Posted: March 13th, 2025

Lenora is a 57-year-old Jamaican American female who works as a desk clerk

Managing Chronic Diseases: A Case Study on Hypertension and Diabetes in a 57-Year-Old Female

According to the Centers of Disease Control and Prevention (CDC, 2023), six out of ten adults in the United States have at least one chronic disease, and about four in ten have two or more chronic diseases. These conditions are a leading cause of mortality and disability, significantly impacting healthcare systems and individuals' quality of life. Chronic diseases include cardiovascular conditions, cancers, diabetes mellitus, and Alzheimer’s. The prevalence of these diseases highlights the importance of preventive measures and effective management strategies. Diet is a lifestyle factor that affects the development of many chronic conditions and even some neurological diseases.

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After studying Module 6: Lecture Materials & Resources, read the case study and answer the following:

Lenora is a 57-year-old Jamaican American female who works as a desk clerk. Her job requires her to sit all day from 9 a.m. to 5 p.m., then she drives for one hour to go home. This sedentary lifestyle, combined with poor dietary habits, exacerbates her risk of chronic disease progression. She lives alone in a studio apartment. By the time she gets home, she is tired and barely has time to pick up some fast food. She was recently diagnosed with hypertension and diabetes type 2. She is 5’ 5” tall and weighs 180 pounds with a BMI of 30.1. Her blood pressure was 150/105 and her HbA1C of 7.5%. The healthcare team starts Lenora on atenolol (Tenormin) for her hypertension and metformin (Glucophage) for her diabetes.

References:

Centers of Disease Control and Prevention. (2023). About chronic diseases. https://www.cdc.gov/chronicdisease/about/index.htm#risks

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American Diabetes Association. (2023). Standards of Medical Care in Diabetes. https://diabetes.org

World Health Organization. (2023). Hypertension. https://www.who.int/news-room/fact-sheets/detail/hypertension

In paragraph form:

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Provide at least two (2) complications of uncontrolled hypertension and diabetes.

Provide at least two (2) risk factors that may contribute to Lenora’s development of hypertension (see Appendix J: Body Mass Index (BMI) of your textbook).

Describe what is HbA1C and how is it used to monitor diabetes? (see Chapter 20, page 564 of your textbook).

Discuss what dietary counseling will Lenora need to control her hypertension and diabetes? Provide at least two (2) examples.

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