Type 2 diabetes is a multifactorial process that is linked to genetics, lifestyle, metabolic and environmental risk factors. It is characterized by hyperglycemia due to abnormal metabolism of carbohydrates, fats and protein. This altered metabolism is a result of decreased insulin secretion, increased resistance to insulin, and/or impaired insulin processing. (Carmichael, 2016). Chronically hyperglycemic states can result in both micro and macrovascular complications including retinopathy, nephropathy, neuropathy, coronary artery disease, stroke and peripheral artery disease (Carmichael, 2016). According to Carmichael (2016) insulin resistance is a contributing factor in endothelial dysfunction that leads to inhibition of platelet aggregation resulting in ...
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...ave prescription coverage through her health insurance. The patient should be educated about various programs and savings plans in her area. The patient could also be advised of at least one pharmacy in the area that gives low cost generics that would cover her simvastatin as well as free diabetic testing supplies and metformin. There is also a savings card available through the manufacturer for the Lantus that the patient could be assisted in obtaining. If the patient is still unable to afford the Lantus then alternative medications may be considered such as NPH insulin or a sulfonylurea (McColluch, Aug. 2016).
The goals of this patient’s treatment are to get her blood glucose under control and to get her HgbA1c below 7%. Reaching her glycemic goals will help to decrease her risk of cardiovascular events as well as other complications of diabetes.
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