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Characterization of Sickling During Controlled Automated Deoxygenation with Oxygen Gradient Ektacytometry
Published on: November 5, 2019
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When glycosylated hemoglobin is a true roller coaster.
Fabiana Ribeiro Peixoto1, Cátia Alexandra Ferreira Martins2, Pedro Daniel Miranda Couto3
1Mestrado Integrado em Medicina, USF Odisseia, Maia.
Porto Biomedical Journal
|October 10, 2019
Summary
Corticosteroids can worsen blood sugar control. A patient with type 2 diabetes experienced poor glycemic control due to workplace coercion for corticosteroid injections, but physician trust helped her refuse further medication.
Area of Science:
- Endocrinology
- Pharmacology
- Public Health
Background:
- Corticosteroids are known to adversely affect glycemic control.
- Patients with diabetes mellitus require careful monitoring when using corticosteroids.
Purpose of the Study:
- To report a case of poor glycemic control in type 2 diabetes mellitus.
- To highlight the impact of workplace coercion on medication adherence and health outcomes.
Main Methods:
- Case report detailing a patient's experience with intramuscular corticosteroid administration.
- Emphasis on the therapeutic relationship between the patient and family physician.
- Patient education and trust-building to facilitate informed decision-making.
Main Results:
- Intramuscular corticosteroid administration at work led to poor glycemic control.
- The patient's trust in her physician enabled her to refuse further coerced medication.
- Improved patient-physician communication was key to addressing the adverse effect.
Conclusions:
- Workplace factors can significantly impact patient health and treatment adherence.
- Physician-patient relationships are crucial for overcoming external pressures affecting medical care.
- Awareness of corticosteroid effects on diabetes is vital for patient management.
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