NSG 6420 Assignment 3 Diabetes Case Study NSG 6420 Assignment 3 Diabetes Case Study NSG 6420 Assignment 3 Diabetes Case Study Described the HgA1c,

NSG 6420 Assignment 3 Diabetes Case Study NSG 6420 Assignment 3 Diabetes Case Study NSG 6420 Assignment 3 Diabetes Case Study Described the HgA1c,

SOAP NOTE

Name:S.T.Date:03/21/2019Time: 1100 Age:60Sex:Male SUBJECTIVE CC: "I'm here for my three-month follow up appointment and medication refill." S.T. is a 60-year-old Caucasian male who came today for his three-month follow-up on his hypertension and Diabetes Type 2. Patients was diagnosed with DM Type 2 four years ago. His last visit was three months ago and states his health has been good and his glycemic control has been good, with blood sugar averaging between 120s-130s. He is taking metformin glimepiride and Levemir insulin. Levemir was increased to 40 units BID during the last visit due to A1C being 9.1. He denies hypoglycemic events. Denies polyphagia but does state that he has increased thirst and has to "pee more than normal." He is not exercising and eats fast food at least twice a day. He states he has had blurry vision in the afternoons that began "about a week ago." He denies having unexplained weight loss. He denies mood changes or irritability, fatigue/weakness or extreme hunger. He denies being depressed, he is currently taking Paxil for depression, and it is under control.Has not had any hair loss or dry skin and is not sensitive to cold temperatures. He states that his blood pressure has been controlled with his current medication (Atacand). His blood pressure readings average 140/80s. He states that he has not been under any recent stress. He denies memory problems or poor concentration. No increased sweating episodes and no palpitations. Medications: 1. Temazepam 30 mg oral every HS (insomnia and anxiety) 2. Crestor 20 mg oral QHS (cholesterol