Reference no: EM133484852
Assignment:
Peter Kelly is a 73-year-old man with long-standing diabetes. Today, he presents to the emergency department in a coma. You review his past history and note that he was diagnosed with type 2 diabetes about 12 years ago. He experienced a stroke about a year ago and has been living in a long-term care facility since then. His care providers indicate that his blood glucose levels are monitored daily. The levels are typically around 160 to 200 mg/dL, but these have been steadily climbing over the past 2 weeks. He is on an oral glycemic agent. He does not exercise due to residual weakness from the stroke, and he does have frequent visitors who like to bring him hard candies.
He had an appointment scheduled this week to meet with his primary care physician to evaluate a leg ulcer that is possibly infected. The care providers indicate that his urine output has increased over the past 2 weeks. They are not sure if his fluid intake has increased. When they went into his room this morning, he was unresponsive. His current blood glucose level is 721 mg/dL. His urine is positive for glucose and negative for ketones. Based on the information provided.
1) What is the most likely cause for the altered level of consciousness?
2) Which of the following precipitated Type-2 diabetes in this individual?
3) Which of the following test can give his average four months sugar levels in the blood?
4) The doctor might recommend to check albumin levels in the urine. This is to check the function of ______.
5) Identify from the choices the chronic complication of diabetes presented by PK?
6) Which of the following medication would be of less risk for Hypoglycemia for PK?