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Mary is 59 years old with a history of stage 1 HTN, prediabetes and hyperlipidemia type...

Mary is 59 years old with a history of stage 1 HTN, prediabetes and hyperlipidemia type 2. Her younger brother just had a heart attack at age 40 and her older brother died 6 months age with a stroke. She has not been to your office in 3 years or any other HCP. Her laboratory values are: HbA1c 6.8%, total cholesterol 320 mg, LDL 105, HDL 25 mg Identify her risk factors and severity of illness DESIGN A TREATMENT PLAN with rationales.

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Answer #1

Ans) Treatment plan:

Life style modifications:

- weight reduction

- control of hyperglycemia

- moderation of alcohol intake

- regular physical activity

- reduction of sodium intake

- smoking cessation

- Initial pharmacological selection: Alpha receptor blocker, angiotensin converting enzyme inhibitor, calcium channel blockers and low dose diuretics and preferred because your side effects on glucose homeostasis, lipid profile and renal function.

- beta blockers can have adverse effects on peripheral blood flow, prolongation of hypoglycemia and skin of hypoglycemic symptoms.

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