Similarly, T2DM is insulin resistant condition in which the body cells are unable to react to the insulin effectively and fails to generate enough insulin. It is a compound endocrine and metabolic disorder resultant of the interaction amongst environmental and genetic factors, that triggers the alteration in the function of insulin in the β cell of pancreas and on peripheral tissues (DeFronzo et. al, 2015). According to the report of Australian Institute of Health and Welfare, the prevalence of diabetes was higher in male (7%) than female (5%) in 2017-2018. Likewise, the people in the age group of the year 65-74 had the highest rate (16%) of diabetes than the other age group (2019).
The quality of life of the individual with CKD and T2DM is poor than the general people. The self-management interventions on symptom alleviation, patient education on lifestyle changes have a positive impact on CKD people and T2DM (Donald et al., 2018). Thus, based on the patient consideration and collected cues the care priorities for Mr George are diabetes, education on medication and obesity. However, caring diabetic foot ulcer and medication education will be prioritised and discussed below.