Summary
This case study details the medical history and treatment challenges for Ty, a 65-year-old woman with poorly managed type 2 diabetes and stage 4 chronic kidney disease, complicated by medication non-adherence.
Case Study: Management of Type 2 Diabetes and CKD in a 65-Year-Old Woman
Highlights
Patient Presentation and Medical History
Ty, a 65-year-old woman with poorly managed type 2 diabetes, presents with a blood glucose of 190 mg/dL and an A1C of 8.5%. She also has stage 4 chronic kidney disease (CKD) with a creatinine of 1.9 mg/dL and an eGFR of 26 mL/min/1.73 m². A history of medication non-adherence is noted. Her current medications are donepezil 5 mg at bedtime and losartan 50 mg daily, with a blood pressure of 125/76 mmHg and normal potassium levels (4.1 mEq/L).
Therapeutic Challenges and Decision-Making
The combination of poorly controlled diabetes and advanced CKD significantly impacts therapeutic decisions. Her compromised renal function restricts many standard treatment options, necessitating a careful review of the latest guideline recommendations to determine appropriate management strategies.