Patient With High A1C and Cholestorl

Diagnose Patient The author of this report has been asked to look at the vitals and other information for a patient. First off, the patient will enumerate all of the patient's medical issues, a man by the name of Mr. Go. Second, the issues that are identified will be mentioned including the medications that will be prescribed as well as the health teachings that would be prudent. Finally, there will be a listing of standards when it comes to managing care for this patient. While Mr.

Go is not near death or anything, there are certainly some issues that need to be addressed. Go is nearly six feet and is over 209 pounds. Any BMI that is over 18.5 is not normal. The man in question is nearly a BMI of 30. As such, the man is clearly overweight .. borderline obese. The question is just how many consequences have been rendered as a result. His waist measurement is a little more than it should be, but only by two inches.

Blood pressure is a tad high, but also not by much. His cholesterol is much higher than it should be and the in terms of total amount but his high density lipoprotein is below the limit. However, triglycerides are literally double what they should be and fasting plasma blood sugar is a little high. However, it is not nearly as high as it would be with a person that is an uncontrolled diabetic. It is only 15 points above normal.

A1C is a tad higher than it should be, as it is 7.2%. The high end of the "normal" range is 6.5 or 7 (Mayo, 2016; WebMD, 2016). In short, there are a couple of issues going on. First, the cholesterol is higher than normal and it is getting worse. Second, the patient would seem to have type 2 diabetes just like his father, although it is not terribly bad as of yet. The patient has been advised to walk and engage in activity but has apparently not been doing so.

He has also been prescribed with erectile dysfunction medication, so that prior issue would seem to have been dealt with. Since high cholesterol does not have any real symptoms, the blurred vision is probably related to his diabetes and he should get his eyes checked immediately for diabetic damage. Regardless, the blurred vision is probably due to spikes in blood sugar. However, the A1C would seem to indicate that the overall "average" glucose level is not problematic .. at least not yet (Mayo, 2016; WebMD, 2016).

The author of this report would really drill into the patient that exercise is important because the diabetes (type 2, surely) is going to get worse. Further, the author would put the patient on a low dose of metformin. The patient is only barely above the mandatory minimum limit when it comes to concern but it is above it. In short, Mr. Go needs to increase his activity and exercise but needs to take blood sugar control medicine in the meantime.

Once the A1C is lowered, he can probably be weaned off of the Metformin. When it comes to standards of care, the two big things are being honest and assertive with the patient without being mean and offering the pharmacological options that can at least help the patient. The patient is also at high risk of a heart attack, just like his father, if he does not get his cholesterol down.