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16 y/o female comes to clinic with newly diagnosed diabetes type 2. Her BMI is 37, and she is the goalie for her high school soccer team.Diagnostic tests:• Random blood sugar test• Fasting blood sugar test• Glycated Hemoglobin (A1C) test• Oral Glucose Tolerance testAssessment:1. Diabetes Mellitus Type 2Plan:• Diet- Pt educated on proper diet for diabetes mellitus type 2.• Exercise- Pt educated on proper length and type of exercise that should be completed for DM2.• Metformin- Start with Metformin 500mg extended-release once a day. Will increase dose by 500mg weekly dependent on blood glucose levels. Maximum dose of 2000mg/day.• Pt educated on side effects and adverse effects of start metformin.• Pt educated on when to take blood sugars, hypoglycemia, hyperglycemia, sick days, and what warrants a medical emergency.• Will have the patient follow up in 3 months for recheck of blood work to see if any adjustments with treatment should be made.Collaboration:• Diabetes Educator• Nutritionist• Endocrinologist Reference:
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