Instructions: Remember. Assignments submitted by students must be free of

Instructions: Remember. Assignments submitted by students must be free of plagiarism (0%). In case of plagiarism, it will be reported to Essaypro.com Help Center. Academic articles must include the 2019-2022 period, bibliographic reviews prior to these years are not accepted. Scholarly response using APA and include 3-4 scholarly references. Do not copy-paste or use a past students work as all files submitted in this course are registered and saved in Turnitin it in program. Copy-paste from websites or textbooks will not be accepted or tolerated. The answers must be in your own words with reference to the journal or book where you found the evidence to your answer. Thankas
Clinical discussion L.N. is a 49-year-old white woman with a history of type 2 diabetes, obesity, hypertension, and migraine headaches. The patient was diagnosed with type 2 diabetes 9 years ago when she presented with mild polyuria and polydipsia. L.N. is 5′4″ and has always been on the large side, with her weight fluctuating between 165 and 185 lb.
Initial treatment for her diabetes consisted of an oral sulfonylurea with the rapid addition of metformin. Her diabetes has been under fair control with a most recent hemoglobin A1c of 7.4%.
Hypertension was diagnosed 5 years ago when blood pressure (BP) measured in the office was noted to be consistently elevated in the range of 160/90 mmHg on three occasions. L.N. was initially treated with lisinopril, starting at 10 mg daily and increasing to 20 mg daily, yet her BP control has fluctuated.
One year ago, microalbuminuria was detected on an annual urine screen, with 1,943 mg/dl of microalbumin identified on a spot urine sample. L.N. comes into the office today for her usual follow-up visit for diabetes. Physical examination reveals an obese woman with a BP of 154/86 mmHg and a pulse of 78 bpm. Questions 1. What are the effects of controlling BP in people with diabetes? 2. What is the target BP for patients with diabetes and hypertension? 3. Which antihypertensive agents are recommended for patients with diabetes?

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