Diabetes spreads via the impact of specific factors involving both genetic and ecological factors. I came across BT, a dark-skinned woman with type II diabetes, on 28th September 2022. BT, who is 66 years of age, was found with the disease 11 years back at around 55 years of age. BT’s husband is a Sergeant who has retired, and they have one child. BT clarified that she has various illnesses like diabetic nephropathy, obesity, and hypertension, which usually affect her when she works, making her lose focus at work. BT expounded that DKD came because of hypertension (Zheng et al., 2017). BT explained that she does not usually eat food that contains a diet that is balanced. She mentioned a scenario. Once, she took irregular food containing pizza cheese (3oz) since she enjoyed it, half-overheated potato containing skin (1.5oz), (3oz) pork tenderloin, 2 and a half cups (150g) weight-losing vegetable soup + corn that is steamed.
In addition, BT maintains a practical diet to maintain her blood sugar levels and follows the doctor’s plan of treatment, which involves a tablet of metformin (oral LD50 [rat]) twice daily. Because of that, hemoglobin amounts of BT are seven percent. Over the past three months, BT has checked her blood sugar levels each day, and she conducts a finished hemoglobin analysis, which is repetitive. According to Jannoo & Mamode (2019), the normal hemoglobin range for diabetes is 4% to 5.6%; 5.7% to 6.4% shows one is prediabetes, and over 6.5% shows one has a diabetes condition. To add to that, BT’s BMI is 34, meaning she is optimistic; therefore, she engages in physical exercise every day. Relevantly, obesity causes a rise in fatty acid levels and inflammations, leading to resistance to insulin, a feature shared with diabetes.