NURBN2016 - Melanie Johnson Case Study -Pathophysiology - Melanie Johnson Assignment Writing Help

Internal Code : I_AH_CFDB_IG

Melanie Johnson Assignment Writing Help

TASK Melanie Johnson is a 63 year old woman who has been admitted to your surgical ward for the drainage of a Bakers Cyst. She was diagnosed Type 2 Diabetes Mellitus (T2DM) 6 months ago, during a routine workup for surgery. She takes no specific medication for her diabetes, and has been told by her GP to ‘watch what she eats’. She was devastated to discover her diagnosis of T2DM, as she was aware of the risks due to her history. She has not returned to her GP since her initial diagnosis. She has no other past medical history of note. Melanie says tearfully “I have been trying to eat right and exercise, but I can’t walk because of the pain in my knee and I was feeling down and eating ice cream. I have hardly eaten anything in the last week because I am trying to lose weight and get my blood sugar down. Her mother and older sister were both diagnosed with T2DM in their early 50’s. Melanie tells you she has had the Bakers Cyst for about 2 years. It has been increasing in size over the last 8 months, restricting her movements. The planned surgery is drainage followed by two follow up injections. Describe the pathophysiology of T2DM with links to Melanie’s case. Include in your answer risk factors for T2DM, the pathogenesis of T2DM, possible complications of T2DM and outline the 3 levels of treatment options for T2DM. Differentiate between T2DM and T1DM (at least 6 differences). Identify at least 2 reasons Melanie’s BGL is high on admission. Discuss how each reason you identify effects BGLs.