This article originally posted 08 December, 2009 and appeared in Issue 499
Test Your Knowledge #499: Your patient is a 42-year-old woman who was diagnosed with Type 2 diabetes six months ago
Your patient is a 42-year-old woman who was diagnosed with Type 2 diabetes six months ago. Her HbA1c is 7.3% on metformin. She is moderately overweight, with a BMI of 29, and has not been able to lose weight or begin a regular exercise program. During her past two office visits, her blood pressure has been elevated, and today it measures 150/97 mmHg.
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Which of the following do you do to reduce her cardiovascular risk?
A. Encourage her to get at least 15 minutes of exercise 4 days a week.
B. Order a stress test immediately.
C. Begin therapy with a blood pressure-lowering agent, with the goal of reducing blood pressure to ≤120/80 mmHg.
D. Counsel her on the importance of reducing stress in her life.
E. Add another oral hyperglycemic agent to her current therapy.
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