CASE STUDY PROGRESS: Y.L. is diagnosed with type 2 DM. The PCP starts her on metformin (Glucophage) 500 mg and glipizide

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CASE STUDY PROGRESS: Y.L. is diagnosed with type 2 DM. The PCP starts her on metformin (Glucophage) 500 mg and glipizide

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Case Study Progress Y L Is Diagnosed With Type 2 Dm The Pcp Starts Her On Metformin Glucophage 500 Mg And Glipizide 1
Case Study Progress Y L Is Diagnosed With Type 2 Dm The Pcp Starts Her On Metformin Glucophage 500 Mg And Glipizide 1 (107.96 KiB) Viewed 45 times
Other aspects to consider: Her current weight is 173
pounds. Today, her BP is 152/97 mm Hg, and a random plasma glucose
is 291 mg/dL. Results for following laboratory studies:
Laboratory Test Results
Fasting glucose 184 mg/dL
HbA1C 8.8%
LDL 155 mg/dL
Total cholesterol 256 mg/dL
Triglycerides 346 mg/dL
HDL 32 mg/dL
UA +glucose, − ketones
CASE STUDY PROGRESS: Y.L. is diagnosed with type 2 DM. The PCP starts her on metformin (Glucophage) 500 mg and glipizide (Glucotrol) 5 mg orally each day at breakfast and atorvastatin (Lipitor) 20 mg orally at bedtime. She is referred to the dietitian for instructions on starting a 1200-calorie diet using an exchange system to facilitate weight loss and lower blood glucose, cholesterol, and triglyceride levels. You are to provide education regarding pharmacotherapy and exercise. 6. What is the rationale for starting Y.L. on metformin (Glucophage) and glipizide (Glucotrol)? 7. What teaching do you need to provide to Y.L. regarding oral hypoglycemic therapy? 8. What potential benefits could Y.L. receive from encouragement to exercise?
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