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With time, the production of insulin becomes insufficient, leading to similar symptoms as type 1 Diabetes, which may be either gradual or asymptomatic.
The patient is 61years and he has lived in Sydney for most of his life until he was 50 years, when he decided to relocate to his rural place. He leads a sedentary lifestyle and he has not undertaken physical exercises since he was a teenager. In addition, he faces the problem of lacking proper and healthy diet at home, mainly because he does not have a choice of the food he eats but has to accept what his wife prepares for him; occasionally, she provides him with steak and chips from fast food outlets. Risk factors he is involved in include heavy smoking, sedentary lifestyle, and having no control on his diet. The exercise regime is poor, although he admits taking brisk walks at home under pressure from his partner, a ritual that he does not enjoy due to physical discomfort of the exercise and lacks of endurance. He was once asked to be tested for diabetes type 2 but he declined. The physical assessment reveals raised blood pressure and blood sugar while lung field sounds are compromised but can be heard. Other vital signs tested included heart rate, respiratory rate, temperature, and oxygen, which are normal routine checks for his clinical presentation. The initial results from physical assessments make the doctor to order further test for serum cholesterol and fasting blood to confirm the diagnosis.
Investigation reveals raised serum cholesterol and a high fasting blood sugar, which points to the indication of Ischemic Heart Disease and Type 1 Diabetes. From the initial assessment, the patient’s lifestyle predisposed him to the risks of the diseases. The physical exam revealed that the patient could not endure resistance exercise, smokes heavily, and has never been mindful of his diet. Random blood sugar is abnormal, and the vital respiratory signs are
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