16 y/o female comes to clinic with newly diagnosed diabetes type 2. Her BMI is 37, and she is the goalie for her high school soccer team.
â€¢ Â Â Random blood sugar test
â€¢ Â Â Fasting blood sugar test
â€¢ Â Â Glycated Hemoglobin (A1C) test
â€¢ Â Â Oral Glucose Tolerance test
1. Â Â Diabetes Mellitus Type 2
â€¢ Â Â Diet- Pt educated on proper diet for diabetes mellitus type 2.
â€¢ Â Â Exercise- Pt educated on proper length and type of exercise that should be completed for DM2.
â€¢ Â Â Metformin- Start with Metformin 500mg extended-release once a day. Will increase dose by 500mg weekly dependent on blood glucose levels. Maximum dose of 2000mg/day.
â€¢ Â Â Pt educated on side effects and adverse effects of start metformin.
â€¢ Â Â Pt educated on when to take blood sugars, hypoglycemia, hyperglycemia, sick days, and what warrants a medical emergency.
â€¢ Â Â Will have the patient follow up in 3 months for recheck of blood work to see if any adjustments with treatment should be made.
â€¢ Â Â Diabetes Educator
â€¢ Â Â Nutritionist
â€¢ Â Â EndocrinologistÂ Reference:
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