Although the use of an ACE
inhibitor was indicated both by the
level of hypertension and by the presence
of microalbuminuria, the decision
to wait until the next office visit
to further evaluate the need for antihypertensive
medication afforded the
patient and his wife time to consider
the importance of adding this pharmacotherapy.
They were quite willing
to read any materials that addressed
the prevention of diabetes complications.
However, both the patient and
his wife voiced a strong desire to focus
their energies on changes in food and
physical activity. The NP expressed
support for their decision. Because
A.B. was obese, weight loss would be
beneficial for many of his health
issues.