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Comprehensive Diabetes Tests

Mr. Hernandez is a 45-year-old plumber of Hispanic heritage who has excessive weight (BMI 30 kg/m2). He arrives at your office for a first-time visit. He has not been to a physician during the last 7 years because he hasn’t always had health insurance and “doesn’t like going to the doctor.” However, he has been noticing lately that his vision seems a little blurry and he’s developed a red, itchy rash in his groin. He is a non-smoker and recalls being told a long time ago that he should eat a low salt diet, but he can’t remember why. On examination, his BP is 154/96 mm/Hg, and his pulse is 72, RR 22. His physical exam is notable for signs of a yeast infection in his groin. You order a CBC and A1C to be drawn that day before he leaves. You advise him how to treat his skin infection. When you receive the results of the blood test, it shows a random plasma glucose of 162 mg/dL and A1C 7.3%. You call Mr. Hernandez and ask him to return the next morning, before he has eaten, for additional labs. In this individual, you might order all the following labs EXCEPT: A. A1C B. chem 12 panel C. fasting lipid profile D. urine ketones Follow the link for the answer.

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Yehuda Handelsman Current Interview

Yehuda Handelsman, MD, FACP, FACE, FNLA is an endocrinologist in private practice and Medical Director & Principal Investigator of the Metabolic Institute of America. He is a nationally and internationally recognized authority on Diabetes, Lipids, Obesity, HTN their  and the prevention of cardiovascular disease.

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Yehuda Handelsman Transcript

Exclusive Interview transcript: Dr. Yehuda Handelsman, Medical Director & Principal Investigator of the Metabolic Institute of America, discusses how to safely lower A1c, safe LDL, the life-saving efficiency of some very expensive drugs, and exciting diabetes technology.

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