How to Answer Peer Response With Questions (Complete Guide)
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What This Question Is About
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How to Approach This Question
Start by identifying the main issue, then apply relevant academic frameworks.
Key Explanation
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Original Question
peer response with references: Due to this patient’s elevated Hemoglobin A1c and his report of individual blood glucose readings between 150 and 190 he requires a medication increase. The goal for medication therapy is to achieve an Hemoglobin A1c of less than 7% (Arcangelo & Peterson, 2021). This patient, overall, has a good exercise regimen, and his report of carbohydrate intake is appropriate for an individual with diabetes. His vital signs are within limits and do not need to be addressed and his other assessment findings are within normal limits. Prescription Increase: Metformin to 1500 mg PO with morning meal and 1000mg PO with evening meal Continue: Glipizide 5 mg PO daily Patient education This patient should be educated to take their Metformin with meals. This will help lessen the possible GI side effects. He should maintain his blood glucose monitoring at home and record these readings so that they can be evaluated at his next follow-up appointment. These can be monitored on paper or there are many mobile applications that are available. He should also be educated to continue taking his medications as prescribed even if he is ill, as often stressors such as illness can cause blood glucose to increase. Another educational point for this patient is to question him regarding his counting of carbohydrate to ensure there is not a knowledge gap that needs to be addressed. Carbohydrate counting is helpful tool to help support glycemic cont
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