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.