Case study ( 4576 views as of March 31, 2020 )
Matthew is a 31-year-old professional football player with uncontrolled Type 1 Diabetes. He was diagnosed at 19 years old, and has followed the same insulin therapy plan for the last 10 years. He was diagnosed after passing out at home and was rushed to the emergency room by his brother. During his hospital stay he was given a prescription for the insulin. Since then he continues to use the same prescription he was given during his hospital stay and cannot recall if he had a follow-up visit with an endocrinologist.
Matthew recently injured his shoulder during a game and upon work-up for surgery was told that his blood sugars appeared significantly uncontrolled. The surgeon is concerned that without better blood glucose management the healing process could be negatively affected.
Matthew currently takes the insulin, Novolin 40/60, 2 times daily, and admits to taking a little extra at times for training. The amount he takes varies as he guesses on the dose based on what he eats. He does not test his blood sugars and isn’t sure he still owns a blood glucose meter.
Upon further investigation, Matthew describes extreme aggressive mood swings and more recently some intermittent difficulties “in the bedroom”. Matthew now also questions whether his performance on the field has been negatively affected over the recent months prior to his injury.
Matthew’s orthopedic surgeon has referred him to his local Diabetes Management Centre for further intervention pre/post operation. There he will work with an Endocrinologist, Dietitian and Nurse Educator to formulate a plan that will address his blood sugars and possible side effects. He may also wish to see an Optometrist to assess any damage to his eyes.Author: Ms. Sarah Ware