Diabetes Clinical Cases


Case 1.

47 year old, newly-diagnosed woman
with 8.5% A1c at diagnosis

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Use of A1c to select class of medications for glycemic control

Rapid progression of medications to lower A1c to 6.6% in 26 weeks

Case 2.

54 year old lawyer with 10.2% A1c at diagnosis

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Use of insulin to bring a poorly-controlled patient to a 7.0% A1c in 17 weeks

Teaching a patient to self-titrate insulin doses

Use of blood glucose averages and standard deviations to make glycemic therapy decisions

Case 3.

Starting a prednisone-using patient on insulin

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How prednisone affects blood glucose

Which classes of diabetes medication are not suggested for a patient on Prednisone

Teaching a patient to self-titrate mealtime insulin

Case 4.

48 year old bookkeeper, newly diagnosed, with an A1c of 8.2%

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Rationale for metformin as the initial glycemic therapy for type 2 diabetes

Characteristics of oral and injected medications for type 2 diabetes

Using fasting or mean (average) blood glucose as the treatment target

The material presented here is for informational purposes only and does not imply BD endorsement of specific therapies or products discussed in the case studies. Individual clinical judgements should be used in all patient care situations. ©2010 BD

 



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