Resources

Do you talk with patients about prescription drug costs? Follow the link to respond.

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.

In this week's Homerun Slides, the progression of periodontal disease and important factors to consider when assessing the periodontal disease status of patients with diabetes.

Dr. Andy Rhinehart gives his perspective on the new insulins and the difficulty of managing diabetes for the patient as well as the healthcare provider.

The proportion with previously undiagnosed diabetes varies with age. It seems to be highest at 30–39 years of age (70–80%), and lowest in the elderly (around 40%). The only exception was seen in European women where the proportion of undiagnosed diabetic cases was around 40–45% in all age groups.

Men with type 2 diabetes and cardiovascular risk focus of study.

Study finds positive feedback can go a long way to reinforcing positive health habits.

Aggressive or inappropropriate exercise may be a factor in connection between type 2 diabetes and tendonitis.

Research finds differences in type 1 diabetes in children versus teens.

Study finds remission rates of diabetes in patients who undergo weight loss procedure.