b’Riquerments: xc2xa0APA format. xc2xa0at least 1 reference.xc2xa0xc2xa0more 120 words,collage style. xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0L.N. is a 49-year-old white woman with a history of type 2 diabetes, obesity, hypertension, and migraine h’
b’nRiquerments: xc2xa0APA format. xc2xa0at least 1 reference.xc2xa0xc2xa0more 120 words,collage style. xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0L.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. xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0L.N. is 5xe2x80xb24xe2x80xb3 and has always been on the large side, with her weight fluctuating between 165 and 185 lb. xc2xa0Initial 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 of 7.4%. xc2xa0Hypertension 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. xc2xa0One 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. xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0Questions xc2xa0xc2xa0xc2xa01.What are the effects of controlling BP in people with diabetes? xc2xa0xc2xa0xc2xa0xc2xa02.What is the target BP for patients with diabetes and hypertension? xc2xa0xc2xa0xc2xa0xc2xa03.Which antihypertensive agents are recommended for patients with diabetes? ‘


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