Managing Diabetes Case Study - Medical Science Assignment Help

Assignment Task

Question 1 
Mr Khan is 58 years old and was diagnosed with Type 2 diabetes 3 years ago. At the time of diagnosis, he was well motivated to manage his weight and he managed to lose 4 kg and to improve his glycaemic control. However, he has now regained considerable weight. His BMI has risen to 34kg/m2 and HbA1c is now 7.5% (58mmolknA. He is not on any medication. What questions would you like to ask him in order to assess his diet and lifestyle? What dietary and lifestyle changes would you negotiate to minimise risk of developing diabetes-related complications (25) 

Question 2 
Mrs Brown is 35 years old and presented 2 weeks ago with weight loss, polyuria and ketoacidosis. She has been diagnosed with Type 1 diabetes and given very brief advice from a diabetes nurse. She has been started on a basal bolus insulin regime and has come to see you for help with diet and lifestyle. 
What would you like to ask as part of your assessment? Outline the topics you would like to discuss, and advice for this lady who is newly diagnosed with Type 1 diabetes. (25 marks) 

Question 3 

1. Write short notes on: a. glycaemic index of foods (8)

b. factors affecting basal metabolic rate (5)

c. possible dietary considerations for people with nephropathy (12) 

Question 4 

a. Explain the principles, possible advantages, and disadvantages of carbohydrate counting for managing diabetes (15) 

b) Tom, age 25, has type 1 diabetes and is starting to train to run a marathon. What would you like to ask him, and what advice would you give to help manage blood sugar levels while training? (10) 

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