including aspirin, diuretics, and cyclosporine.1 -Comorbid conditions that can increase the likelihood of gout include HTN, T2DM, HLD, renal insufficiency, and anemia.1 -The direct result -T2DM can -Medically, the first route of -T2DM can be of the body’s when insulin treatment is glucose managed or inability to use demand is greater lowering medications. There prevented the hormone than what the are several drug classes through a insulin to pancreas is capable available on the market: consistent transport glucose of producing.1 biguanides, sulfonylurea carbohydrate diet from the blood -On the other agents, thiazolidinediones, and regular into the cells for hand, the pancreas GLP-1 receptor agonists, physical activity. Type 2 use as energy.1 may be making DPP-4 inhibitors, and 1 Diabetes -Overtime insulin enough insulin but inhibitors.1 -Depending on Mellitus resistance can the cells have -Perhaps the most how the patient ICD-10-CM cause consistently developed a commonly used medication learns and what E11.8 elevated blood resistance to it due is metformin, however its the patient is glucose levels. to consistently use presents with terrible GI willing to do, This can lead to elevated levels.1 side effects. 1 several methods damage of blood -Either -If blood sugars are still can be used to vessels, nerves, abnormality can persistently elevated, the teach patients and organs.1 result in next step in medical about a chronically treatment is initiation of consistent elevated blood recombinant human insulin. carbohydrate glucose levels.1 Several different insulin diet. These
including aspirin, diuretics, and cyclosporine.1 -Comorbid conditions that can increase the likelihood of gout include HTN, T2DM, HLD, renal insufficiency, and anemia.1 Type 2 Diabetes Mellitus ICD-10-CM E11.8 -The direct result of the body’s inability to use the hormone insulin to transport glucose from the blood into the cells for use as energy.1 -Overtime insulin resistance can cause consistently elevated blood glucose levels. This can lead to damage of blood vessels, nerves, and organs.1 -T2DM can when insulin demand is greater than what the pancreas is capable of producing.1 -On the other hand, the pancreas may be making enough insulin but the cells have developed a resistance to it due to consistently elevated levels.1 -Either abnormality can result in chronically elevated blood glucose levels.1 -Medically, the first route of treatment is glucose lowering medications. There are several drug classes available on the market: biguanides, sulfonylurea agents, thiazolidinediones, GLP-1 receptor agonists, DPP-4 inhibitors, and inhibitors.1 -Perhaps the most commonly used medication is metformin, however its use presents with terrible GI side effects. 1 -If blood sugars are still persistently elevated, the next step in medical treatment is initiation of recombinant human insulin. Several different insulin -T2DM can be managed or prevented through a consistent carbohydrate diet and regular physical activity. 1 -Depending on how the patient learns and what the patient is willing to do, several methods can be used to teach patients about a consistent carbohydrate diet. These
allison_k_fassler_clinical_case_study.docx