Managing Diabetes and Hypertension with Medication Regimen
This detailed medical profile follows a 77-year-old female with diabetes and hypertension, tracking her current medication regimen, recurring hypoglycemia, weight fluctuations, and A1C levels. It showcases the journey of insulin therapy adjustment, weight loss efforts, and transition to different diabetes medications to improve overall health outcomes.
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Presentation Transcript
DP 77 yo female DM 2000, insulin x 13 years HT Current Meds: Crestor 20 mg 1 time daily metformin 500 mg 2 tabs 2 times daily Atacand 8 mg 1 time daily (active?) NovoMix 30 Penfill U-100 Insul 38 x 28 x Elavil 50 mg 1 time daily hydrochlorothiazide 25 mg 1 time daily Euro-Fer 300 mg 1 capsule 2 times daily omeprazole
DP Fe 2021 Recurrent hypos in evening, AcxBVr 12, hs 4-6 O/E wt 245 BP-118/65 Inj sites reused A1C 8.2 Cr 85, LDL 1.7 ACR 67
PJ Tresiba 40 d/c Mix 30 insulin Wean down if acBr glu < 8 Ozempic 0.25-0.5 6 months later 210/95 kg Wt loss A1C 7.8, off insulin ACR 65 started empagliflozin 10, fluconazole prn Sept 2022- A1C 6.3, wt , 89 kg ACR 13.8
