Case Study: Risk Factors

Mr. R is a 48-year-old Hispanic man who has
worked the past 10 years as a warehouse worker. He is 5’6″, weighs 175
pounds, and has a waist circumference of 38″. At his last visit at your
office, his blood pressure was 140/60 mm Hg. Prior to the visit, he had fasting
blood work done, and his primary care provider plans to review the results with
him today. The pertinent diagnostic results are as follows: a fasting plasma
glucose level of 137 mg/dL, an HDL level of 27 mg/dL, LDL level of 247 mg/dL, a
serum triglyceride level of 210 mg/dL. Use the following prompts as guidelines
while performing and writing your case study:

1. Identify what this individual is most at
risk for based on the information presented in this case above.

2. Explain the significance of this
individual’s weight and waist diameter. Explain how this individual is at
increased risk for insulin resistance.

3. Explain briefly the differences between
hypoinsulinemia, hyperinsulinemia, hyperglycemia, and hypoglycemia as each
relate to an individual with type 1 diabetes mellitus and type 2 diabetes
mellitus.