NU636-7B Unit 4 Discussion 1- Diabetes Management Herzing

Description

NU636-7B Unit 4 Discussion 1- Diabetes Management Herzing

Discussion Prompt

Scenario:

You are seeing a 64-year-old Hispanic male for his diabetes management.  He reports that his morning capillary blood sugar readings are ranging in the 150 to 190 range.

• Last month his Hgb A1C was 7.4
• He is on Metformin 1000mg twice a day and Glipizide 5mg daily.
• He walks a couple miles three to five times a week.
• A dietary review reveals that his daily total carbohydrate intake is in the range of 75 to 100 grams.
• Last eye exam did not reveal any problems.  He wears reading glasses when needed.
• He does report some intermittent burning sensation in his feet.
• Ht 6’2”, Wt 200 lbs, BP 118/72, P 72, R 17
• Heart regular rhythm, without murmur or gallop
• Lungs clear
• Monifilament testing does not reveal any decreased sensation in the feet

Please develop a discussion that responds to each of the following prompts.  Where appropriate your discussion needs to be supported by scholarly resources.  Be sure to include in-text citations in the context of the discussion and provide a full reference citation at the end of the discussion.