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Initiating Therapy

One of your patients has referred her 21-year-old stepson for a new patient exam. He has recently arrived home from college for the summer and she is concerned because he always seems to be thirsty. When prompted, she recalls her husband saying his ex-wife struggled with her weight and took “pills for her blood sugar.” Physical examination is notable for mildly elevated BP (137/84) and BMI 26 kg/m2. He denies any cigarette or alcohol use, states his favorite activities revolve around video games, and that he doesn’t really enjoy any physical activities. Labs are notable for random plasma glucose 312 mg/dl, UA positive for glucose. What would your initial drug therapy strategy be? A. Initiate monotherapy with metformin B. Initiate a combination therapy with two noninsulin agents C. Initiate lifestyle modifications D. Initiate insulin therapy Follow the link for the answer.

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Aaron Kowalski Transcript

Transcript: Dr. Aaron Kowalski on the meaning of his role as Chief Mission Officer of JDRF, and the work being funded to advance the cause of curing type 1 diabetes one day, as well as toward improving the quality of life for diabetes patients today.

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Aaron Kowalski Full Interview

In this Exclusive Interview, Dr. Aaron Kowalski talks with Diabetes in Control Publisher Steve Freed during the ADA meeting in San Diego, California about the meaning of his role as Chief Mission Officer and the work being funded to not only advance the cause of curing type 1 diabetes one day in the unknown future, but the work toward improving the quality of life for these people today.

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