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Monthly Archives: March 2016

March 19, 2016

If you have read my last two editor’s desks (Issue 824 and DCMS 284) you know that one of my good friends has a nephew diagnosed with type 1 diabetes and all the consternation this has caused the family. Because they live in Raleigh, NC, Joy Pape, our medical editor, …

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Biosimilar Insulin

Will you consider switching to a biosimilar insulin for lantus for reasons of cost savings when it becomes available this year? Follow the link to share your opinion and see what others think!

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Question 825

Test Your Knowledge

She jokes that she “just can’t seem to lose that extra baby weight” after giving birth 3 years ago. However, her daughter recently started preschool, so she has been able to go to her new gym several times per week. In fact, one of the added bonuses of her membership is the free, weekly nutrition and exercise support groups. In addition to her routine labs, you order an A1C, which comes back elevated at 7.1%. This measurement is confirmed several days later. Based on Mrs. Hunter’s profile, you encourage lifestyle modifications and start metformin with an A1c target of less than 7%. After four years of good glycemic control with metformin 1500 mg q day, Mrs. Hunter returns for her 6-month follow-up visit. At this time, her office A1C is 8.2% and she has gained 7 pounds. She is very concerned about her weight gain. If weight is a concern, what would be the best antiglycemic drug to add to her regimen? Select one answer: A. A sulfonylurea B. A DPP-4 inhibitor C. A thiazolidinedione D. A GLP-1 receptor agonist Follow the link to see if you're right!

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On Tuesday in our DCMS issue, I spoke about a newly diagnosed type 1 patient and the anxiety his family was experiencing. I asked for an Endo in the Raleigh, NC area and many of you offered a suggestion. The family followed the recommendation of our good friend Dr. John Buse. …

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