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Mr. R is a 48-year-old Hispanic man who has worked the past 10 years as a wareho

ID: 124215 • Letter: M

Question

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.

PLease help me to identify what this individual is most at risk for based on the information presented in this case above.

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

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.

Explanation / Answer

THE LISTED INVESTIGATION RESULTS REVEALS THE INDIVIDUAL IS AT MOST RISK FOR METABOLIC SYNDROME,HEART DISEASES,STROKE,TYPE II DIABETES ETC.

THE INDIVIDUAL'S BMI AND WAIST CIRCUMFERENCE IS MORE. WHICH IS SUGGESTIVE OF OVER WEIGHT(OBESITY). THESE KIND OF PEOPLE ARE MORE PRONE TO GET METABOLIC DISORDERS AND TYPE II DIABETES AS HIS FASTING BLOOD SUGAR AND OVERWEIGHT SPECIALLY ABDOMINAL FAT DEPOSITION CAN LEAD TO IT.

HYPO INSULINEMIA IS RELATED WITH TYPE I DIABETES WERE THE PRODUCED INSULIN IS DESTROYED OR NO PRODUCTION OF INSULIN.

HYPER INSULINEMIA IS RELTAED TO TYPE II DIABETES WERE THERE IS INSULIN RESISTANCE OR NOT ABLE TO USE THE PRODUCED INSULIN BY THE PANCREAS.

HYPOGLYCEMIA IS A STATE OF LOW BLOOD SUGAR LEVELS IN BLOOD .

HYPER GLYCEMIA IS A STATE WERE THERE IS AN INCREASED LEVEL OF BLOOD GLUCOSE LEVEL IN BLOOD.

BOTH ARE COMMON IN TYPE I AND TYPE II DIABETES.

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