Diabetes

Joyce Watkina is a 28 year old Latina female. You are Joyce's main pharmacist. To communicate with Joyce please send her an email.

CC: "I need to get some help with my diabetes. My husband and I are thinking about starting a family and I want to get my diabetes under control first!"

HPI: Ms. Watkina was diagnosed with Type II diabetes 1 year ago.

PMH: Carpel tunnel surgery (2006), migraines (since 2003).

FH: Father died of complication of diabetes mellitus. Mother alive and well at 64 years of age. Sister with type 2 diabetes at age 35.

SH: Nonsmoker, occasional social drinker (1-2 drinks per night). Married 3 years.

Meds: Metformin 500 mg BID, Maxalt 10 mg PRN, multivitamin QD

ALL: Penicillin - rash, Sulfa - rash

PE:

HEENT: NC/AT, EOMI, PERRLA, (-) JVD, nasopharynx clear

CV: S1, S2, normal rate and rhythm

Lungs: Clear to auscultation, + bilateral breath sounds, no RRW

Abdomen: + BS, NT

Ext: (-) C/C/E

Neuro: A and O x 3/3, strength 5/5

Urine dipstick: + protein, + glucose