A retired 69-year-old man presents with a regular episode of nocturia associated with high-calorie meals for last 1 month. Previously he was advised to lose weight (“at least 10 lb.”), but no further action was taken. He also takes atorvastatin, 10 mg daily, for hypercholesterolemia (elevated LDL cholesterol, low HDL cholesterol, and elevated triglycerides). He has tolerated this medication and adheres to the daily schedule. During the past year, he has gained 22 lb.
Since retiring, he has been more physically active, playing golf once a week and gardening, but he has been unable to lose more than 2–3 lb. The medical documents that he brings to this appointment indicate that his hemoglobin A1c (A1C) has never been <8%. His blood pressure has been measured at 150/70, 148/92, and 166/88 mmHg on separate occasions during the past year at the local senior center screening clinic. Although…
