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This article originally posted and appeared in  Issue 602

Test Your Knowledge #602: A 70-year-old man who has type 2 diabetes, coronary artery disease, and COPD...

A 70-year-old man who has type 2 diabetes, coronary artery disease, and chronic obstructive pulmonary disease is seen for an annual physical examination.

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He notes no health-related concerns and has no acute symptoms. He is eating healthy foods but is unable to perform regular physical activity. His blood pressure is 150/90 mm Hg, hemoglobin A1C value is 8%, LDL cholesterol level is 90 mg/dL (2.33 mmol/L), and serum electrolyte values are within normal range. His current medications are glyburide 10 mg twice daily, simvastatin 40 mg daily, and hydrochlorothiazide 25 mg daily. The physician helps the patient set a specific health goal for the next few weeks (i.e., to walk his dog at least 10 minutes 5 days a week after lunch), adds lisinopril 10 mg daily and metformin 500 mg twice daily to the patient's treatment regimen, and provides counseling and information about these new medications.

Which of the following is the most important additional step for supporting this patient?

A. Ask the patient to schedule an appointment if his health status changes

B. Schedule a follow-up appointment in 1 month

C. Refer him to a community exercise program

D. Refer him to a diabetes educator

Click here for correct answer.

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This article originally posted 02 December, 2011 and appeared in  Issue 602

Past five issues: Issue 756 | Diabetes Clinical Mastery Series Issue 215 | SGLT-2 Inhibitors Special Edition November 2014 | Issue 755 | GLP-1 Special Editions November 2014 |

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