Q 2 by Kingston https://padlet.com/kingrajiah/vkw7z7zwsh56 en-us 2015-09-23 01:12:25 UTC 2017-10-10 07:23:45 UTC hello@padlet.com A female in her mid 20s, looking for pill to prevent pregnancy. She has past medical history of diabetes mellitus and varicose veins. kingrajiah https://padlet.com/kingrajiah/vkw7z7zwsh56/wish/71628152 2015-09-23 01:13:08 UTC https://padlet.com/kingrajiah/vkw7z7zwsh56/wish/71628152 Recommendations https://padlet.com/kingrajiah/vkw7z7zwsh56/wish/195464621 Questions to ask:
-allergies?
-other medical issues?
-what meds she is taking for her diabetes and varicose veins
1. Hormonal contraceptive have been reported to influence glucose,impair glucose homeostasis and fat methabolism
2. High dose of COC were also reported to slightly impair glucose homeostasis
3. Varicosa veins increases the risk of DVT. Therefore, hormonal contraceptive is best avoided.
Recommentation: 
1. Use progestin only pill but will require monitoring of gulcose and lipid.
2. Use non-hormonal contraceptive method.Examples, condoms, spermicides, IUD, and diaphragm.]]> 2017-10-10 07:07:24 UTC https://padlet.com/kingrajiah/vkw7z7zwsh56/wish/195464621