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Optimizing Type 2 Diabetes Management in a Medically Complex Patient: A Case Report of a Patient with Type 2 Diabetes and HIV

BACKGROUND: The prevalence of diabetes is rapidly escalating, with projections indicating that 783 million individuals aged 20–79 years worldwide will be affected by diabetes. This rise is concurrent with a persistent prevalence of HIV in developing nations, while conventional risk factors such as s...

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Autores principales: Kabakambira, Jean Damascene, Kong, Jason M
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10426454/
https://www.ncbi.nlm.nih.gov/pubmed/37588513
http://dx.doi.org/10.2147/DMSO.S415949
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author Kabakambira, Jean Damascene
Kong, Jason M
author_facet Kabakambira, Jean Damascene
Kong, Jason M
author_sort Kabakambira, Jean Damascene
collection PubMed
description BACKGROUND: The prevalence of diabetes is rapidly escalating, with projections indicating that 783 million individuals aged 20–79 years worldwide will be affected by diabetes. This rise is concurrent with a persistent prevalence of HIV in developing nations, while conventional risk factors such as sedentary lifestyle and unhealthy diet may account for this trend, HIV and its treatment have emerged as potential contributing factors. Achieving optimal diabetes control in patients with HIV necessitates a profound understanding of the intricate interplay between the two diseases and their respective treatments. CASE REPORT: We present a case involving a patient with long standing type 2 diabetes, coexisting HIV infection and hypertension. Despite receiving high doses of insulin, as advised by most diabetes guidelines, the patient’s diabetes remained poorly controlled. In lieu of strictly adhering to guidelines, our primary focus was to conduct a comprehensive reevaluation of the patient’s medications, prioritizing the development of streamlined and safe treatment regimens for all three of her medical conditions. Employing this strategy, we observed swift improvement in blood glucose levels, leading to successful diabetes control within one year. CONCLUSION: This case underscores the importance of individualizing diabetes management in patients with multiple comorbidities. It highlights the significance of reassessing treatment approaches beyond standard guidelines, with a focus on tailoring therapy to suit the unique needs and complexities of each patient’s medical profile. Such personalized interventions hold promise for achieving optimal diabetes control in individuals with diverse comorbidities.
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spelling pubmed-104264542023-08-16 Optimizing Type 2 Diabetes Management in a Medically Complex Patient: A Case Report of a Patient with Type 2 Diabetes and HIV Kabakambira, Jean Damascene Kong, Jason M Diabetes Metab Syndr Obes Case Report BACKGROUND: The prevalence of diabetes is rapidly escalating, with projections indicating that 783 million individuals aged 20–79 years worldwide will be affected by diabetes. This rise is concurrent with a persistent prevalence of HIV in developing nations, while conventional risk factors such as sedentary lifestyle and unhealthy diet may account for this trend, HIV and its treatment have emerged as potential contributing factors. Achieving optimal diabetes control in patients with HIV necessitates a profound understanding of the intricate interplay between the two diseases and their respective treatments. CASE REPORT: We present a case involving a patient with long standing type 2 diabetes, coexisting HIV infection and hypertension. Despite receiving high doses of insulin, as advised by most diabetes guidelines, the patient’s diabetes remained poorly controlled. In lieu of strictly adhering to guidelines, our primary focus was to conduct a comprehensive reevaluation of the patient’s medications, prioritizing the development of streamlined and safe treatment regimens for all three of her medical conditions. Employing this strategy, we observed swift improvement in blood glucose levels, leading to successful diabetes control within one year. CONCLUSION: This case underscores the importance of individualizing diabetes management in patients with multiple comorbidities. It highlights the significance of reassessing treatment approaches beyond standard guidelines, with a focus on tailoring therapy to suit the unique needs and complexities of each patient’s medical profile. Such personalized interventions hold promise for achieving optimal diabetes control in individuals with diverse comorbidities. Dove 2023-08-11 /pmc/articles/PMC10426454/ /pubmed/37588513 http://dx.doi.org/10.2147/DMSO.S415949 Text en © 2023 Kabakambira and Kong. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Case Report
Kabakambira, Jean Damascene
Kong, Jason M
Optimizing Type 2 Diabetes Management in a Medically Complex Patient: A Case Report of a Patient with Type 2 Diabetes and HIV
title Optimizing Type 2 Diabetes Management in a Medically Complex Patient: A Case Report of a Patient with Type 2 Diabetes and HIV
title_full Optimizing Type 2 Diabetes Management in a Medically Complex Patient: A Case Report of a Patient with Type 2 Diabetes and HIV
title_fullStr Optimizing Type 2 Diabetes Management in a Medically Complex Patient: A Case Report of a Patient with Type 2 Diabetes and HIV
title_full_unstemmed Optimizing Type 2 Diabetes Management in a Medically Complex Patient: A Case Report of a Patient with Type 2 Diabetes and HIV
title_short Optimizing Type 2 Diabetes Management in a Medically Complex Patient: A Case Report of a Patient with Type 2 Diabetes and HIV
title_sort optimizing type 2 diabetes management in a medically complex patient: a case report of a patient with type 2 diabetes and hiv
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10426454/
https://www.ncbi.nlm.nih.gov/pubmed/37588513
http://dx.doi.org/10.2147/DMSO.S415949
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