Randall is a 44-year-old African American male, currently worksfor a construction company. He presents to the Emergency Room withangina complaints after nearly falling off the ladder at worktoday. The patient states he is having episodes of blurred visionand has numbness in his feet. On assessment, the following wascharted:
- History of smoking (quit 5 years ago)
- Blood pressure: 168/100
- Diminished pulses in bilateral lower extremities
- Weight: 290 pounds
- BMI: 44.1
- Dime size wound on the bottom left big toe.
Blood and urine samples are taken with the followingresults:
- Triglycerides: 180
- Blood glucose: 306
- HgbA1c: 11.5
- Urine tested positive for glucose.
Based on the scenario above, what type of diabetes does Randallhave?
What complication has he developed? What is the likelytreatment?
List two other signs and symptoms of hyperglycemia Randall didnot show.
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