I am going to outline a common case of escalating dosages of levothyroxine. I beg you to ALWAYS look for binding interactions with levothyroxine when you see dose increases! KE is a 68-year-old female with a history of GERD, anemia, osteoarthritis, hypertension, and...
This guest post on selecting a diabetes medication was contributed by pharmacist Jiamin Liau who is also a Certified Diabetes Educator in Australia. I’m appreciative for her contribution to help educate other healthcare professionals! If you’re a...
Working in geriatrics, you run into a lot of tough questions where there isn’t always a perfect answer. Setting a goal A1C is sometimes one of those challenges. Here’s a scenario where a patient has an A1C of 8.2. Under most conditions, an A1C of 8.2 is...
Diabetes is a disease that millions are affected by. It can be very challenging trying to figure out which medication or medication combination is best for a patient. While extremely rare, the GLP-1’s and DPP4 inhibitors have been potentially associated with...
A 59 year old female is on the following medications: Alprazolam 1 mg four times daily as needed Norvasc 10 mg daily Simvastatin 40 mg at bedtime Cyclobenzaprine 10 mg hs prn Tylenol PM as needed Lasix 20 mg daily Glucagon kit as needed Glipizide 5 mg daily Lantus 18...
A primary provider approaches you to figure out why one of his patient’s diabetes is out of control. Nothing seems to work. The case: A 59 year old female has a past medical history of: COPD Type 2 Diabetes Hypertension GERD Chronic back pain A1C= 10.2 Current...