Answer :
A patient who achieves a 20% reduction from a fasting blood sugar level of 150 mg/dL will have a level of 120 mg/dL or less.
The reported fasting glucose values of 80-100 mg/dL are normal, but a 10 lb weight gain may prompt the nurse practitioner to review and adjust the patient's therapy, considering dietary changes, physical activity, or medication adjustments for optimal diabetes management.
If the patient started with a fasting blood sugar level of 150 mg/dL and the doctor is hoping to see at least a 20% reduction, the patient will aim for a new blood sugar level of 120 mg/dL or less. Since a 20% reduction of 150 mg/dL equals a 30 mg/dL decrease, this target promotes improved health and reduced risk of diabetes.
The patient reports fasting glucose values of 80-100 mg/dL, which are within normal range and indicate that the patient may not need changes to their therapy based solely on these values.
However, the 10 lb weight gain could be concerning, and the nurse practitioner may consider addressing dietary adjustments, physical activity, or reviewing the patient's medication to manage weight and control blood sugar levels. It is important that therapy adjustments be personalized based on the patient’s overall health status and in context with other clinical findings.
Patients with type 2 diabetes may need medication if lifestyle changes do not adequately control blood glucose levels. While the first-line treatment historically was insulin, there are now other medications that enhance pancreatic function, which may be considered depending on the patient's individual situation.
