Diabetes Education
Mr. Bhavesh Sharma, a 68-year-old male, has been diagnosed with type 2 diabetes, hypertension, and dyslipidemia. During his follow-up visit, Mr. Sharma reported that he has been consistently taking his prescribed medications for the past two months and believes they are effective. His wife has been supportive in preparing healthy Indian meals, including naan, saag paneer, and desserts like gulab jamun. However, his primary form of exercise is riding the lawn mower, which is not exercise at all, really. Still, he is considering joining a pickleball group at a nearby recreational center, which would definitely count as exercise. With this in mind, it also appears that his overall understanding of diabetes management is limited, as indicated by his score of 5 out of 24 on the Patient Diabetes Knowledge Questionnaire (PDKQ).
Mr. Sharmas vital signs and diagnostic results show some health concerns. His blood pressure is high, with readings ranging from 155/86 to 182/96 mmHg. His non-fasting glucose levels also are between 152 and 173 mg/dL. Laboratory tests from...
His cholesterol levels are slightly elevated, with total cholesterol at 206 mg/dL and HDL at 115 mg/dL, although his LDL is low at 30 mg/dL. This data indicates a need for better disease management and for some lifestyle modifications.
Health literacy is defined as the ability to have basic health information to make appropriate health decisions (Liu et al., 2020). It should be considered...
…dietary changes at home.
Second is to promote physical activity. Mr. Sharma should be encouraged to join the pickleball group and partake in regular, moderate-intensity exercise. He should have a personalized exercise plan that includes activities he enjoys, such as walking or light aerobics. It is also important for him to have regular monitoring of his blood glucose and blood pressure at home, with follow-ups in office. He should collaborate, too, with a dietitian to modify traditional Indian meals to be more diabetes-friendly.
These interventions align with professional guidelines from the American Diabetes Association (ADA) and the National Institute for Health and Care Excellence (NICE), both of which emphasize personalized education plans, regular physical activity, and patient education and self-management support (Milne & Di Rosa, 2020; Williams et al., 2022). Overall, these…
