A 45-year-old man is meeting his doctor for his annual physical. He suffers from Type 2 diabetes and has a family history of coronary disease. Recently his job has become more stressful and he has been eating cookies and drinking soda to cope. What state of change is this man in?

The man is on the verge of having a heart attack or a stroke.

Explanation:

If he has a family history of coronary (heart) disease, it means it could normally affect. Normally here means without anything aggravating it. It's already in his lineage so he could have it.

Now, he's past middle age - he's 45. He's past the growing stages of life. His organs are fully developed herefore.

Now also, he suffers from Type 2 diabetes. Although this is sometimes milder than Type 1 diabetes, it increases the risk of having a heart disease or a stroke!

Soda, especially sweetened one, is not to be taken too often because it can cause Diabetes Mellitus. For a diabetes patient, this should be a "no-go-area". Taking this constantly (everyday at work) will now put this 45-year-old man in harm's way.

He is no more at risk of having complications but already on the path to a heart disease or a stroke.

the results is a decrease in air temperature with an increase of altitude.

explanation:

radiation warms things up temp rises convection currents air circ windy weather