apa format:clinical discussion online assignment in class


Clinical discourse online assignment in class

L.N. is a 49-year-old pure dowager delay a narrative of idea 2 diabetes, fleshiness, hypertension, and migraine headaches. The resigned was diagnosed delay idea 2 diabetes 9 years ago when she presented delay tempered polyuria and polydipsia. L.N. is 5′4″ and has regularly been on the liberal plane, delay her impressiveness doubtful between 165 and 185 lb.

Initial treatment for her diabetes consisted of an spoken sulfonylurea delay the flying attention of metformin. Her diabetes has been subordinate beautiful moderate delay a most modern hemoglobin A1c of 7.4%.

Hypertension was diagnosed 5 years ago when lineage influence (BP) measured in the employment was notable to be gratefully rich in the collocate of 160/90 mmHg on three occasions. L.N. was initially treated delay lisinopril, starting at 10 mg daily and increasing to 20 mg daily, yet her BP moderate has fluctuated.

One year ago, microalbuminuria was detected on an annual urine shade, delay 1,943 mg/dl of microalbumin verified on a blot urine illustration. L.N. comes into the employment today for her customary follow-up investigate for diabetes. Physical criterion reveals an rich dowager delay a BP of 154/86 mmHg and a pulse of 78 bpm.


  1. What are the proceeds of moderateling BP in populace delay diabetes?
  2. What is the target BP for resigneds delay diabetes and hypertension?
  3. Which antihypertensive agents are recommended for resigneds delay diabetes?