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Managing Editor, Diabetes in Control

Managing Editor, Diabetes in Control

Question #808

Test Your Knowledge

A 75-year-old man presents to your office with complaints of occasional mild hypoglycemia. His current antihyperglycemic regimen includes metformin and nateglinide. You would like to modify his treatment regimen to minimize his risk of hypoglycemia. Which one of the following 2-drug combinations would NOT be a suitable substitution? Follow the link to answer!

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Oftentimes patients are told, “We can give you a pill or a shot for your diabetes, and they do the same thing.” You know that they are referring to GLP-1 analogs and DPP-4 inhibitors. Since these medications have similar effects, this comparison often happens. However, this is not even close …

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Question #807

Test Your Knowledge

A 47-year old patient returns for a follow-up visit. He currently takes metformin 2000 mg daily, but is not achieving his glycemic target of A1C less than 7%. His current A1C is 8.0%. You would like to add a second medication to his regimen, however he voices concern that he is no longer covered by any health insurance and is worried about how to pay for his medications. Taking his concern into consideration, what drug would you add to metformin? Follow the link to answer!

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Chair Exercises for Your Patients

The road to exercise might begin with the first step, but for people with neuropathy (nerve damage), foot complications, balance issues, or lack of mobility, steps in general might be hard to take. You can still get a good workout in your chair and that’s vital, says LeeAnn Langdon, an …

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Question #806

Test Your Knowledge

If diabetes were a country how big would it be? Federal Assistant Health Minister Ken Wyatt from the IDF says that “if diabetes diagnosed and undiagnosed was a country, it would be the ___th largest country in the world.” The ten countries with the largest population in the world are China, India, United States, Indonesia, Brazil, Pakistan, Bangladesh, Nigeria, Russia and Japan. If those with diagnosed diabetes and undiagnosed diabetes were a country, which country’s population would it be closest to? Follow the link to answer!

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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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