CaseStudies NCMMemberHistories

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. 

  • Initial Intervention: She set three self-management goals that included obtaining new house shoes, making better dietary choices, and discussing her depression with PMP.  
     
  • 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. 

  • Initial Intervention:  She has established four self-management goals, which were to stop smoking, increase activity, improve diet, and take medication for chronic condition.
     
  • 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.

  • 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.  
     
  • 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. 

  • 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.  
     
  • 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. 

  • 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.
     
  • 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. 

  • 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.
     
  • 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.

  • 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.  
     
  • 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.