Advanced Pharmacotherapeutics. prescribers case studies

Woo Page 1 of 1 Pharmacotherapeutics 5e Ch18 Student CS Chapter 18: Drugs Affecting the Endocrine System: Pancreatic Hormones and Antidiabetic

Drugs

Student Case Study

You have been following your patient for the past 2 years. You have worked with them to lose

weight by changing lifestyle and nutritional habits. They continue to be overweight (body mass

index [BMI] of 33) and have tried to cut down carbohydrate and fat intake, but now presents

with polyuria, polydipsia, and an elevated random blood sugar of 164. You have ordered an

HbA1c test in the past, and the values were less than 6.2%. However, the most recent test

indicated an HbA1c greater than 7%. They are not on any medications, but does have a sulfa

allergy.

1. Do you have enough evidence to give them a specific diagnosis today?

2. Would you start your treatment with diet and exercise?

3. What is the first medication you would prescribe? Discuss how you determined which one to

give first and how you based this decision on specific factors.

4. What education regarding medication management would you need to do?

5. What other labs are needed before considering other medications to take for his diagnosis?