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Managing Editor, Diabetes in Control

Managing Editor, Diabetes in Control

Question #814

Test Your Knowledge

You are reviewing lifestyle modifications with a 42-year-old, relatively sedentary patient who has been newly diagnosed with prediabetes. Your screening for any cardiovascular risk factors was negative, so she has agreed to a 3-month trial of dietary modifications and increased physical activity. Structured exercise interventions and modest weight loss have been shown to lower the risk of developing type 2 diabetes in high-risk populations by an average of: (follow link to answer!)

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Last week I was watching football and it seems like there is a real advantage for teams who can switch easily between the running and passing games, proving that 2 offenses are better than one. The same appears to be true in diabetes care, and this month our SGLT-2 inhibitor …

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Question #810

Test Your Knowledge

A 51-year-old patient returns to your office for a follow-up visit. She is currently taking metformin and glipizide after being diagnosed with type 2 diabetes eight years ago. She shows you her self-care logs that indicate she has been eating a healthy diet and walking daily. She has been maintaining her weight (BMI 26kg/m2). Despite her excellent efforts, her A1C is 7.8%, above her target of A1C<7.0%. When you start to discuss adding a basal insulin dose to her regimen, she bursts into tears. All of the following are common barriers to insulin therapy initiations EXCEPT (follow the link to answer):

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Question #809

Test Your Knowledge

43-year old patient presents to your clinic for an appointment. She has mild hypertension, which is currently well controlled with a ß-blocker. She was diagnosed with type 2 diabetes 6-years ago, and has been taking metformin and glipizide. She has noticed that her recent self-blood glucose monitoring numbers have been creeping up and with a most recent FPG of 160 mg/dl. At today’s visit, she has an A1C 8.0%. She tells you that until now her job has required she travel several times a month. This week she was promoted to a managerial position that does not require travel. Which of the following approaches would be the best for her?

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Test Your (Thanksgiving) Knowledge

Just for fun, here's a bonus question to Test Your Knowledge of Thanksgiving: according to food historians, the meal at the first Thanksgiving in 1621 would have been very different from what most U.S. celebrants eat today. In fact, only one of these modern Thanksgiving staples might actually have been on the table back then. Which one is it?

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