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16 y/o female comes to clinic with newly diagnosed diabetes type 2. Her BMI is 37, and she is the goalie

 

16 y/o female comes to clinic with newly diagnosed diabetes type 2. Her BMI is 37, and she is the goalie

 

16 y/o female comes to clinic with newly diagnosed diabetes type 2. Her BMI is 37, and she is the goalie for her high school soccer team. 

Diagnostic tests: 
•    Random blood sugar test
•    Fasting blood sugar test
•    Glycated Hemoglobin (A1C) test
•    Oral Glucose Tolerance test
Assessment: 
1.    Diabetes Mellitus Type 2
Plan: 
•    Diet- Pt educated on proper diet for diabetes mellitus type 2. 
•    Exercise- Pt educated on proper length and type of exercise that should be completed for DM2. 
•    Metformin- Start with Metformin 500mg extended-release once a day. Will increase dose by 500mg weekly dependent on blood glucose levels. Maximum dose of 2000mg/day. 
•    Pt educated on side effects and adverse effects of start metformin. 
•    Pt educated on when to take blood sugars, hypoglycemia, hyperglycemia, sick days, and what warrants a medical emergency. 
•    Will have the patient follow up in 3 months for recheck of blood work to see if any adjustments with treatment should be made. 
Collaboration:
•    Diabetes Educator
•    Nutritionist 
•    Endocrinologist Reference: