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Interactive case studies
Case four


Additional information


Step 2 of 8:
Patient background
Additional information
Carry out tests
Patient questionnaire
Treatment regimen
Treatment results
Patient follow-up
Further patient follow-up
References


P does not smoke and only drinks socially.

P has had difficulties in accepting his diagnosis and so has failed to comply with his treatment. In addition, over the past 2 years, he has missed several hospital diabetes and ophthalmology clinics, practice diabetes clinics and a mobile retinal photography unit appointment, culminating in being discharged from the hospital diabetes clinic. He has also received a strongly worded letter from the practice diabetes clinic explaining the risks of failing to monitor and control diabetes.

In addition to attendance problems, P has not tolerated his treatment with metformin.

P's job as a long distance delivery driver has a huge impact on his lifestyle. He often eats in cafes and service stations at the side of the road, where the menus can be limited and high in fat. His driving also means he has long periods of inactivity. At previous clinic appointments, he has often expressed concerns about incorporating exercise and healthy meals into this schedule.

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