Question

CASE STUDY

Tyson is a computer programmer. He is 40 years old, and just started a strengthening and conditioning workout program (moderate intensity) at a local gym about a week ago. He has a chronic low back pain past few years. He works a lot of hours and overtime, and used to smoke cigarettes, but quit smoking 7 months ago. He is not currently taking any medications. His mother was diagnosed with type II diabetes at 45 years, but is still alive. His father was treated for prostate cancer at 55 years, but is still alive. He just went to the doctor and found out the following information:

Resting Blood Pressure: 136/90 mmHg           Resting Heart Rate: 65 bpm       HbA1c: 6.7%

Weight: 180 lbs           Height: 6’3’’       Waist circumference: 103cm   

LDL: 129 mg/dL   HDL: 61mg/dL Total Cholesterol: 219 mg/dL       

Based on the case above, the risk factor for family history is  

a.) absent neutral

b.) present negative

Answer 1

Yes the Risk factor for family history is present

He is having strong maternal and paternal familial risk factors.

He is having high risk for diabetes mellitus as maternal family history has higher influence in the individuals

He is having HbA1c 6.7% which is at the extreme end of normal . He will be positive for diabetes mellitus at any time if diet control is not implement . This is an example of familial history influence from maternal side so Option a is wrong

So the risk factor for family history is present.