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Managing Editor, Diabetes in Control

Question 831

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Mr. Huang achieves good glycemic control with his lifestyle modifications, metformin and linagliptin and returns every 6 months for follow-up visits. Three years after initiating this treatment plan, he returns to your clinic for his 6-month check-up. When asked how his diabetes management is going at home, he shares that recently he has been “unable to really get out and get as much exercise as he knows he should due to his creaky, old knees acting up.” His current office A1C is 8.8%. You discuss with him what the next management steps may be to achieve his individualized glycemic goal. A long-acting insulin analogue was added to his treatment. What is the best advice you can give Mr. Huang regarding exercise? A. He really needs to find a way to perform 150 min/week of moderate-intensity aerobic exercise. B. At his age, exercise doesn’t make a significant difference any more. C. He should do his best to be active and get as close to 150 min/week as he can. D. He should be as physically active as possible and introduce resistance training at least 2 times per week to his routine. Do you have the right answer? Follow the link to find out!

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