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Running head: JONES DIABETES CASE STUDY
Jones Diabetes Case Study
Chamberlain University
NR601: Primary Care of the Maturing and Aged Family
February 2020
Jones diabetes case study
, 2
JONES DIABETES CASE STUDY
This case study analyses the visit of a 60-year old African American businessman
presenting with complaints of fatigue, weight loss, increased hunger and thirst, increased
urination during the day and at night. He has a medical history of osteoarthritis and
hyperlipidemia and is currently taking simvastatin. All his vital signs are within normal limits;
however, his BMI is elevated at 31. Based on lab work and physical exam, I’ve diagnosed him
with type 2 diabetes.
Assessment
Primary Diagnosis: Type 2 diabetes (E11.9)
Pathophysiology: Type 2 diabetes is based on development of insulin resistance and low
insulin secretion by beta cells. Symptoms include thirst, nocturia, hunger and fatigue
(American Diabetes Association, 2019).
pertinent positive findings (ADA, 2019)
A1C 6.9, FPG 135, 1+ glucose, fatigue, nocturia, weight gain, increased thirst, increased
hunger, urinary frequency, obesity
pertinent negative findings
Negative EKG, no prostate enlargement, no painful urination or dribbling, no sexual
dysfunction, lack of weight loss, no family history
Rationale for the diagnosis: American Diabetes Association (2019) states the diagnosis
of diabetes is based on FPG > 126 or A1C > 6.5%. Mr. Jones has an A1C of 6.9% and
FPG of 135.
Secondary Diagnosis: Hyperlipidemia (E78. 5)
Running head: JONES DIABETES CASE STUDY
Jones Diabetes Case Study
Chamberlain University
NR601: Primary Care of the Maturing and Aged Family
February 2020
Jones diabetes case study
, 2
JONES DIABETES CASE STUDY
This case study analyses the visit of a 60-year old African American businessman
presenting with complaints of fatigue, weight loss, increased hunger and thirst, increased
urination during the day and at night. He has a medical history of osteoarthritis and
hyperlipidemia and is currently taking simvastatin. All his vital signs are within normal limits;
however, his BMI is elevated at 31. Based on lab work and physical exam, I’ve diagnosed him
with type 2 diabetes.
Assessment
Primary Diagnosis: Type 2 diabetes (E11.9)
Pathophysiology: Type 2 diabetes is based on development of insulin resistance and low
insulin secretion by beta cells. Symptoms include thirst, nocturia, hunger and fatigue
(American Diabetes Association, 2019).
pertinent positive findings (ADA, 2019)
A1C 6.9, FPG 135, 1+ glucose, fatigue, nocturia, weight gain, increased thirst, increased
hunger, urinary frequency, obesity
pertinent negative findings
Negative EKG, no prostate enlargement, no painful urination or dribbling, no sexual
dysfunction, lack of weight loss, no family history
Rationale for the diagnosis: American Diabetes Association (2019) states the diagnosis
of diabetes is based on FPG > 126 or A1C > 6.5%. Mr. Jones has an A1C of 6.9% and
FPG of 135.
Secondary Diagnosis: Hyperlipidemia (E78. 5)
