Patient is a 55 year old female with a diagnosis of diabetes. She was diagnosed when she was 50 aftershe changed jobs and became more sedentary and which also resulted in a poor diet. She currentlyoverweight with a BMI of 32.Allergies NKDACurrent MedicationsMetformin 1000 mg BIDLisinopril 10 mg once dailyPMH Propranolol 10 mg TIDDMHTN1. What type of diabetes does she have?2. Describe the mechanism of action of metformin. In which patients is metformin contraindicated?3. List some non-pharmacologic measures that can lower her blood sugar?4. List the long term complications of DM5. What role does Lisinopril have in patients with DM?6. What concerns do you have with the propranolol?7. Despite her medication regimen, her blood sugar has been very, very high and her physician decidedto start a long acting insulin. Which insulins are long acting?
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