An 80yearold retired army officer, staying alone, has type 2 diabetes for the la

Question

An 80yearold retired army officer, staying alone, has type 2 diabetes for the last 12 years and renal function test was normal and patient was on insulin along with other OHAs. Despite this, the patient was getting attacks of hypoglycemia, which scared the patient of unconsciousness and even death. The limiting factors were that the patient was staying alone and was dependent upon an attendant to get injections. During the weekends or holidays, the attendant was not on a regular time, and this led to irregular insulin injections, causing hypoglycemic episode to patient. This patient as well was put on insulin degludec and over a period the dose of degludec was also increased. His HbA1c and fasting blood glucose level improved without any episode of hypoglycemia. The outcomes of this case are that degludec along with dietary modifications gave desired diabetes control without any hypoglycemia.

Looking for help after reading this scase study formulating one searchable, clinical question in the PICO(T) format.

Explanation / Answer

The effectiveness degludec and dietary modifications compared to degludec and OHAs alone in management of type 2 diabetes in the elderly

P- Elderly having type 2 diabetes

I -Use of degludec and dietary modifications

C- Insulin use

O -degludec along with dietary modifications gave desired diabetes control without any hypoglycemia.

T- Case study

The focus of the question is treatment (management) of type 2 diabetes

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