Hypothetical cases

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Case 1

Mrs. M, 44, has been working as an editor in one of the renownednewspaper company for the last ten years. She is single. According toMrs. M, she has been avoided by potential husbands because of hersize. The lady is always reserved and avoids public places. Mrs. Mwas diagnosed with type 2 diabetes five years ago. She also haddepression. Despite being prescribed antidepressants, she did nottake them. She does not have issues with her vision, vaginalinfections, and polyuria. Within the last one year, Mrs. M hasexperienced fatigue and difficulty in losing weight. She made a visitto a healthcare center for help.

She reported tothe physician that her energy level has decreased, especially in theafternoons. Mrs. M has gained a lot of weight after starting insulinmedication plan. She is not comfortable with her present weight.There are various measures she has tried to take to reduce herweight, but they have been unfruitful. She reduced the amount offood. The reduction in the amount of food was accompanied by symptomsof diaphoresis and hunger. Furthermore, Mrs. M does not have aspecific diet. The lady has no arrangements of physical exercise. Shecomplained of the pain in her knees and ankles when she was doingphysical exercise. Mrs. M thinks that she is obese.

There is arelationship between type 2 diabetes and obesity. There are highchances of developing obesity when an individual has diabetes. Intheir research, Eckelet al. (2011) found out that most patients with diabetes type2 are obese. To confirm that Mrs. M is obese, her BMI, blood glucose,and triglyceride levels can be tested.

Case 2

Mr. J, 53, losthis job ten months ago due to his alcoholism. He was then put througha 3-month rehabilitation program. Mr. J did not lose hope of findinganother job after the rehabilitation. He started looking for jobopportunities but was not successful. His family is now depending onhis wife’s earnings, which cannot sustain the family expenses. Mr.J has been stressed because of his unemployment. One evening, he madea stop at a bar on his way home. He was very drunk that night. Thiswas the start of his renewed occasional drinking. On their way homefrom church, Mr. J began experiencing chest pain, tightness, fatigueand breathing difficulty. These feeling were over after 10 minutes ofresting and recurred from time to time. There was a time when thesesymptoms became so intense to the point that made him faint. His wifecontacted an emergency team, which conducted standard emergencytreatment for a heart attack. When he resumed his normal state, theemergency team informed him to see a doctor.

Together with hiswife, Mr. J visited a nearby healthcare center to seek medical helpthe next day. After examination, the doctor confirmed the heartattack. The recorded systolic and diastolic pressures during theheart attack were 144 mmHg and 90 mmHg respectively. He reported tothe doctor that his mother died of myocardial infarction at the ageof 70.

A heart attack isreferred to as the condition when the coronary artery is suddenlyblocked causing insufficient supply of oxygen, ischemia. The suddenand complete blockage the coronary artery is accompanied by theirreversible death of cardiac cells (Thow, Graham &ampLee, 2013).


Eckel, R. H.,Kahn, S. E., Ferrannini, E., Goldfine, A. B., Nathan, D. M.,Schwartz, M. W., … &amp Smith, S. R. (2011). Obesity and type 2diabetes: what can be unified and what needs to beindividualized?.&nbspTheJournal of Clinical Endocrinology &amp Metabolism,&nbsp96(6),1654-1663.

Thow, M. K., Graham, K., &amp Lee, C. (2013).&nbspThe healthyheart book. Champaign IL: Human Kinetics

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