Electronic Medical Record

Patient Overview

Name: Anna Smith

Age: 58

Sex: Female

Duration of T2DM: 12 years

Vitals & Labs

A1C: 9.2%

BMI: 32

Blood Pressure: 148/88

Comorbidities

• Hypertension

• Previous Myocardial Infarction (MI)

Current Symptoms

• Fatigue

• Increased thirst

Patient Complaints

• Struggling to control blood sugars

• Concerned about heart health after previous MI

Long-Term Goals

• Reduce risk of another cardiovascular event

• Achieve better glycemic control

• Lose weight

Structured Clinical Reasoning

Step 1: Identify Guideline Driver

Which factor should guide medication selection FIRST?