There are indeed reasons for such things happening to him, and there are both physical and social factors for such poor results that if continued will have long-term implications on his health conditions, and this case study intends to analyze all those factors involved in his case to formulate a management plan customized for him (Adler, AI, 2003).
As in the case of John, prolonged exposure to hyperglycemia is recognized as the primary causal factor in the pathogenesis of complications associated with diabetes mellitus. Hyperglycaemia and poor control of blood sugars in his case would induce a large number of alterations in the vascular tissue that would promote accelerated atherosclerotic process consequentially. These effects are often irreversible and they lead to progressive endothelial cell dysfunction. Once established, they progress over time, and reversal of hyperglycemia to normoglycaemic ranges would not reverse the pathology back to normal. ...Show more