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newly diagnosed diabetes type 2

newly diagnosed diabetes type 2

 newly diagnosed diabetes type 2

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.

Diagnostic tests:
•    Random blood sugar test
•    Fasting blood sugar test
•    Glycated Hemoglobin (A1C) test
•    Oral Glucose Tolerance test
Assessment:
1.    Diabetes Mellitus Type 2
Plan:
•    Diet- Pt educated on proper diet for diabetes mellitus type 2.
•    Exercise- Pt educated on proper length and type of exercise that should be completed for DM2.
•    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.
•    Pt educated on side effects and adverse effects of start metformin.
•    Pt educated on when to take blood sugars, hypoglycemia, hyperglycemia, sick days, and what warrants a medical emergency.
•    Will have the patient follow up in 3 months for recheck of blood work to see if any adjustments with treatment should be made.
Collaboration:
•    Diabetes Educator
•    Nutritionist
•    Endocrinologist Reference:


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