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Question 831

Test Your Knowledge

Mr. Huang achieves good glycemic control with his lifestyle modifications, metformin and linagliptin and returns every 6 months for follow-up visits. Three years after initiating this treatment plan, he returns to your clinic for his 6-month check-up. When asked how his diabetes management is going at home, he shares that recently he has been “unable to really get out and get as much exercise as he knows he should due to his creaky, old knees acting up.” His current office A1C is 8.8%. You discuss with him what the next management steps may be to achieve his individualized glycemic goal. A long-acting insulin analogue was added to his treatment. What is the best advice you can give Mr. Huang regarding exercise? A. He really needs to find a way to perform 150 min/week of moderate-intensity aerobic exercise. B. At his age, exercise doesn’t make a significant difference any more. C. He should do his best to be active and get as close to 150 min/week as he can. D. He should be as physically active as possible and introduce resistance training at least 2 times per week to his routine. Do you have the right answer? Follow the link to find out!

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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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