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Diabetes management: Beyond hemoglobin A1c
Other factors include cardiovascular benefit, weight control, hypoglycemia risk, and cost.
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In reply: Metformin for type 2 diabetes
The American Diabetes Association recommends periodic measurement of vitamin B12 levels in metformin users.
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Should metformin be used in every patient with type 2 diabetes?
Most patients should receive it, with exceptions. Nevertheless, it is underused.
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Diabetes and obesity: Managing dual epidemics
The odds are high that practitioners who manage patients with diabetes are also managing patients who are overweight or obese.
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Diabetes with obesity—Is there an ideal diet?
The ideal diet is one that achieves the best adherence when tailored to a patient’s preferences, energy needs, and health status.
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Optimizing diabetes treatment in the presence of obesity
It makes sense to select diabetes medications that do not contribute to weight gain in patients who are already overweight or obese.
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Diabetes management today: Issues in achieving glycemic goals
In the years since the discovery of insulin in 1921, our understanding of diabetes and the development of treatments have greatly improved the...
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Inpatient hyperglycemia management: A practical review for primary medical and surgical teams
Hyperglycemia in hospitalized patients, with or without diabetes, is associated with adverse outcomes including increased rates of infection and...
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How should we manage insulin therapy before surgery?
Continuing at least part of the basal insulin is reasonable, but prandial insulin should be stopped the morning of surgery.
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Glucocorticoid-induced diabetes and adrenal suppression: How to detect and manage them
Choosing specific drugs to counter hyperglycemia, tests for adrenal suppression and systemic glucocorticoid absorption, and how and why to taper...