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You have been following Mr. Miller for the past 2 years. You have worked with him, trying toget him to lose weight by changing his lifestyle and...
You have been following Mr. Miller for the past 2 years. You have worked with him, trying to get him to lose weight by changing his lifestyle and nutritional habits. He continues to be overweight (body mass index [BMI] of 33) and has tried to cut down his carbohydrate and fat intake, but now presents with polyuria, polydipsia, and an elevated random blood sugar of 164. You have ordered an HbA1c test in the past, as he is at high risk for diabetes, and the values have been less than 6.2%. However, his most recent test indicated an HbA1c greater than 7%. You diagnose him with type 2 diabetes mellitus and talk to him about medications.
1. What is the first medication you would prescribe? Discuss how you made decisions as to determine which one to give first and base it on specific factors.
2. What education regarding Mr. Miller's medication management would you need to do? Think of motivational interviewing to help set personalized goals.
