What Other Secondary Diagnoses Does Lorene Have that Should be Addressed? (Include the Rationale and a Reference for Your Diagnosis

 The differential or secondary diagnoses possible for the patient include hypertension, metabolic syndrome, tobacco dependence, and elevated A1c. Additionally, the provider should address the patient’s obesity through lifestyle changes, including diet and exercise. Reducing her weight would be essential because it would reverse some comorbidities, including hypertension and metabolic syndrome (Budzianowski et al., 2017). Metabolic syndrome is the second most probable diagnosis for the patient. In women, the condition is diagnosed if the patient has an increased triglyceride above 175 mg/dL, increased waist circumference, low high-density lipoproteins below 50 mg/dL, elevated glucose, and increased blood pressure. Lorene’s blood pressure is significantly high, eats out often, drinks alcohol occasionally, and often works out