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According to the Diabetes and Aging Study (Laiteerapong et. al.), early diagnosis and attainment of an A1C less than 6.5% will
The Diabetes Prevention Program (DPP) found that in patients with prediabetes (IFG/IGT) losing weight and exercising 150 minutes per week will decrease your relative risk of developing diabetes by
Case #2 – You are seeing a 45-year-old woman who is new to your practice. She has been treated for type 2 diabetes for the past 5 years. She initially tried metformin but had to stop it secondary to GI side effects. For the past few years she has been taking glipizide 10 mg daily. Her A1C at the last appointment was 7.5%. Her main concern at this time is that she has gained 25 pounds over the past 3 years since starting the glipizide. She wonders if you can try something different for her diabetes. She is extremely afraid of injections and is refusing and injectable medications.
Which of the following option/s would be appropriate to start along with stopping the glipizide per her request?
Case #1 – You are seeing a 65-year-old African American woman who has been taking glyburide 5 mg and metformin 500 mg, both twice daily, for the past 15 years. Recently, she has noted some decreased appetite and a 5-lb weight loss in the past 9 months. Her last A1C was 6 months ago – 7.8%. Recently, she has felt a bit tired and “different” in the evenings. She checks her blood sugar twice a day before breakfast and after dinner. Her BG at 8pm was 72. You perform an in office A1C check which comes back at 6.8%
What would you suggest for the patient at this time?