Monday , March 19 2018
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Production Assistant, Diabetes In Control

Drug Classes and A1c

Which of the classes of drugs have you seen the best results in lowering A1c for type 2 diabetes? DPP-4, GLP-1, or SGLT-2? Follow the link to share your response.

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Screening for Type 2

Mrs. O’Doole is a 34-year-old of Irish descent. She works as a florist and is married with three children. She arrives at your clinic for her annual wellness exam. Her blood pressure is 130/84 mmHg, pulse 65, BMI 24 kg/m2 and her physical exam is notable for acne and mild hirsutism. Her only current medication is oral birth control pills. She recalls starting OCP 15 years prior, due to irregular menses. What clinical diagnosis would suggest screening Mrs. Hernandez for type 2 diabetes? A. Thyroid dysfunction B. Cushing syndrome C. Polycystic ovary syndrome D. Premature ovarian failure Follow the link for the answer.

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Finding Success with Food Logging

Woman, 55 years of age, referred to me for obesity management. She visited without recent labs, so we got started with the agreement she would get her labs drawn soon after her visit. At our first visit, her blood pressure was 150/98, HR 64, and weight 204, BMI-35, therefore her BMI category was class II obesity. PMH-+Migraine Headaches. FH-+Mother died of lung cancer. Her mother was a smoker. Patient is not.

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International Textbook of Diabetes Mellitus, 4th Ed., Excerpt #116: Diabetes and Sleep Apnea Part 6

OSA and incident T2DM: Several studies have examined whether having OSA increases the individual’s risk of developing T2DM, in particular whether obesity is a major risk factor for both conditions and whether OSA has been associated with IR and prediabetes as described earlier. Several cross-sectional studies found a higher prevalence of T2DM in patients with OSA despite adjusting for confounders, particularly age and obesity; these studies are reviewed in. Whether OSA is a predictor of T2DM has been examined in a small number of longitudinal studies that used a variety of methods to diagnose OSA (from symptoms to polysomnography), and to diagnose T2DM (from self-reported to OGTT).

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