慢性病管理

Let me check your A1C results. It is at 7.8, which is above our target of 7. Have you been taking your metformin regularly?

Consistency is key. Try setting a phone alarm for your evening dose. I would also like you to keep a food diary to track your carbohydrate intake.

Let's give it six weeks with better compliance first. If your numbers do not improve, we may add a second medication. Come back in six weeks for a recheck.

That is stage two hypertension. Normal is under 120 over 80. We need to get this under control to protect your heart and kidneys.

Reduce your sodium intake to under 1500 milligrams a day. Exercise regularly, limit alcohol, and manage stress. These changes can lower your reading by 10 to 15 points.

Twice a day — morning and evening. Keep a log and bring it to your next appointment in four weeks. We will decide if medication adjustments are needed.