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A review of a self-diagnosed diabetic case study

02 March 2015
Volume 7 · Issue 3

Abstract

This paper reflects on a case of a 26-year-old male taking medication for undiagnosed diabetes. The patient is resident in the United Arab Emirates (UAE) and while Federal Law does not place the same focus on patient confidentiality as UK law, all patient identifiable information has been anonymised in line with the Principles of Caldicott (Department of Health, 1997) and has received ethical approval.

The purpose of this review is to critically analyse the effect of self-medicating for a self-diagnosed condition, in this case diabetes. The focus of the case study draws on multiple experiences in which a patient has self-diagnosed and implemented a medication regime without advice from medically trained personnel.

The following case study focuses on a 26-year-old male patient resident in the United Arab Emirates (UAE) who called an emergency ambulance for himself complaining of ‘sugar problems’. The ambulance arrived and, using a standard procedure, the two person crew carried out an assessment of the patient and obtained a thorough history (Caroline, 2008). The treatment outcome was then performed using a step-wise decision-making technique, in accordance with clinical operations.

On the arrival of the ambulance crew, a general impression of the patient was formed. The patient appeared well, and was sat up in a chair, alert. The initial assessment indicated the patient to be in a stable condition with no immediately obvious problem. Vital signs measured and recorded as part of the assessment included: oxygen saturations, cardiac monitoring and blood glucose levels, all of which were within normal parameters. A more in-depth assessment was then performed as no immediate life threats were discovered (Caroline, 2008). The patient's body mass index (BMI) was approximated at 30, by weight: 210 lbs, and height: 70 in. The BMI correlates with direct measures of body fat, such as underwater weighing. However, these methods are not available in the pre-hospital environment; therefore, this measurement is a simple alternative (Centers for Disease Control and Prevention, 2014).

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