Sunday , February 18 2018
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On-the-Go Treatment

A 43-year-old patient presents to your clinic for an appointment. She has mild hypertension, which is currently well controlled with a beta blocker. She was diagnosed with type 2 diabetes 6 years ago, and has been taking metformin and glipizide. She has noticed that her recent self-blood glucose monitoring numbers have been creeping up with a most recent FPG of 160 mg/dl. At today’s visit, she has an A1C of 8.0%. She tells you that until now her job has required she travel several times a month. This week, she was promoted to a managerial position that does not require travel. Which of the following approaches would be the best for her? 1. Add a basal insulin dose once a day 2. Add pre-mixed insulin twice a day 3. Add pre-mixed insulin twice a day and change her non-insulin medications 4. Add a basal insulin dose once a day and change her non-insulin medications Follow the link for the answer.

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Mary Loeken Transcript

In this interview transcript, Mary Loeken discusses her research into maternal diabetes, and how increased glucose metabolism, as a result of the mother’s glucose going to the embryo, causes abnormal expression of genes; as well as what pathways may be crucial in leading to malformations, and how there might eventually be strategies to prevent the malformations from occurring.

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Mary Loeken Full Interview

In this Exclusive Interview, Dr. Mary Loeken talks with Diabetes in Control Publisher Steve Freed during the ADA meeting in San Diego, CA about her research on the risk of birth defects in pregnant women with diabetes and the medications that can be used to decrease that risk.

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