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Ann Kellett, JD, RN

Director, International Diabetes Center, Health Midwest


This VHCT case was supported by Grant / Cooperative Agreement Number U32/CCU704929-09-1 from the Centers for Disease Control and Prevention (CDC). Its contents are solely the responsibility of the author and do not necessarily represent the official views of the CDC.

This VHCT case was done in collaboration with the Bureau of Chronic Disease, Missouri Department of Health and Senior Services. Those views expressed by the author of the case do not necessarily reflect those of the Bureau.

Diabetes Mellitus Type 2

Ann Kellett, JD, RN


This case presents the story of Alvin Floyd, a 53-year-old African American who presented with symptoms of uncontrolled diabetes mellitus, and traces his outcome for the 9 months following diagnosis.


  • Describe the symptoms of type 2 diabetes mellitus.
  • State the criteria for diagnosis of diabetes mellitus.
  • State the management goals for a patient with diabetes mellitus.
  • List the target goals for blood glucose, blood pressure and lipids.
  • Discuss the role of medical nutrition therapy and the benefit of increased activity.
  • List the types of oral medications for type 2 diabetes and their mechanisms of action.
  • Describe the short-term and long-term complications of diabetes mellitus.
  • Discuss the role of diabetes self-management education in assisting patients with type 2 diabetes to make the necessary behavioral changes to manage their disease.
  • Describe the routine primary care follow-up for a patient with type 2 diabetes.

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Last Update: March 6 2013