Final answer:
Ada has a HgbA1C level of 6.4%, indicating her type 2 diabetes needs better management. Metabolic syndrome involves various conditions that increase the risk of diabetes and cardiovascular diseases. Maintaining lower HgbA1C levels and embracing lifestyle changes are crucial for managing her diabetes.
Step-by-step explanation:
Ada, a 67-year-old Mexican American woman with metabolic syndrome, has a hemoglobin A1c (HgbA1C) level of 6.4%, which indicates her diabetes is not as well controlled as her physician prefers. Metabolic syndrome is characterized by a cluster of conditions including high blood pressure, dyslipidemia, impaired glucose homeostasis, and abdominal obesity. Managing these conditions often requires a personalized medicine approach, considering factors such as age, which affects glucose metabolism, and genetics, which can influence an individual's response to medication. It is crucial for individuals like Ada to maintain their HgbA1C levels close to 7% to reduce the risk of complications associated with type 2 diabetes, such as damage to the eyes, kidneys, and nerves. Lifestyle modifications, such as diet and exercise, are foundational in the management of type 2 diabetes, but when blood glucose levels cannot be controlled through these means alone, medical intervention including insulin may be necessary.