NUR 265: DIABETES MELLITUS TYPE 2 CASE STUDY 76 WITH
ANSWERS/2023.Qualified.DOWNLOAD TO SCORE A+
Y.L., a 34-year-old Southern Asian woman, comes to the clinic with complaints of chronic
fatigue, increased thirst, constant hunger, and frequent urination. She denies any pain,
burning, or low-back pain on urination. She tells you she has a vaginal yeast infection that she
has treated numerous times with over-the- counter medication. She works full time as a clerk
in a loan company and states she has difficulty reading numbers and reports, resulting in her
making frequent mistakes. She says, “By the time I get home and make supper for my family,
then put my child to bed, I am too tired to exercise.” She reports her feet hurt; they often
“burn or feel like there are pins in them.” She has a history of gestational diabetes and reports
that after her delivery she went back to her traditional eating pattern, which is high in
carbohydrates.
In reviewing Y.L.'s chart, you note she last saw the provider 6 years ago after the delivery of her
last child. She has gained considerable weight; her current weight is 173 pounds. Today her
blood pressure (BP) is 152/97 mm Hg, and a random plasma glucose level is 291 mg/dL. The
provider suspects that Y.L. has developed type 2 diabetes mellitus (DM) and orders the
laboratory studies shown in the chart.
1. Interpret Y.L.'s laboratory results.
Her fasting glucose and A1C are elevated, which suggests she has diabetes. She also has
