This week I saw patients in a couple of offices and whenever the men were over 60 and had either loss of muscle or increased fat, my first thought was to get a testosterone level to find out if they were low. This got me thinking about why we make the decision to do certain tests on certain patients. Most of you would have to admit to ordering an A1c test on a 55 year-old who was 20 kg overweight way before you would do the same for a patient close to their normal weight. Now there seems to be some basis for our ordering of tests. A new article just published in the American Journal of Managed Care, points out exactly who we are more likely to order these tests for.
Dave Joffe, Editor-in-chief