Patient is a 55 year old female with a diagnosis of diabetes. She was diagnosed when she was 50 after
she changed jobs and became more sedentary and which also resulted in a poor diet. She currently
overweight with a BMI of 32.
Allergies NKDA
Current Medications
Metformin 1000 mg BID
Lisinopril 10 mg once daily
PMH Propranolol 10 mg TID
DM
HTN
1. What type of diabetes does she have?
2. Describe the mechanism of action of metformin. In which patients is metformin contraindicated?
3. List some non-pharmacologic measures that can lower her blood sugar?
4. List the long term complications of DM
5. What role does Lisinopril have in patients with DM?
6. What concerns do you have with the propranolol?
7. Despite her medication regimen, her blood sugar has been very, very high and her physician decided
to start a long acting insulin. Which insulins are long acting?
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