{"id":901,"date":"2023-02-11T21:03:43","date_gmt":"2023-02-11T21:03:43","guid":{"rendered":"https:\/\/www.goodacademic.com\/blog\/questions\/case-study-htn-dm\/"},"modified":"2023-02-11T21:03:43","modified_gmt":"2023-02-11T21:03:43","slug":"case-study-htn-dm","status":"publish","type":"questions","link":"https:\/\/www.goodacademic.com\/blog\/questions\/case-study-htn-dm\/","title":{"rendered":"case study HTN DM"},"content":{"rendered":"<p>&nbsp;<\/p>\n<p>L.N. is a 49-year-old white woman with a history of type 2 diabetes, obesity, hypertension, and migraine headaches. The patient was diagnosed with type 2 diabetes 9 years ago when she presented with mild polyuria and polydipsia. L.N. is 5\u20324\u2033 and has always been on the large side, with her weight fluctuating between 165 and 185 lb.<\/p>\n<p>Initial treatment for her diabetes consisted of an oral sulfonylurea with the rapid addition of metformin. Her diabetes has been under fair control with a most recent hemoglobin A1c&nbsp;of 7.4%.<\/p>\n<p>Hypertension was diagnosed 5 years ago when blood pressure (BP) measured in the office was noted to be consistently elevated in the range of 160\/90 mmHg on three occasions. L.N. was initially treated with lisinopril, starting at 10 mg daily and increasing to 20 mg daily, yet her BP control has fluctuated.<\/p>\n<p>One year ago, microalbuminuria was detected on an annual urine screen, with 1,943 mg\/dl of microalbumin identified on a spot urine sample. L.N. comes into the office today for her usual follow-up visit for diabetes. Physical examination reveals an obese woman with a BP of 154\/86 mmHg and a pulse of 78 bpm.<\/p>\n<h2><strong>Questions<\/strong><\/h2>\n<ol>\n<li>What are the effects of controlling BP in people with diabetes?<\/li>\n<li>What is the target BP for patients with diabetes and hypertension?<\/li>\n<li>Which antihypertensive agents are recommended for patients with diabetes?<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; L.N. is a 49-year-old white woman with a history of type 2 diabetes, obesity, hypertension, and migraine headaches. The patient was diagnosed with type 2 diabetes 9 years ago when she presented with mild polyuria and polydipsia. L.N. is 5\u20324\u2033 and has always been on the large side, with her weight fluctuating between 165 [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"closed","template":"","meta":[],"disciplines":[190],"paper_types":[],"tagged":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.goodacademic.com\/blog\/wp-json\/wp\/v2\/questions\/901"}],"collection":[{"href":"https:\/\/www.goodacademic.com\/blog\/wp-json\/wp\/v2\/questions"}],"about":[{"href":"https:\/\/www.goodacademic.com\/blog\/wp-json\/wp\/v2\/types\/questions"}],"author":[{"embeddable":true,"href":"https:\/\/www.goodacademic.com\/blog\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.goodacademic.com\/blog\/wp-json\/wp\/v2\/comments?post=901"}],"version-history":[{"count":0,"href":"https:\/\/www.goodacademic.com\/blog\/wp-json\/wp\/v2\/questions\/901\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.goodacademic.com\/blog\/wp-json\/wp\/v2\/media?parent=901"}],"wp:term":[{"taxonomy":"disciplines","embeddable":true,"href":"https:\/\/www.goodacademic.com\/blog\/wp-json\/wp\/v2\/disciplines?post=901"},{"taxonomy":"paper_types","embeddable":true,"href":"https:\/\/www.goodacademic.com\/blog\/wp-json\/wp\/v2\/paper_types?post=901"},{"taxonomy":"tagged","embeddable":true,"href":"https:\/\/www.goodacademic.com\/blog\/wp-json\/wp\/v2\/tagged?post=901"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}