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Mr. R is a 48-year-old Hispanic man who has worked the past 10 years as a warehouse worker. He is 5'6", weighs 175 pounds, and has a waist circumference of 38". At his last visit at your office, his blood pressure was 140/60 mm Hg. Prior to the visit, he had fasting blood work done, and his primary care provider plans to review the results with him today. The pertinent diagnostic results are as follows: a fasting plasma glucose level of 137 mg/dL, an HDL level of 27 mg/dL, LDL level of 247 mg/dL, a serum triglyceride level of 210 mg/dL. Use the following prompts as guidelines while performing and writing your case study:

1. Identify what this individual is most at risk for based on the information presented in this case above.

2. Explain the significance of this individual's weight and waist diameter. Explain how this individual is at increased risk for insulin resistance.

3. Explain briefly the differences between hypoinsulinemia, hyperinsulinemia, hyperglycemia, and hypoglycemia as each relate to an individual with type 1 diabetes mellitus and type 2 diabetes mellitus

Case Study Guidelines

Critical thinking is a habit of mind characterized by the comprehensive exploration of issues, ideas, artifacts, and events before accepting or formulating an opinion or conclusion. Case studies are meant to connect real-world scenarios with theoretical teachings. You are expected to test assumptions and find creative ways to consider all the facets contributing to analysis of the case.

Prompt:

For each case study, be sure to:

- Introduce main elements and concerns and identify the pathology.

- Use the associated questions to guide your paper and explain the pathology in the development of a plan of care.

- Explain the role patient-care technologies (i.e., point of care testing, computer provider order entry, bar-coding medication administration, EMR/EHR) in caring for the individual(s).

- Apply critical thinking in analyzing and interpreting the data.
- Include evidence to support your analysis of the case.
- Write clearly and concisely, following standard rules of grammar.

Guidelines for Submission: Your paper must be submitted as at least a 2-page Microsoft Word document with double spacing, 12-point Times New Roman font, one-inch margins, and at least two peer-reviewed sources cited in APA format.

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