Outcome evaluation

• The success of therapy for DM is measured by the ability of the patient to manage his or her disease appropriately between health care provider visits.

• Appropriate therapy necessitates adequate patient education about the disease, development of a meal plan to which patients can comply, and integration of a regular exercise program.

Patient Encounter, Part 3: Follow-Up

It has been 3 years since EP was diagnosed with diabetes. His weight is now 123 kg (270 lb) and additional information can be found below about today's visit.

Fasting glucose: 190 mg/dL (10.5 mmol/L); BP: 142/84 mm Hg; BUN: 13 mg/dL (4.64 mmol/L); creatinine: 0.9 mg/dL (80 pmol/L); AST/SGOT: 19 IU/L (0.34 pKat/ L); ALT/SGPT: 20 IU/L (0.33 pKat/L); TSH: 1.26 microunits/mL (1.26 mU/L); total cholesterol: 236 mg/dL (6.1 mmol/L); LDL: 152 mg/dL (3.93 mmol/L); HDL: 29 mg/ dL (0.75 mmol/L); triglycerides: 223 mg/dL (2.52 mmol/L); A1c: 10.6%; body fat: 48%; waist circumference: 48 inches (122 cm).

Blood Glucose Results (Units of mg/dL [mmol/L])

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