A.

Biographic Data
Mr. A.B is 69 years old, male. He lived in Lingsat, City of San Fernando,

La Union.

B. Reasons for Seeking Health Care

Referred by his family physician to the diabetes specialty clinic, Mr. A.B

presents recent weight gain, suboptimal diabetes control, and foot pain.

C. Present Health History

Mr. A.B has a 5 year history of Type 2 diabetes, he was diagnosed in

1997. He had no symptoms indicating hyperglycemia for 2 years before

diagnosis.

D. Past Health History

Mr. A.B medical records indicate that he has had no surgeries or

hospitalizations, his immunizations are up to date, and in general, he has been

remarkably healthy for many years.

E. Family Health History

Both of his mother and father has type 2 diabetes.

F. Lifestyle and Practices

1. Description of Typical day
Data not included.

2. Nutrition
Mr. A.B has a past episodes of nocturia associated with large meals and

Italian pastries. Mr. A.B.’s diet history reveals excessive carbohydrate intake in

the form of bread and pasta. His normal dinners consist of 2 cups of cooked pasta

with homemade sauce and three to four slices of Italian bread. During the day, he

often has “a slice or two” of bread with butter or olive oil. He also eats eight to

ten pieces of fresh fruit per day at meals and as snacks. He prefers chicken and
 fish, but is usually served with a tomato or cream sauce accompanied by pasta.

His wife has offered to make him plain grilled meats, but he finds them

“tasteless”. He drinks 8 oz. of red wine with dinner each evening.

3. Activity Level & Exercise

The time of his initial diagnosis, he was advised to lose weight (at least 10

lb.) no further action taken.

In the past 6 months, Mr. A.B. has trying to lose weight and increase his

exercise without success.

During the past year, he is even more physically active, playing golf once

a week and gardening.

4. Self-Concept
Mr. A.B. stated that he never been sick in his life.

5. Relationship
He live with his wife and has two married children.

6. Stress Level
Data not included.

7. Environment
Data not included.

8. Education & Work

He recently sold his business and has become highly active in a variety of

volunteer organizations.

9. Values & Beliefs

Data not included.

10. Sleep & Rest

Data not included.

G. Developmental Stage
 Mr. A.B is in his late adulthood. The final psychosocial stage is known as

integrity versus despair and it begins around the age of 65 and lasts until death. During

this period of time, the individual looks back on his or her life.