Endo Scenario 2 Flashcards
1
Q
General demeanour
A
SUPER CHATTY – LOTS OF CHAT!!!
2
Q
Background
A
- Type 1 Diabetes since age 18
3
Q
When diagnosed (3)
A
- At uni
- Got very thirsty and tired and needing to wee a lot
- Luckily a friend was studying medicine and told me to got to a doctor!
4
Q
When diagnosed (4)
A
- At uni
- Got very thirsty and tired and needing to wee a lot
- Luckily a friend was studying medicine and told me to got to a doctor!
- Have been on insulin ever since
5
Q
Attitude to diabetes (5)
A
- cope pretty well
- can be boring at times but I deal with it ok
- only a couple of hypos and only been in hospital once
- go to annual GP check every year
- see podiatrist to check feet and eye screening every year
6
Q
General health (4)
A
- Good health otherwise
- Don’t smoke
- No other medication
- Look after myself
7
Q
Life in general (2):
A
- science teacher
- married with one child
8
Q
Recent Diagnosis (4):
A
- Moderate non-proliferative diabetic retinopathy
- blocked blood vessels, leaky blood vessels, and some blood vessels that aren’t normal
- no new blood vessels forming
- No immediate risk of losing sight, but need to monitoring and to better improve my diabetes
9
Q
Today
A
- Waiting to see opthamolagy doctor
10
Q
Worries
A
- Losing about losing sight and not being able to see my child!
11
Q
Worries
A
- Losing about losing sight and not being able to see my child!
12
Q
Work stresses (4)
A
- very busy
- head of year at an academy
- some stressful characters
- GCSE marks have changed and no-one knows what is good anymore, but the headmaster has been on my case
13
Q
Result of stress - lifestyle:
A
- hands been in the cooky jar
- drinking one or two bottles of wine every weekend
- blood sugar control has got a bit erratic
14
Q
Result of stress/lifestyle - physiological (4)
A
- HbA1C higher than usual (60mmol/mol versus upper-40s / lower 50s)
- Blood pressure up (140/85 ve 120/80)
- Weight gone up a few kilos
- The practise nurse did comment on these things but I was really busy that day and didn’t really think about it. Normally you’re on top of the whole diabetes thing!
15
Q
Hopes (2)
A
- Hope to deal with the diabetes through the Mediterranean diet and
- More exercise (currently I cycle to work every day)