MRCP2-1605

MRCP2-1605

A 57-year-old man has been referred to the well man clinic due to his obesity, as registered by the nurse at his local surgery. He has a medical history of hypertension and takes ramipril and indapamide. During examination, his blood pressure is 155/82 mmHg, pulse is 78 and regular, and his BMI is 32. The following investigations were conducted: haemoglobin, white cell count, platelets, sodium, potassium, creatinine, and glucose.

Haemoglobin: 137 g/L (135 – 177)
White cell count: 7.0 ×109/L (4 – 11)
Platelets: 179 ×109/L (150 – 400)
Sodium: 141 mmol/L (135 – 146)
Potassium: 3.9 mmol/L (3.5 – 5)
Creatinine: 110 µmol/L (79 – 118)
Glucose: 6.6 mmol/L (<7.0) What is the most appropriate way to manage this patient?