Use the case below to answer questions 1 through 3: Jan Jeffries

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Use the case below to answer questions 1 through 3: Jan Jeffries DOB 7/28/1948 HPI: Jan Jeffries is a 62 y/o WF who is present for six month follow up. She was diagnosed with Type II diabetes mellitus about one year ago. Her diabetes is currently controlled with metformin and glyburide. She tests her blood sugar infrequently with no pattern. PMH: Type 2 DM x 1 year Depression x 5 years FH: Father has a history of HTN and diabetes. Mother has a history of dyslipidemia. SH: Married for 40 years with two children who are alive and well. Denies any alcohol use but did smoke 1 ppd for x 30 years. She quit 5 years ago. Meds: Metformin 1,000 mg BID Glyburide 5 mg BID Citalopram 40 mg qHS Fish Oil 1QD Premarin 0.625 mg 1QD Allergies: NKDA Physical Examination: Gen: WDWN, Caucasian woman in No acute distress VS: BP 149/92 P 98, RR 18, T 38.6C, Waist Circ 38 in, Wt 82kg, Ht 5’7” HEENT: PERRLA, EOMI, R and L fundus exam without retinopathy Neck/Lymph Nodes: WNL Lungs: Clear to A & P CV: RRR, no MRG Abd: NT/ND Genit/Rect: Deferred MS/Ext: Cartids, femorals, popliteals, and right dorsalis pedis pulses 2+ throughtout; left dorsalis pedis 1+ Neuro: DTRs 2+ throughout UA: Deferred Labs: Na 139 mEq/L Ca 9.4 mg/dL Fasting Lipid Profile: K 3.6 mEq/L Phos 3.3 mg/dL TC 251 mg/dL Cl 103 mEq/L AST 15 IU/L LDL 150 mg/dL CO2 31 mEq/L ALT 18 IU/L HDL 56 mg/dL Alk Phos 62 IU/L Trig 223 mg/dL BUN 15 mg/dL SCr 0.8 mg/dL T. bili 0.4 mg/dL Gluc (fasting) 122 mg/dL A1C 6.4% 
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