Question

A. Case Study About Lipid-Related Medical Problem (Hyperlipidemia/Atherosclerosis) A 52-year-old man with type 2 diabetes mellitus and hypertension was referred to our clinic for assessment of mixed hyperlipidemia found on routine investigation. Results of our physical examination were unremarkable. The patient had no xanthomatous deposits. His family history was strongly positive for type 2 diabetes. His medications included ramipril, glyburide, and hydrochlorothiazide. In our further laboratory testing, a fasting blood sample revealed a grossly lipemic serum, with a total cholesterol level of 536.34 mg/dLtotal triglyceride level of 5927.4 mg/dL (normal=31.15-151.3 mg/dL), and high-density cholesterol (HDL-C) level of 23.4 mg/dL (normal=35.1-93.6 mg/dL). His thyroidstimulating hormone (TSH) level was 0.54 mIU/L. Results were in the normal range for urea, creatinine, electrolytes, bilirubin, alkaline phosphatase, alanine aminotransferase, and albumin. Hemoglobin A1c (HbA1c) was 9.5%.
1. How does the lipid metabolism increase during uncontrolled diabetes?
2. Based from the patient’s laboratory results, is it critical to lower elevated serum triglyceride levels? Why?
3. Which of the 3 components of fatty acids may have raise the serum total and LDL cholesterol levels? Explain.
4. The patient has Hemoglobin A1c of 9.5%. Does it affect cholesterol levels? How?
5. What is the first treatment plan will you give to the patient? Explain.

Answer 1

Answer:

go to hell

Explanation:

gtrhbrggvgggggffhbfxfgggggggģo 7sxhd7h2gy jjwjrjfjfjtguu