A 53-Year-Old Man Arrives at the Office with Uncontrolled Type

question 213

Multiple Choice

A 53-year-old man arrives at the office with uncontrolled type 2 diabetes. The patient was diagnosed with diabetes three years ago and started on metformin and lifestyle changes. His hemoglobin A1c level has been steadily rising over the last year. The reading is 145/90 mm Hg. The BMI is 37 kg/m2². Except for a fasting plasma glucose of 155 mg/dL and a hemoglobin A1c level of 8%, the laboratory results are normal.   Additional treatment with canagliflozin is initiated.  Over the next several days, which of the following changes are most likely to occur in this patient due to the new medication?

• A)A
• B)B
• C)C
• D)D

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Definitions:

Denial and Shock

Initial defense mechanisms and reactions in the process of coping with distressing and traumatic events, characterized by an inability to accept reality and a stunned, numbed response.

Loss of Autonomy

The condition or feeling of losing the ability to make decisions for oneself, often experienced in dependency situations or certain health conditions.

End of Life Experience

The phase of life characterized by the processes, emotions, and care associated with the terminal phase of life, including dying and death.

Good Death

A concept in palliative care and bioethics that suggests a death that is peaceful, dignified, and in accordance with the wishes and values of the dying individual.