You have been following Mr. Miller for the past 2 years. You have worked with him, trying to get him to lose weight by changing his lifestyle and nutritional habits. He continues to be overweight (body mass index [BMI] of 33) and has tried to cut down his carbohydrate and fat intake, but now presents with polyuria, polydipsia, and an elevated random blood sugar of 164. You have ordered an HbA1c test in the past, as he is at high risk for diabetes, and the values have been less than 6.2%. However, his most recent test indicated an HbA1c greater than 7%.  You diagnose him with type 2 diabetes mellitus and talk to him about medications.

1. What is the first medication you would prescribe? Discuss how you made decisions as to determine which one to give first and base it on specific factors. 

2. What education regarding Mr. Miller’s medication management would you need to do? Think of motivational interviewing to help set personalized goals.

1. A $1000 loan is being repaid by payments of $100 at the end of each quarter for as long as necessary, plus a smaller final payment. If the nominal rate of interest convertible quarterly is 16%, find the amount of principal and interest in the fourth payment.(32.51 and 67.49)

2. A loan is being repaid with level payments at the end of each year for 20 years at 9% effective annual interest. In which payment are the principal and the interest most nearly equal to each other?(13th)

3. A loan of $12,000 is to be repaid with equal payments at the end of each year for 20 years. The principal portion of the 13th payment is 1.5 times the principal portion of the 5th payment. Calculate the total amount of interest paid on the loan.($7,586.40)