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Daily Archives: Jul 9, 2016




July 9, 2016

Sixteen years ago when Steve and I started this newsletter, we were sending it out to 30 pharmacists we knew. As more and more of you started subscribing and sharing our site and newsletter with others, I would sometimes sit at my desk in awe of what we had accomplished …

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Bariatric Surgery Recommendations

Are you changing your criteria for recommending metabolic surgery to your patients based on the new guidelines issued by International Diabetes Federation Taskforce on Epidemiology and Prevention of Diabetes (see article 1)?

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Question #841

Test Your Knowledge

42 year old female, 5’ 4”, 275 lbs, BMI 47.2 kg/m2. History of hypertension, chronic low back pain, severe gastroesophageal reflux disease, depression and type 2 diabetes (diagnosed 2 years ago), and anxiety/depression. Medications include lisinopril 10 mg daily, oxycodone 5 mg TID prn, omeprazole 20 mg daily, metformin 500 mg BID, and paroxetine 20 mg daily. She has been actively working with her PCP on losing weight with diet modification and water aerobics but has only lost about 4% of her weight in the past 6 months. Current labs: (fasting) blood glucose 154 mg/dl, Hgb A1c 6.7 Creatinine 1.6, mg/dl and TSH of 3.6 U/ml. What is the best course of action?

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