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Daily Archives: Apr 26, 2016

One Bite at a Time

Woman, 42 years of age, class III obesity, type 2 diabetes diagnosed in the past year, binge eating disorder. Very motivated to change lifestyle when first diagnosed. She goes off and on her medication. When off, she binges. As an hcp, I wondered about the severe changes from totally "on" to totally "off." Yes, this patient is receiving counseling, CBT.

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When patients ask me where insulin comes from, the automatic answer is the pancreas. I will often show them a drawing of where that is in the body. Most patients note how large the organ appears to be and wonder how they can be losing the ability to make and …

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