Medical History
Acute periodic episodes of elevated blood glucose levels but without experiencing hyperosmolar
hyperglycemic nonketotic syndrome or diabetic ketoacidosis. Two–vessel coronary artery bypass
surgery 5 yr prior, moderate peripheral neuropathy (loss of most sensation in soles of feet), and early
stages of diabetic kidney disease.
Medications: metformin taken two times per day, captopril (for blood pressure control and protection of
kidneys), and Lipitor for control of hyperlipidemia.
Diagnosis
Mr. SD is 63 yr old and was diagnosed with type 2 diabetes 5 yr ago.
Discussion Questions
a. Based on the medical history, what is the primary disease of concern, and are there any
comorbidities?
b. Describe the patient’s diagnosis and comorbidities (pathophysiology).
c. What major symptoms or signs are reflective of the disease of concern and comorbidities if applicable?
