Understanding The Blood Pressure Readings, Glucose And A1c...

Prior to calling Mr. Anderson I would review his chart for information regarding his blood pressure readings, glucose and A1C levels over the last 6 months to determine a baseline for comparison to now. Secondly, if the clinic has a certified diabetes educator (CDE) on staff I would arrange referral and schedule an appointment. I would reassure the patient he may change the appointment time if needed and provided contact information. In the meantime I would gather printed material to mail to the patient as reinforcement for topic discussed in the phone call as well as basic information regarding diabetes. However, I would begin the conversation by addressing Mr. Anderson’s concerns up front to build rapport and trust. I personally†¦show more content†¦The American Diabetes Association (2016) states the findings of a few long-term studies in older adults demonstrating the benefits of intensive glycemic, blood pressure, and lipid control. In addition, patients who can be expected to live long enough to reap the benefits of long-term intensive diabetes management, who have good cognitive and physical function, and who choose to do so via shared decision making may be treated using therapeutic interventions and goals similar to those for younger adults with diabetes. That being said we can assume that Mr. Anderson falls into this category of older adult or at least I will proceed with that thought in mind. How would you help Mr. Anderson understand why it is important for him to take the aspirin and the Lisinopril? Based upon current guideline (See copy of guideline below) we can assume that Mr. Anderson lab also reflected some kidney dysfunction as well as elevation in blood pressure, thus he was prescribed Lisinopril. Optimize blood pressure control (, 140/90 mmHg) to reduce the risk or slow the progression of diabetic kidney disease. An ACE inhibitor or an angiotensin receptor blocker is not recommended for the primary prevention of diabetic kidney disease in patients with diabetes who have normal blood pressure, normal urinary albumin–to–creatinine ratio (, 30 mg/g), and normal estimatedShow MoreRelatedSymptoms And Treatment Of Diabetes Essay1270 Words   |  6 Pages Lab Tests: (The following results was from last week fasting) Glucose: 154mg/dl, CA: 10.0, Na: 138, Cl: 99, K: 3.8, CO2: 26, Cre: 1.1, BUN: 12, A1C: 9.1%, 9. Diagnostic Tests: N/A (Not Available) Assessments: †¢ Type II Diabetes- The patient is diagnosed with type II diabetes as a result from the lab values of a high fasting blood glucose level of 154mg/dL which was greater than the normal value of 80-130mg/dL, patient’s AIC level was 9.1% which is higher than 7% normal. 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