Chapter 24 Diabetes Mellitus Q&A (1 of 105) Sample Questions
1. Diabetic selfcare.
Melchor, a 68-year-old-man with type 2 diabetes who came to visit your pharmacy is complaining about not being able to see the blood glucose readings on his meter. Past 2 years he began to experience blurry vision so he consulted an optometrist hoping to get new glasses. His optometrist after assessment referred Melchor directly to the emergency department because he was found to have severe bilateral diabetic retinopathy. Since that visit, Melchor has had several laser treatments and surgeries of both eyes. Melchor is now essentially blind. Melchor has medical history of hypertension, dyslipidemia and hypothyroidism for which he takes lisinopril, atorvastatin, and levothyroxine. He complains impairment in his vision and eye pain. He asks for recommendation for protecting his eyes. What information should the pharmacist provides?
- A. Recommending to optimize his blood sugar levels and blood pressure, dyslipidemia
- B. Ask to be more compliant with his antidiabetic drugs.
- C. Regular exercise and blood glucose control
- D. As he developed impairment of vision and eye pain, he should be referred to ophthalmologist.
Ans:
D
Tips: diabetic retinopathy is microvascular complications risk is increased by numerous factors includes duration diabetes, degree of glycemic control, nephropathy and other macrovascular conditions such as high blood pressure, and dyslipidemia. If patients develops any vision impairment and eye pain it should evaluated by ophthalmologist immediately.
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