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Monthly Archives: December 2015

Question #810

Test Your Knowledge

A 51-year-old patient returns to your office for a follow-up visit. She is currently taking metformin and glipizide after being diagnosed with type 2 diabetes eight years ago. She shows you her self-care logs that indicate she has been eating a healthy diet and walking daily. She has been maintaining her weight (BMI 26kg/m2). Despite her excellent efforts, her A1C is 7.8%, above her target of A1C<7.0%. When you start to discuss adding a basal insulin dose to her regimen, she bursts into tears. All of the following are common barriers to insulin therapy initiations EXCEPT (follow the link to answer):

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December 5, 2015

21, 28, 30, 90. What do these numbers mean? For many of us they are the number of days before leftover insulin has to be thrown away. As a pharmacist it often amazes me what patients think they should do. If you need the quick answer for your patients be …

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