University Healthcare Report: Patient Scenario and Treatment

This report presents a detailed patient scenario of a 56-year-old female diagnosed with Type 2 Diabetes, obesity, hypertension, elevated cholesterol, and sleep apnea. The patient's socio-cultural background, past medical history, and current medications are outlined, including atorvastatin, glyburide, metformin, metoprolol, amlodipine, benazepril, aspirin, and a multivitamin supplement. The report details the patient's lifestyle, including dietary habits and exercise routines, and how these factors influenced her health. Upon admission, laboratory tests revealed elevated A1C, fasting blood sugar, glucose in urine, liver enzyme hypersecretion, and hypothyroidism. The treatment plan incorporated dietary modifications, antioxidants, protein-based medicinal foods, fiber-rich and low-carbohydrate diets, and the inclusion of Vitamin D, essential fatty acids, and biotin. The patient also underwent a weight loss program and exercise regime. After the interventions, the patient lost weight, improved blood pressure and sleep apnea, and normalized blood glucose levels. The report discusses the continuation of certain medications and the introduction of niacin and rapid-acting insulin, along with follow-up tests and a nine-month follow-up plan.

Running Head: PATIENT SCENARIO
PATIENT SCENARIO
Name of the Student
Name of the University
Authors Note

1PATIENT SCENARIO
Mrs. CK is a 56-year old female who is diagnosed with Type 2 Diabetes (DMII), obesity,
hypertension, elevated cholesterol and sleep apnea. Saudi Arabian women are more susceptible
to obesity and physical inactivity as there are socio cultural restrictions on female physical
activities. Her medications included the following drugs- atorvastatin (Lipitor), glyburide
(Micronase), metformin (Glucophage), metoprolol, amlodipine, benazepril (Lotrel), aspirin and
multivitamin and mineral supplement. She was not regular with her blood sugar tests though she
tried to adhere to a strict healthy diet. She used to have oats in her breakfast, chicken and other
proteins and salads in her lunch and dinner. However, she had a craving for sugar items and
sweets and unable to control that and frequently had sweets and ice creams in her dinner. She
also experienced occasional constipation.
CK had mononucleosis at the age of 16. She had a family history of Type II Diabetes.
She was not a smoker. She meditates for around 15 minutes every morning and takes
multivitamin and mineral supplements once a week. During vacations, she does no exercises and
no outings and her lifestyle becomes sedentary during vacations. Her country prohibits her to
carry out any type of exercises or activities that would help her stay fit and healthy.
Upon admission, laboratory tests were carried out to identify any imbalances within the
body. Her physical examination revealed was blood pressure was 160/104 (left arm seated) and
had a heart rate of 94 beats/ min. Her weight was 95 kilograms and height was 5 feet 2 inches.
This conveys that she was overweight. Her Body Mass Index (BMI) was 34.7 as she was obese
and her waist to hip ratio (WHR) was above 0.89. Certain imbalances found in the tests were
elevated A1C, the fasting blood sugar levels were elevated, presence of glucose in urine, hyper
secretion of liver enzymes, hypothyroidism and many clinical complexes.

2PATIENT SCENARIO
Her treatment included diet and nutrients which adhere to glucose regulation,
antioxidants, protein based medicinal food, fiber rich diet, low carbohydrate diet, Inclusion of
Vitamin D, essential fatty acids, biotin in diet. Brisk exercise leading to weight loss program was
incorporated in her routine. After the inclusion of these interventions in her lifestyle, it was
found that she lost 30 pounds of weight, her blood pressure improved, sleep apnea resolved. Her
fasting blood glucose level was normal ranging from 91 to 111. Her glycosuria resolved.
Her medications included niacin sustained release 500 mg :1 tablet. She is also given
insulin which needs to be administered intravenously to decrease her blood glucose level and
treat glycosuria. The insulin is a rapid acting type which needs to be taken just before meals to
control blood glucose elevation from eating. She was asked to discontinue the use of
multivitamin and multimineral drug that she used to administer once in a week. Some of her old
medicines needed to be continued which was supervised by the hospital practitioners. These
included Atorvastatin 10 mg 1 tablet, Glyburide 5 mg 1 tablet, Metformin 500 mg 1 tablet,
Metoprolol 500 mg 1 tablet, Lotrel 10-20 mg 1 capsule and Aspirin 81 mg 1 tablet. She was
again asked to carry out certain tests a couple of weeks later. Those tests included Hemoglobin
AIC, Fasting blood sugar level and Urinary micro albumin. She is advised to carry out a nine
month follow up plan with undergoing tests every month with clinical supervision.