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case study

Week 595 Discussion case study

Imagine a 64-year-old woman from a different cultural background than the healthcare provider. She has been living with type 2 diabetes (T2DM) for two years. She has been taking metformin (2000 mg/day) without any issues. Her BMI is 32 kg/m². She also has high blood pressure (hypertension), which is well managed with a thiazide and an ACE inhibitor. Her cholesterol levels are under control with atorvastatin 10 mg. She doesn’t smoke, drink, and is up-to-date with her vaccinations. However, her recent A1C reading is 7.8%.

This patient is widowed and relies on her late husband’s disability payments and a small pension. She’s worried about the cost of any new medications. She primarily speaks her native language, with limited proficiency in English, and sometimes her son accompanies her for translation.

Discuss and evaluate at least three treatment options, considering the benefits and drawbacks, based on the latest clinical guidelines and evidence. Include any other essential considerations.

Additionally, in your response, list three specific programs or organizations in your city that can assist her in obtaining low-cost or free diabetes supplies, medications, or other diabetes-related resources. Include links to these unique resources in your area.

In addition to your links, list high-level scholarly references to support your clinical decision-making. Do not use point-of-care references for this discussion.

Due: July 5th

Length: A minimum of 250 words, not including references

Citations: At least one high-level scholarly reference in APA from within the last 5 years

Peer Responses:

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