Feeling overwhelmed with your essay workload? Relax– we've got your back! From research to citations, our writers can handle it all. Click now for quality essay writing!
Submit your essay instructions
Case study: The patient in this case study is K.P., a 48-year-old African American male who presented to our Primary Care Office for a three-month follow-up visit after being diagnosed with prediabetes. Today at the follow-up visit, his lab results revealed a Hemoglobin A1C of 6.5%, fasting plasma glucose (FPG) of 126 mg/dl, and a random point of glucose of 200mg/dl. The patient also reports excessive hunger, thirst, and frequent urination. Consequently, K.P. has transitioned from prediabetic to type 2 diabetes. In addition to diabetes mellitus, the patient also has a past medical history of obesity, hyperlipidemia, coronary artery disease (CAD), and hypertension.
Although there are many oral and injectable diabetic agents, I would treat this patient with Steglatro (ertugliflozin), a sodium-glucose cotransporter 2 inhibitor (SGLT2i), based on the patient’s diagnosis of type 2 diabetes mellitus, failed dietary control, and cardiovascular risk factors.
Medication Discussion:
1. Does Steglatro (ertugliflozin) have any clear advantages or disadvantages for this patient as compared to other similar medications?
2. Write an analysis of a clinical trial called Cardiovascular Outcomes Following Ertugliflozin Treatment in Type 2 Diabetes Mellitus Participants With Vascular Disease, The VERTIS CV Study (MK-8835-004) from https://clinicaltrials.gov/ct2/show/NCT01986881?cond=Steglatro+%28ertugliflozin%29&draw=3&rank=15
3. Discuss patient care issues from the viewpoint of the prescriber.
4. Discuss important considerations in prescribing this medication to this particular patient.
5. What is the role of the APN in providing care for this patient and discuss the rationale for determining if this medication should be part of the therapeutic regimen for this patient? Having a chronic illness such as Diabetes and Hypertension should be included in this discussion.
Feeling overwhelmed with your essay workload? Relax– we've got your back! From research to citations, our writers can handle it all. Click now for quality essay writing!
