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?