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Monthly Archives: October 2015

Question 805

Test Your Knowledge

One of your patients has referred her 21-year-old stepson for a new patient exam. He has recently arrived home from college for the summer and she is concerned because he always seems to be thirsty. When prompted, she recalls her husband saying his ex-wife struggled with her weight and took “pills for her blood sugar.” Physical examination is notable for mildly elevated BP (137/84) and BMI 26 kg/m2. He denies any cigarette or alcohol use, states his favorite activities revolve around video games, and that he doesn’t really enjoy any physical activities. Labs are notable for random plasma glucose 312 mg/dl, UA positive for glucose. What would your initial drug therapy strategy be? Follow the link to take the quiz!

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October 31, 2015

There has been a lot of press concerning the use of SGLT-2 Inhibitors and the possibility of DKA. Logically speaking it would seem that anything that lowers glucose would be of benefit in preventing DKA, but for some reason the human body seems to defy logic. With this in mind …

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