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Discuss female patient with type 2 diabetes and hypertension


Question: Consider the following clinical scenario - A 56-year-old female patient with type 2 diabetes, hypertension, and hyperlipidemia presents for a follow-up visit towards the end of the year. Her A1C has increased from 7.2% to 9.1% over the past six months. During the visit, she admits that she has been taking her medications inconsistently due to cost. She reports that her prescribed GLP-1 receptor agonist and insulin are "too expensive," even with insurance, and she has been stretching doses to make them last longer. She also shares that she recently lost overtime hours at work, making it more difficult to afford both medications and basic living expenses. The provider must decide how to adjust the treatment plan while maintaining glycemic control and preventing further complications. Potential options include switching to lower-cost alternatives, enrolling the patient in pharmaceutical assistance programs, consulting with a pharmacist, or coordinating care with a social worker. The provider also considers how to address adherence, patient education, and long-term disease management while being mindful of the patient's financial constraints. How should you as the patient's Nurse Practitioner address high medication costs while ensuring safe and effective care? Provide references. Need Assignment Help?

 

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