Sarah is a 53 year old woman, moderately obese (BMI 29). A recent U/A was + for glucose and FPG was 192 and 204 on a second check. Her HbA1c is 8.0. She complains of being thirsty, gaining 20 pounds over the past 2 years, having less energy and urinary frequency. Family history + for diabetes. She is a non-smoker and rarely drinks ETOH. Physical exam normal except for being overweight. She is diagnosed with Type 2 Diabetes and needs to begin treatment. List the following:

Question
Sarah is a 53 year old woman, moderately obese (BMI 29). A recent U/A was + for glucose and FPG was 192 and 204 on a second check. Her HbA1c is 8.0. She complains of being thirsty, gaining 20 pounds over the past 2 years, having less energy and urinary frequency. Family history + for diabetes. She is a non-smoker and rarely drinks ETOH. Physical exam normal except for being overweight. She is diagnosed with Type 2 Diabetes and needs to begin treatment. List the following:

Treatment goals
Drug therapy to prescribe
How success of therapy will be evaluated
Patient education provided
List 1-2 possible drug related adverse reactions that would cause you to change treatment
Choice for second-line therapy
Dietary & lifestyle changes
Describe 1-2 drug-drug or drug-food interactions that could occur

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