From Marys case study, hit is apparent that she had almost all the risk factors for hypertension, diabetes and hyperlipidemia for which she was...

From Marys case study, hit is apparent that she had almost all the risk factors for hypertension, diabetes and hyperlipidemia for which she was supposed to modify her lifestyle and diet. She however failed to do so and when she finally presents and the investigations done it is apparent that she already has DIABETES as seen from the high fasting sugars and HbA1C levels. She also has developed hypertension from her initial prehypertensive state as seen from the elevated blood pressures. In addition her triglyceride levels are in the at risk group an evidence of hyperlipidemia. All these concerns need to be addressed in formulating Marys plan of care.

• How would you change the plan if her initial HbgA1C was 10.2mg/dL and her fasting blood glucose was 305mg/dL? Provide a detailed alternative plan with the rationale.