Patient-centered community management for a obese patient with type 2 diabetes mellitus
10.3760/cma.j.issn.1671-7368.2018.07.022
- VernacularTitle:以患者为中心的肥胖型2型糖尿病社区管理
- Author:
Huijun LIN
1
;
Yue JIANG
;
Yue SHA
Author Information
1. 100124 北京市朝阳区高碑店社区卫生服务中心;100069 北京,首都医科大学全科医学与继续教育学院
- Keywords:
Diabetes;
Patient-centered care;
Community health services
- From:
Chinese Journal of General Practitioners
2018;17(7):574-576
- CountryChina
- Language:Chinese
-
Abstract:
A 70-year female patient with a 14-year history of type 2 diabetes mellitus ( T2DM) complains poor blood sugar control and body weight gain after insulin use for 3 years.A patient-centered community management was applied to this patient .The management scheme included defining the purpose of patient visit, completing the relevant medical history and examination , confirming the current major diagnosis, analyzing causes of insulin-induced weight gain , eliminating concerns about insulin use , choosing the type of insulin, determining the insulin treatment plan and the diet plan , as well as giving health education of hypoglycemia accordingly .The general practitioner and the patient worked together on the individualized management plan .After 3 months of treatment, the patient's weight, fasting blood glucose, glycosylated hemoglobin , blood lipids and BMI levels were significantly decreased .
