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Nov. 12, 2016

Nov 12, 2016

A lot of our readers get into diabetes care because of a personal or family association with the disease. I did just the opposite. When our publisher, Steve Freed, got me involved 20 years ago I had no connection to the disease, but as the years have gone by, I have been able to use my knowledge to help family members more than once. Just recently a close family member had their labs done and came back with a 435 mg/l glucose reading, and a subsequent A1c revealed a 13.1 level. The patient had been using hormone pellets and although her testosterone was at 245, this was within the normal range for the therapy. I believed this was the reason for the high glucose levels, but they could not be removed. I immediately called the prescriber to ask them to start her on metformin 500mg bid and 20 units of glargine. We titrated the glargine up to 40 units daily and got the glucose levels down to around 170mg/dl. We had a C-peptide test done and the levels were nondetectable.  Five days later, we started the patient on Farxiga 10mg and a low carb diet. 4 months later, the patient is on 5 units of glargine, the Farxiga, and A1c is now 7.1. The pellets have been reinserted, and there has been no weight gain.

If you wonder how this could have happened, then I encourage you to look at Item 1, Item 2 and Item 5, and then decide if this makes sense.


We can make a difference!


Dave Joffe, Editor-in-chief