SARAH IS A 53 YEAR OLD WOMAN, MODERATELY OBESE (BMI 29). A RECENT U/A WAS + FOR GLUCOSE AND FPG WAS 192 AND 204 ON A SECOND CHECK.
HER HBA1C IS 8.0. SHE COMPLAINS OF BEING THIRSTY, GAINING 20 POUNDS OVER THE PAST 2 YEARS, HAVING LESS ENERGY AND URINARY FREQUENCY. FAMILY HISTORY + FOR DIABETES. SHE IS A NON-SMOKER AND RARELY DRINKS ETOH. PHYSICAL EXAM NORMAL EXCEPT FOR BEING OVERWEIGHT. SHE IS DIAGNOSED WITH TYPE 2 DIABETES AND NEEDS TO BEGIN TREATMENT. LIST THE FOLLOWING:
Question
Sarah is a 53 year old woman, moderately obese (BMI 29). A recent U/A was + for glucose and FPG was 192 and 204 on a second check. Her HbA1c is 8.0. She complains of being thirsty, gaining 20 pounds over the past 2 years, having less energy and urinary frequency. Family history + for diabetes. She is a non-smoker and rarely drinks ETOH. Physical exam normal except for being overweight. She is diagnosed with Type 2 Diabetes and needs to begin treatment. List the following:
Treatment goals
Drug therapy to prescribe
How success of therapy will be evaluated
Patient education provided
List 1-2 possible drug related adverse reactions that would cause you to change treatment
Choice for second-line therapy
Dietary & lifestyle changes
Describe 1-2 drug-drug or drug-food interactions that could occur
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