67 year-old Hispanic female
Mrs. Sanders is a 67 year-old Hispanic female who is coming in for her yearly checkup. She is prediabetic, a non-smoker, drinks occasionally (for holidays and celebrations), and states her main form of exercise is dancing. She has a family history of diabetes and her father passed away from cardiac arrest a few years ago. Mrs. Sanders is overweight and states that she has been trying to diet. She also states that she takes the occasional supplement when she is feeling feeble. She has no other complaints of any other health issues. Her results for her lipid panel showed a total cholesterol of 223 mg/dL, triglycerides 93 mg/dL, HDL 70 mg/dL, VLDL 19 mg/dL, and LDL 134 mg/dL. Her medication history only lists vitamin C and vitamin B-12. She states that she is allergic to sulfa medications after taking one before to treat an UTI.
What would be your treatment plan for this patient?