1/13/23, 10:43 PM CNP490-Diabetes - Discussion question
Diabetes Interview
The most recent Standards of Medical Care in Diabetes medication regimen for
individuals with Type 2 consists of Metformin as the initial pharmacologic agent. Early
introduction of insulin should be considered if there is evidence of ongoing weight loss, if
symptoms of hyperglycemia are present, or when A1C levels or blood glucose levels are very
high (ADA, 2021). The interviewee's medication regimen complies with this standard of medical
care.
In the interviewee's overall treatment plan, I found many areas of congruency. For
instance, he gets his A1C measured at least two times a year since he is meeting his treatment
goals. He self-monitors his blood glucose by checking before each meal and at bedtime, then
treats accordingly. There is a strong congruency between his diet, physical activity, and
behavioral therapy with the recommendations in the Standards of Medical Care in Diabetes.
After being diagnosed with Diabetes he changed his whole lifestyle in order to manage his new
diagnosis. He started exercising more and eating healthier foods. This had a lot to do with his dad
not managing his Diabetes well and dying at a young age. This tragedy gave him the motivation
to take better care of himself.
Potential gaps in care that are prominent were the lack of immunizations. The interviewee
seemed to not have been educated enough on the importance of getting routine vaccinations. The
interviewee said he was offered vaccines but declined them and no education on why it was
important for him to receive them was provided. Other than immunizations, it seems to me that
the interviewee's medical care for his Diabetes is congruent with the standards and
recommendations.
The first priority teaching area for this interviewee would be immunizations. I would
education him on the importance of getting routine vaccinations. Preventing avoidable infections
not only directly prevents morbidity but also reduces hospitalizations, which may additionally
reduce risk of acquiring infections such as COVID-19 (ADA, 2021).
The second priority teaching area for this interview would be providing education on
getting a continuous glucose monitor. Humans are forgetful and a blood sugar can be forgotten. I
believe this person would benefit from having a continuous glucose monitor, which will allow
them to have a current blood sugar 24/7, saving them from having to poke their finger and from
forgetting.
From reading the Standards of Medical Care in Diabetes, I learned about the Risk
Calculator. The American College of Cardiology/American Heart Association ASCVD risk
calculator is a useful tool to estimate 10-year ASCVD risk (ADA, 2021). I also learned from the
interviewee that even though a patient seems to be self-managing their chronic illness, there is
always more to learn and teach.
about:blank 1/2
Diabetes Interview
The most recent Standards of Medical Care in Diabetes medication regimen for
individuals with Type 2 consists of Metformin as the initial pharmacologic agent. Early
introduction of insulin should be considered if there is evidence of ongoing weight loss, if
symptoms of hyperglycemia are present, or when A1C levels or blood glucose levels are very
high (ADA, 2021). The interviewee's medication regimen complies with this standard of medical
care.
In the interviewee's overall treatment plan, I found many areas of congruency. For
instance, he gets his A1C measured at least two times a year since he is meeting his treatment
goals. He self-monitors his blood glucose by checking before each meal and at bedtime, then
treats accordingly. There is a strong congruency between his diet, physical activity, and
behavioral therapy with the recommendations in the Standards of Medical Care in Diabetes.
After being diagnosed with Diabetes he changed his whole lifestyle in order to manage his new
diagnosis. He started exercising more and eating healthier foods. This had a lot to do with his dad
not managing his Diabetes well and dying at a young age. This tragedy gave him the motivation
to take better care of himself.
Potential gaps in care that are prominent were the lack of immunizations. The interviewee
seemed to not have been educated enough on the importance of getting routine vaccinations. The
interviewee said he was offered vaccines but declined them and no education on why it was
important for him to receive them was provided. Other than immunizations, it seems to me that
the interviewee's medical care for his Diabetes is congruent with the standards and
recommendations.
The first priority teaching area for this interviewee would be immunizations. I would
education him on the importance of getting routine vaccinations. Preventing avoidable infections
not only directly prevents morbidity but also reduces hospitalizations, which may additionally
reduce risk of acquiring infections such as COVID-19 (ADA, 2021).
The second priority teaching area for this interview would be providing education on
getting a continuous glucose monitor. Humans are forgetful and a blood sugar can be forgotten. I
believe this person would benefit from having a continuous glucose monitor, which will allow
them to have a current blood sugar 24/7, saving them from having to poke their finger and from
forgetting.
From reading the Standards of Medical Care in Diabetes, I learned about the Risk
Calculator. The American College of Cardiology/American Heart Association ASCVD risk
calculator is a useful tool to estimate 10-year ASCVD risk (ADA, 2021). I also learned from the
interviewee that even though a patient seems to be self-managing their chronic illness, there is
always more to learn and teach.
about:blank 1/2
