woman was diagnosed with type 2 diabetes (T2DM) 6 months ago

Mrs. YL, a 66-year-old obese African-American woman was diagnosed with type 2 diabetes (T2DM) 6 months ago. In addition to diabetes, she has a 15-year history of hypertension and dyslipidemia, and was diagnosed with mild diffuse cardiovascular disease and renal insufficiency 3 years ago. She presents at her local community pharmacy with a prescription for increasing doses of metformin and initiation of the DPP-4 inhibitor, linagliptin, after a follow-up visit at her primary care physician.  A little bit confused and worried that she was not able to reach her glycemic goals after titration of metformin and lifestyle interventions, Mrs. YL tells her pharmacist: “I am still a little bit confused. My cousin and I have been diagnosed with T2DM at around the same time. My doctor set my glycemic goal at 8% and her goal was set at 7%. Why is my target goal different, and how come my cousin was able to reach even lower goals after 6 months and I couldn’t? How can I know that this treatment will help me to achieve my goal?”

Discuss Tailoring Patient-Specific Treatment Approaches in Type 2 Diabetes

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