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Production Assistant, Diabetes In Control

Drug Class Preferences

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Which class of drugs would you prefer for a person with an A1c of 5.6%? 1) Only diet and exercise information 2) A GLP-1 receptor agonist 3) SGLT-2 Inhibitor 4) Metformin 5) Sulfonylurea Follow the link to share your opinion and see what your colleagues think!

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Not All Insulins and Not All Syringes are U-100

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Problems associated with the use of U-500 insulin syringes. We received two reports of accidental prescribing of the new BD U-500 insulin syringes for outpatients who were using a U-100 insulin product. In one case, an endocrinology clinic called the hospital pharmacy to ask how to order U-500 syringes. During the conversation, it became apparent that there was some confusion about the use of these syringes. The pharmacist stressed that the patient should not use a U-500 syringe to measure any insulin concentration other than U-500, or the measurement would be incorrect, leading to a 5-fold underdose.

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International Textbook of Diabetes Mellitus, 4th Ed., Excerpt #76: Insulin Actions in Vivo: Glucose Metabolism Part 2 of 9

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Glucose metabolism: Introduction. Any given concentration of glucose in plasma (and in the space in equilibrium with plasma) is the result of simultaneous release of glucose into the circulation and uptake of glucose from the bloodstream into cells. Whenever plasma glucose concentration is stable, the concurrent rates of its release and overall uptake must be equal. Glucose turnover (TR) is this rate of constant flux through its system.

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