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Case Scenario
Mrs Samuel, who has had type 2 diabetes mellitusfor 17 years has been admitted to hospital with a non-healing foot ulcer. Her electronic health record indicates that she has peripheral neuropathy, diabetic retinopathy with loss of visual acuity, gastroparesis and had two previous hospitalizations for hyperosmolar hyperglycaemic non-ketotic syndrome.
1. Describe the pathophysiology of Type II Diabetes Mellitus.
2. Briefly explain the pathophysiology of diabetic retinopathy?
3. Discuss at leastone microvascular and one macrovascular complication of diabetes.
4. What factors most likely contributed to the complications of diabetesthat Mrs Samuel has presented with.
5. Mrs Samuel asks you, "Why is the foot ulcer not healing and how can I help it get better?" Write your response to Mrs Samuel.
6. Mrs Samuel then asks you, "Can you explain why losing weight and stopping smoking will help my diabetes." Write your responseto Mrs Samuel.
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