Discussion 250 words. Make sure you provide 2 references and utilize APA style.. . Discussion Rubric


FM is a 52-year-old man complaining of excessive thirst. He was in his usual state of health until about 3 to 4 weeks ago when he experienced a significant weight gain that he blames on the stay-at-home order in response to the COVID-19 pandemic. He has been lonely and depressed and sitting at home eating everything in sight. Over the past week he has noticed increasing thirst, urinary frequency, and blurred vision. 

Past Medical History 




Lisinopril, 10 mg daily 

Hydrochlorothiazide, 25 mg daily 

Atorvastatin, 10 mg daily 

Physical Examination 

Height: 68 inches; weight: 262 lbs.; BMI: 39.8; blood pressure: 158/96; pulse: 82; respiration rate: 16; temperature: 98.2 F 

Well-developed obese Latino male in no distress 

Lungs: clear 

Heart: regular rate and rhythm 

Extremities: no edema 

Neurological: no deficits 


Hematocrit: 42% 

Random capillary blood glucose: 358 mg/dL 

Hemoglobin A1c: 11.4% Urinalysis: specific gravity 1.010, pH 7.4, 4+ glucose, zero acetone 

Discussion Questions 

1. What nonpharmacologic treatments should be recommended to FM? 

2. What pharmacologic treatments should be recommended or avoided in FM? 

3. What additional laboratory tests should be recommended to FM?