A 62-year-old morbidly obese patient is referred to a physic…
A 62-year-old morbidly obese patient is referred to a physical therapist by their primary care physician due to deconditioning and increased falls due to diabetic neuropathy in his bilateral lower extremities. The patient reports that they were diagnosed with Type 2 DM (diabetes mellitus) approximately 10 years ago. They report that their average blood sugar levels are 180 mg/dl. The patient does not wear a continuous blood sugar monitor and performs blood sugar checks 2-3 times per day. His initial evaluation results are as follows: Vitals: BP: 148/88, HR 88, O2 sats 94% Berg Balance Scale: 45/56 5 times sit to stand: 18.2 seconds 6 minute walk test: 210 meters. Vital signs following: 160/89, HR 110, O2 sats 95%. RR 23, RPE rated at 8/10 (Borg 0-10 scale). 10 MWT: 0.87 m/s at usual speed Sensation: 5.07 monofilament testing- 6/10 locations not felt on right, 4/10 locations not felt on the left. The PT is seeing the patient was their second visit. The patient checked his blood sugars about 3 hours ago prior to breakfast and said they were 192 mg/dl. The PT plan of care includes therapeutic exercise. Which of the following would be appropriate to include?
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