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Monthly Archives: March 2018

March 31, 2018

In the past when we worked with type one patients, we typically have had no issues with weight gain and obesity. Most of them seem to have the opposite problem and couldn’t retain weight. In addition, they are often concerned about hyperglycemia and so they usually don’t eat enough carbs …

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Helping Newly Diagnosed Type 2

Mrs. O’Doole is a 34 year-old of Irish descent. She works as a florist and is married with three children. She arrives at your clinic for her annual wellness exam. Her blood pressure is 130/84 mmHg, pulse 65, BMI 24 kg/m2 and her physical exam is notable for acne and mild hirsutism. Her only current medication is oral birth control pills. She recalls starting OCP, 15 years prior, due to irregular menses. Based upon her medical history and physical, you believe it would be prudent to screen Mrs. O’Doole for type 2 diabetes. The lab returns a fasting plasma glucose (FPG) of 112 mg/dL. You share these results with your patient and inform her that while only mildly elevated, she has impaired fasting glucose. You recommend that she see a diabetes educator to help her modify her diet and exercise to lose some weight. At a follow-up appointment 6 months later, Mrs. O’Doole tells you despite good intentions, she has not been able to adhere to any meaningful lifestyle changes. In fact, she has gained 5 pounds. At this time, her repeat fasting plasma glucose shows FPG 138 mg/dL. After discussing management options with her, you decide the best management would be: A. lifestyle modifications only B. metformin only C. metformin + continue with lifestyle modifications D. repaglinide only Follow the link for the answer.

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March 27, 2018

Over the past 2 months, we have shared information from our clinical textbook on the relationship of Diabetes and Obstructive Sleep Apnea. OSA is often left undiagnosed in diabetes patients and each of the two conditions can worsen the other. This week, we look at some of the other effects …

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