You may have seen a recent study that has brought into question the safety of SPLENDA®, leading to the downgraded safety rating of sucralose by the Center for Science in the Public Interest (CSPI). As we have seen before, these studies seem to find their way in to the press regardless of the credibility associated with …
Read More »Yearly Archives: 2016
Extreme Exercise
A professional society looks into how much physical activity is good for a healthy lifestyle.
Read More »Clinical Opportunities for Biosimilar Insulins
What will be the impact of the new biosimilar insulins now in development?
Read More »Get Off the Diabetes Couch
A sedentary lifestyle may lead to type 2 diabetes and metabolic syndrome.
Read More »Empagliflozin: Potential New Approach to Treating T2DM
Empagliflozin is proving to be a strong proponent for monotherapy in patients with T2DM.
Read More »The New Biology of Diabetes
Could study of FOXO transcription factors one day lead to new therapies?
Read More »Reprogramming Human Skin Cells to Produce Insulin
Conversion to pancreatic cells may lead to new cell replacement therapies.
Read More »Prescription Costs
Do you talk with patients about prescription drug costs? Follow the link to respond.
Read More »Question #824
Mrs. Hunter is a 36-year-old African-American who comes to your office for her annual wellness exam. She is overweight (BMI 27 kg/m2), but is otherwise healthy. 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%. You and Mrs. Hunter set a goal for A1C less than 6.5%. She returns 3 months later for a follow-up visit and her office labs show an A1C 6.8%. You congratulate her on her progress and ask her to return in another 3- 4 months. When she does, she is above her goal with an A1C 8.1%. She explains that she has gone back to full-time work and just doesn’t have the time to get to the gym anymore. At this time, what would your next step be and what would her individualized glycemic targets be? Select one answer: A. Encourage lifestyle modifications and start metformin with a target A1C less than 6.5% B. Encourage lifestyle modifications and start metformin with a target A1C less than 7.5% C. Encourage lifestyle modifications and start a 2-drug combination target A1C target less than 7% D. Encourage lifestyle modifications and and continue with metformin Follow the link to see the correct answer.
Read More »Over the past 30 years that I have been a pharmacist, we have had many sound-alike drugs. Many of you remember when Losec became Prilosec because of the confusion with Lasix. Often we don’t even see these problems unless someone has a bad event. This week our disaster avoided looks …
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