A obese patient having BMI32with accelerated hypertension bp150/90having nocturnal polyurra Hba1cis 4.5 noDM usg shows1grade prostomegaly. Please suggest ttwhich is sutaible for obesity reduceHT and prostomegaly
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Selection of treatment will depend on patients expectation.
Scene 1. If the patient says that i have come to treat my obesity and I am ok with my BP, in that case, Obesity management is expected.
Scene 2. If the patient says that I have come to treat my BP and weight doesn’t matter to him as a priority, treat him for HTN.
As a clinician, you have to treat his HTN as a priority which will help his weight to reduce also, thus helping the patient to achieve both the goals simultaneously.
Nocturnal polyuria will also reduce down as you will reduce the total body volume of fluids in the body due to weight reduction.
However, if prostatomegaly is diagnosed, that will be left untreated as of now.