John iis ia i46-year-old imale iwho ipresents ifor ihis iyearly iphysical iexamination. iHe ihas ino
icomplaints. iPrevious imedical ihistory iis inotable ifor iobesity iand ihyperlipidemia. iHe ireports
ia ivery isedentary ilifestyle. iHe isits iat ia idesk ifor i8 ito i10 ihours iper iday iand iwhen ihe icomes
ihome ihe i“just iwants ito irelax iin ifront iof ithe itelevision.” iHe idoesn’t ifeel imotivated ienough
ito iexercise ion ia iregular ibasis, ialthough ihe iknows ihe ishould.
John iis iallergic ito ipenicillin i(hives). iMedications iinclude iatorvastatin i10mg idaily iand ia
imultivitamin. iHe ioccasionally itakes iacetaminophen ifor ia iheadache. iFamily ihistory iis
1. What iare iyour itreatment igoals ifor iJohn?
2. What iis iyour ipharmacologic iplan iand irationale? i(cite iwith iappropriate iclinical
i practice iguidelines ior ischolarly, ipeer-reviewed ijournals)
3. What iis ithe imechanism iof iaction ifor ieach idrug?
4. Please igive ifive imedication iteaching ipoints ifor ieach idrug iprescribed.
5. How iwould iyou ichange ithe iplan iif ihis iinitial iHbgA1C iwas i14.0 img/dL iand ihis
i fasting iblood iglucose iwas i350mg/dL ialong iwith ia iurine idipstick ithat irevealed i3+
i glucose iand i+ iketones? iProvide ia idetailed ialternative iplan iwith ithe irationale.
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