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Member Case Studies
J.M. is a 56 year-old female with diabetes.
A.A. is a 67 year-old female with diabetes and congestive heart failure.
K.C. is a 56 year-old female with diabetes.
J.B. is a 51 year-old female with diabetes and congestive heart failure.
N.G.
is 36 year-old female with diabetes and strong family history of heart
disease.
L.C. is a 50 year old male with Diabetes as well as other complex medical
conditions.
R.A. is a 57 year old female with Diabetes.
1.
J.M. is a 56 year-old female with diabetes.
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Initial Intervention: She set
three self-management goals that included obtaining new house shoes,
making better dietary choices, and discussing her depression with PMP.
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Follow up: She obtained 3 pairs of
house shoes. J.M. states that she now only consumes diet soda and
exercises in her chair while watching television each day. She has lost
37 pounds. J.M. also states that her depression has decreased in severity
since discussing it with her PMP and receiving the appropriate medication.
2. A.A. is a 67 year-old female with diabetes and
congestive heart failure.
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Initial Intervention: She has established four self-management
goals, which were to stop smoking, increase activity, improve diet, and take
medication for chronic condition.
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Follow up:
She is no longer smoking and is taking all medication
as prescribed. A.A. is tracking her blood sugars at least twice a day and
has increased her physical activity.
3. K.C. is a 56 year-old female with diabetes.
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Initial
Intervention: K.C. chose three self-management goals that included
changing eating habits to more appropriate foods given her chronic
condition, walking the equivalent of one city block each day, and gradually
decreasing her smoking.
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Follow up:
She is exercising daily by walking or dancing. K.C. is also following a
diet appropriate for someone with diabetes and has stopped smoking.
4. J.B. is a 51 year-old female with diabetes and congestive heart
failure.
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Initial
Intervention: She set three self-management goals that included
following a diabetic and low-fat diet, decreasing smoking, and increasing
exercise by using a treadmill or walking each day.
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Follow up:
J.B. has improved her diet and is losing weight. Her blood sugars are
controlled. She is also no longer smoking. J.B. reports that she has
increased her physical activity by exercising regularly and is not sleeping
during the day.
5.
N.G. is 36 year-old female with diabetes and strong family history of heart
disease.
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Initial
Intervention: During the first visit, she expressed frustration with
her weight. She had tried the Atkins diet, but given up. She was also on
oxygen. She had to stop taking her medication because of complications with
her liver. Her self-management goals were to lower her blood sugar through
appropriate diet and exercise and to increase her physical activity to lose
weight.
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Follow up:
N.G. joined a weight loss program and increased her physical activity to
walking 3 times a week. She has lost 20 pounds since January, is no longer
on oxygen, and has lowered her blood sugar, which means she will not need to
start insulin injections.
6. L.C. is a 50 year old male with Diabetes as well as
other complex medical conditions.
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Initial
Intervention: He recognized that he needed to change his diet, increase
his physical activity, and stop smoking. L.C. agreed to eat more nutritious
meals, establish a daily walking routine, and reduce his smoking.
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Follow-up: In tracking his glucose
levels, L.C. realized that a better diet and greater physical activity
positively impacted his glucose levels. He reports lower glucose levels and
more physical activity. He set a goal of reducing his glucose levels to
100-150.
Two months later, L.C. reported glucose levels
that ranged from 60-138. He continues to exercise and improve his diet. He
is also checking his feet and attending his medical appointments.
7.
R.A. is a 57 year old female with Diabetes.
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Initial
Intervention: R.A. established three
self-management goals, which included asking her PMP to check her feet at
each visit, improve her diet, and reduce her smoking.
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Follow-up:
R.A. reports that she has reduced smoking from 2-3 packs of cigarettes per
day to 1 or less packs per day. She has also started exercising by riding
an exercise bike for 25 minutes at least three times a week. R.A. feels
better and she is not experiencing numbness in her feet as often as she did
before exercising.

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