mr. B should be advised to consume complex
carbohydrate, which will not be responsible for an instant rise in the blood glucose level.
The second aspect is to describe a strict prohibition on the consumption of the food
with high sugar content, which might be responsible for an instant rise in the blood glucose
level.
The third one is to encourage the type 2 diabetic patient to encourage in consuming
protein based foods, which have negligible effects on the blood sugar.
The fourth guideline should be focused on the less consumption of fat. Even though
fat so not have a direct effect on the blood glucose level, it is responsible for a slower
consumption of glucose by the cells (Ley, Hamdy, Mohan, & Hu, 2014).
Answer 6.
1. The blood glucose level is supposed to be lowered moderately.
2. The insulin is supposed to work better in its activity.
3. His weight should be reduced.
4. His stress level should be lowered improving his mental health (Balducci et
al., 2014).
Answer 7.
The statement is true.
Answer 8.
Both of the readings of the fasting blood sugar and the post prandial blood sugar are
still abnormal and does not suggest any significant improvement in the condition of Mr. B.

3QUIZ ON CASE STUDY
Answer 9.
The statement is true.
Answer 10.
Metformin simply increases the sensitivity of the insulin and other organs of the body
to lower the blood glucose level(Diabetes.org. 2020). It should be the first line of treatment
for Mr. B, since the use of this medication does not involve further weight gain and the risk
of hypoglycaemia.
Answer 11.
The statement is false, because the diet of a healthy individual must contain animal
proteins and fat unlike diabetic individuals.
Answer 12.
The statement is true.
Answer 13.
The statement is partially true. Type 2 diabetes mellitus can be controlled by adapting
those measures (Asif, 2014). However, half of the people do not adapt to those measures in
order to control their diabetes.
Answer 14.
The statement is false. Gliclazide® belongs to the sulfonylurea class of drugs (Maggi,
Canobbio, Bruni, Musitelli& Conte, 2015).
Answer 15.
The statement is true. The use of Gliclazide® is associated with the side effect of
hypoglycaemia (Maggi, Canobbio, Bruni, Musitelli& Conte, 2015).

4QUIZ ON CASE STUDY
Answer 16.
The side effects of Gliclazide® include diarrhoea, stomach ache, indigestion and
constipation, which can be considered as gastrointestinal side effects (Maggi, Canobbio,
Bruni, Musitelli& Conte, 2015).
Answer 17.
The statement is true.
Answer 18.
1. The signs and symptoms of hyperglycaemia and hypoglycaemia.
a. Hyperglycaemia symptoms include feeling extremely thirsty, frequent
urge to urinate, blurry vision along with the feeling of fatigue.
b. Hypoglycaemia symptoms include dizziness, confusion, fatigue and
even fainting (Morales & Schneider, 2014).
2. Maintenance of proper diet and nutrition plan.
a. Her diet must consist of complex carbohydrates and proteins and must
be excluded of the food with high sugar or fat content (Tay et al.,
2014).
b. This is to lower the risk of hyperglycaemia or further progression of
the disease condition in her.
3. Proper monitoring of the blood sugar level.
a. By this teaching she can keep track of the success of her treatment plan
(Ong, Chua & Ng, 2014).
b. Upon detection of the high blood glucose level, she must refer back to
her physician immediately.
4. Regular exercise.

5QUIZ ON CASE STUDY
a. Exercising will keep her from gaining weight and developing obesity,
which is a common co-morbid condition associated with the diabetic
condition.
b. This will also help her in keeping her stress level low (Magee,
Khan,Desale&Nassar, 2014).
Answer 19.
The statement is true.
Answer 20.
The experience of Mrs. Smith can be associated with the symptoms of hypoglycaemia
or low blood sugar level in body (Morales & Schneider, 2014). This incident is common for
the normal individuals. However, in case of a diabetic patient, who is already receiving a
treatment, should be tested for this fluctuation in their blood glucose level (Basu, Johnson,
Kudva & Basu, 2014).
Answer 21.
The statement is true.
Answer 22.
Mrs. Smith was experiencing the symptoms of hypoglycaemia only after her walk,
thus after exercising only. Her symptoms settled after consuming some food. Thus it can be
deduced that she was experiencing post-exercise ‘hypos’(Morales & Schneider, 2014).
Answer 23.
The statement is false.
Answer 24.