Diabetic Case Study

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A 47 year old male with type 1 diabetes presents with a RBC of 4.3, a WBC of 11,300, a BUN of 21, a total cholesterol of 234, and a hba1c of 13.7, what would you presume to be the problem? What drugs would you recommend to prescribe?

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Specializes in OR, Nursing Professional Development.

Welcome to AN! While we are willing to help students, we do ask that you share your thoughts first. What do you think is going on with the patient? Hint: of the lab values you've provided, which ones stand out?

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Specializes in Case mgmt., rehab, (CRRN), LTC & psych.
A 47 year old male with type 1 diabetes presents with a RBC of 4.3, a WBC of 11,300, a BUN of 21, a total cholesterol of 234, and a hba1c of 13.7, what would you presume to be the problem? What drugs would you recommend to prescribe?
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Specializes in Med-Tele; ED; ICU.

Type 1 diabetes: Insulin...

RBC of 4.3: nothing to see here

WBC of 11,300: High end of normal...

BUN of 21: Kidneys are working too hard but still apparently doing their kidney thing...

Total cholesterol of 234: Borderline...

hba1c of 13.7: Oops... lousy control of blood sugar

What's the problem... probably poor compliance for some reason

What drugs would you recommend to prescribe? Meds to help get the sugars and cholesterol under control...

If this dude doesn't get his sugars under control, his kidneys ain't long for the world.

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