TY  - CHAP
M1  - Book, Section
TI  - Pancreatic Hormones and Antidiabetic Drugs
A1  - Jobst, Erin E.
A1  - Panus, Peter C.
A1  - Kruidering-Hall, Marieke
PY  - 2020
T2  - Pharmacology for the Physical Therapist, 2e
AB  - CASE  STUDYS.L.  is  a  50-year-old  woman  with  a  body  mass  index  of  30  kg/m2  and  a  4-year  history  of  type  2  diabetes.  Her  only  medication  is  metformin,  which  she  takes  twice  per  day.  She  is  a  lawyer  with  a  sedentary  lifestyle.  She  admits  that  she  also  struggles  to  adequately  monitor  her  diet.  Her  recent  fingerstick  blood  glucose  levels  have  ranged  from  95  to  280  mg/dL,  with  the  higher  values  taken  after  meals.  At  her  recent  medical  checkup,  her  A1C  was  8.7%,  elevated  from  her  previous  measurement  at  7.5%.  Because  current  metformin  monotherapy  has  failed  to  control  her  hyperglycemia,  the  physician  discussed  the  risks  of  chronic  hyperglycemia  as  well  as  options  for  achieving  glycemic  control.  Following  this  discussion,  S.L.  expressed  a  renewed  interest  in  making  a  stronger  attempt  at  lifestyle  management.  The  physician  encouraged  this  new  commitment.  She  recommended  an  outpatient  rehabilitation  clinic  for  development  of  an  appropriate  exercise  program  as  well  as  consultation  with  a  dietitican  for  dietary  control.  She  also  prescribed  another  antidiabetic  agent,  repaglinide,  to  decrease  postprandial  blood  glucose  elevations.  For  the  past  month,  S.L.  has  been  participating  in  an  aerobic  and  resistance  exercise  program  5  times  per  week,  as  initially  prescribed  by  a  physical  therapist.  Today,  she  arrived  at  the  clinic  for  a  reevaluation  and  advancement  of  her  exercise  program.  After  assessment  of  baseline  vital  signs,  the  physical  therapist  started  S.L.  on  the  treadmill  for  an  aerobic  warm-up.  Within  10  minutes,  S.L.  became  diaphoretic  and  shaky.  The  therapist  assisted  her  off  the  treadmill  and  into  a  chair.  S.L.  performed  a  fingerstick  blood  glucose  reading,  which  was  53  mg/dL.  The  therapist  brought  her  some  fruit  juice  and  hard  candy.  Within  30  minutes,  S.L.  felt  well  and  a  second  fingerstick  blood  glucose  reading  was  92  mg/dL.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2023/03/29
UR  - accessphysiotherapy.mhmedical.com/content.aspx?aid=1192817395
ER  -