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Type 2 Diabetes Case Studies

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Ms. Bean is a 65-year-old female here today for followup regarding her type 2 diabetes, hypertension, and hyperlipidemia. She also wants to discuss some pains that she has been having.

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The patient has known arthritis in her hands as well as her knees. She tells me her left knee arthritis is "bone-on-bone". She has gone through at least one injection, but unfortunately has not gone back for follow up as she says she owes them money, that she cannot quite pay yet. She has sometimes, some lower extremity pain as well. She does not describe tingling, but does tell me sometimes she is unaware of the position of her feet. She is not at all interested in having nerve studies done to evaluate this further. She does have type 2 diabetes. …show more content…
She uses propranolol for this. She ran out of this several months ago. She has been using leftover atenolol that she had instead and she found that since switching, she does not find that her voice tremor is as well controlled. It seems to be worse on the atenolol than it is on the Inderal. She would like to get a refill of that prescription.

The patient does have hyperlipidemia. She has not been taking her pravastatin. She has been out of it for several months. She is not sure exactly why she did not call to let me know about that but has been under a lot of stress at home. Prior to that, she had been tolerating it okay and she tells me that she did not notice any change in her aches and pains, whether she was on the pravastatin or not.

The patient does have type 2 diabetes, currently on a regimen of Victoza and metformin. She, unfortunately, has not done any of the labs and I have requested in about the last year. She has been given multiple lab slips and unfortunately has not done them. She is interested in having them done. She is interested in potentially getting off as many medications as possible. She is trying to make healthier lifestyle choices, as

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