According to the symptoms displayed by the patient, he has a positive diagnosis of metabolic syndrome; evident from a high fasting blood glucose levels of 140. According to Brasher (2006), this entails a long period of insulin resistance and early postprandial hyperglycemia. Thus, this increases the risk factors for health problems in this case such as diabetes. In addition, insulin resistance is connected to overweight.
In this case, the patient presents several risk factors for the condition. They include a large waistline, low HDL cholesterol level of 36, high blood pressure, and high fasting blood sugar of 140. However, additional questions are helpful in comprehending rationale of the disease process; as well as its clinical presentation. These questions include nutritional patterns, lifestyle (smoking), physical activities done, race, any changes in visual acuity or retinal abnormalities, delayed wound healing, any past or recent infections of the skin (for instance yeast skin rashes) and urinary tract infections. Physical examination aspects involve a comprehensive assessment so as to determine a diagnosis. Examples of physical examination entail the following: numbness or tingling sensation and decreased sensory of the feet, skin examination, and waistline measurement. Moreover, blood tests are vital in diagnosing this condition. Examples include collection of blood urea nitrogen has to be done in proper evaluation of the kidney function, as well as triglyceride level examination (McCance and Huther, 2014).
Proper management for this condition begins with prevention of the disease. Prevention will be based on directly influencing the development and reversal of insulin resistance and B-cell dysfunction. Metabolic syndrome is in the increase due to an elevation in obesity rates. In this case, the patient has experienced weight gain while in ...Show more