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This article originally posted 18 November, 2011 and appeared in  Blood Glucose ControlWomen's Health and OB-GYNType 2 DiabetesIssue 600

Test Your Knowledge #600: A 48-year-old woman who has had type 2 diabetes for 6 years is seen for her semiannual examination...

A 48-year-old woman who has had type 2 diabetes for 6 years is seen for her semiannual examination.

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She has long-term rheumatoid arthritis treated successfully with low-dosage prednisone (2.5 mg daily). Her blood glucose is well controlled with rosiglitazone and metformin. She asks about effective weight-loss strategies; her body mass index is 32. She consulted a dietitian and lost 1.8 kg (4 lb) in the past 2 months; however, her hemoglobin A1C value slowly increased and is now 7.2%, which she finds "frustrating." She would like to lose more weight quickly.

Which of the following changes, if any, should be made to this patient's diabetes management plan to stabilize and then reduce the hemoglobin A1C value and to facilitate weight loss?

A. Make no additional changes to the management plan

B. Initiate a resistance-training exercise plan

C. Increase the rosiglitazone dosage
 
D. Add a secretagogue

Click here for correct answer.

 

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This article originally posted 18 November, 2011 and appeared in  Blood Glucose ControlWomen's Health and OB-GYNType 2 DiabetesIssue 600

Past five issues: Diabetes Clinical Mastery Series Issue 85 | Issue 626 | Special Edition - Getting Patients on Track | Diabetes Clinical Mastery Series Issue 84 | Issue 625 |

 
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