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Production Assistant, Diabetes In Control

International Textbook of Diabetes Mellitus, 4th Ed., Excerpt #117: Diabetes and Sleep Apnea Part 7

OSA and diabetes-related complications: Recently, there has been increasing interest in the association between OSA and diabetes-related complications. There is one cross-sectional published study regarding the association between OSA and macrovascular complications in T2DM, but several studies have examined the association between microvascular complications and OSA in T2DM. Most of these studies are cross-sectional in nature but more recently prospective studies proving causality have been published. Many of these studies fail to adjust for many of the possible confounders.

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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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