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Managing Editor, Diabetes in Control

Managing Editor, Diabetes in Control

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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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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