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Monthly Archives: January 2019

Jan. 15, 2019

Closed loop, Open Loop, MDI, Patch Pump. These are all methods of delivering insulin — some so complex, the combination of sensor and pump will manage highs and lows; others so simple, you barely need a meter. However, all of these methods could benefit from CGM devices. This week in our …

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What Can Happen When Patients Take Diabetes Holidays

Man, 36 years of age, type 2 diabetes, obesity class II, fatty liver, was taking metformin 1,000mg twice daily, and lower dose of SGLT-2. A1C was elevated 9% due to steroids; had been in the 6-7% range. Came in for 3-month follow up — A1C 9.9%, glucose 359, urine positive for glucose and for ketones, gained 19 pounds since last office visit, B/P 126/78-HR 78 and regular. The patient reports he took a "holiday" from everything during the holidays. He ate and drank anything and everything he wanted, including alcohol, and stopped his medications. He complained of  increased hunger and thirst. Very thirsty.

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