Pmh

• Diabetes mellitus since age 55; it was well controlled until last year when it worsened because of increased confusion of when to take her medication

• Hypertension treated for 20 years and well controlled; has been hypotensive on a few occasions recently during physicals

• Insomnia which is getting worse

FH: Father died of myocardial infarction at age 76; mother died of breast cancer at age 79

SH: Lives alone; denies drinking alcohol or smoking Meds

• Hydrochlorothiazide 25 mg orally once daily

• Losartan 50 mg orally twice daily

• Metformin 1,000 mg orally twice daily

• Lorazepam 1 mg orally at bedtime

ROS: (+) weight loss of 5.5 kg (12 lb); (-) N/V/D, change in appetite, heartburn, chest pain, or shortness of breath

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