Treatment approach for diabetes mellitus type 2 in a 70-year-old male: A case report.

RATIONALE

The case of the 70-year-old male with type 2 diabetes mellitus highlights the complexities involved in managing chronic conditions, particularly in low-resource settings. The need for holistic diabetes management policies and standard treatment guidelines is underscored by the patient's deteriorating health and eventual death despite receiving multidisciplinary care. This case emphasizes the importance of structured approaches to diabetes management to improve patient outcomes and reduce mortality rates.

PATIENT CONCERNS

The patient presented with significant concerns, including general body weakness, inability to eat, and widespread body pains. These symptoms not only reflect the physical challenges associated with diabetes but also point to potential complications such as diabetic foot and acute depression, which can adversely impact the quality of life and overall health of individuals with diabetes.

DIAGNOSES

This was a known diabetic patient who was diagnosed with diabetic foot and acute depression during his hospital stay. These diagnoses are critical as they represent common yet serious complications of diabetes that require immediate and effective management to prevent further deterioration of the patient's health generally.

INTERVENTIONS

A multidisciplinary approach was employed in managing the patient's condition, involving medical officers, clinical officers, nutrition technologists, eye health care providers, nursing caregivers, and psychosocial counsellors. This collaborative effort aimed to address the various aspects of the patient's health, including therapeutic, surgical, physical, nutritional, and psychological needs, which are essential in managing diabetes effectively.

OUTCOMES

Despite the comprehensive care provided, the patient unfortunately passed away on March 8, 2024. This outcome raises significant concerns regarding the effectiveness of the interventions implemented and highlights the challenges faced in managing diabetes in a low-resource setting. It also points to the need for ongoing evaluation and improvement of diabetes care protocols and policies.

LESSONS

This case serves as a critical reminder of the necessity for well-defined policies and treatment guidelines for diabetes management at all levels of healthcare. It emphasizes the importance of early intervention, continuous monitoring, and the integration of mental health support in the management of chronic diseases like diabetes, particularly in resource-limited environments.