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Type 2 Diabetes: A Case Study

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Mr. NX is a 35-year-old-male with complaint of back pain and not feeling well. He reports he has chronic back pain that is a constant tight, dull ache in which he has experienced over the past 10 years, without loss of function. He has a prior history of Type II diabetes, hypertension, and recurring deep vein thrombosis in which he routinely takes Glyburide, Lisinopril, and Coumadin for these disorders. Mr. NX reports he started a workout program three weeks prior in which he started two complementary alternative medications (CAMs) of Creatine and Coenzyme Q10. Other CAMs he reports taking is Kava Kava for anxiety and Garlic for his hypertension.
It is apparent that Mr. NX needs a pharmacological management plan that addresses contraindications …show more content…

As creatine is released, it produces creatine phosphate yielding adenosine diphosphate (ADP) that stimulates oxygen uptake and the provision of an energy source. It is believed to be a potential ergogenic aide effective for activities that are short and high-intensity leading to improvement in performance; however, study results have been variable. Supplementation of creatine increases serum and urinary creatine levels, increasing the creatine load on the kidneys. Individuals with renal function impairment or diabetes need close monitoring if supplementation is necessary (Drugs.com, 2009a). In this case, with Mr. NX being diabetic and with the supplementation is not necessary, recommendation would be to cease taking this supplement. If NX insists on the use of creatine, close monitoring of renal function and electrolytes will need to be completed along with monitoring for dehydration, reductions in blood volume, and muscle cramping (Drugs.com 2009a). It will be important to emphasize with Mr. NX the need to clear all medications, prior to initiation, with this provider prior to starting any CAMs in the

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