So the FDA changed the labeling on metformin a while back and made it a little easier to use the drug in more patients who have poor kidney function. Whenever changes like this happen, I like to take a little time and digest the changes. From a recent Medscape...
Selecting a medication for diabetic neuropathy can be a bit challenging. You really need to weigh the adverse effect profile when choosing an agent. The case: A 55 year old male has a past medical history of diabetes. He has been experiencing tingling in his feet...
Converting one medication to another should be done cautiously. We also must recognize that a transition, or equivalent dose is virtually never going to be perfect. So how do you convert levothyroxine to disiccated thyroid? Armour Thyroid is probably the most common...
Levothyroxine is one of the most common medications that I see used in my everyday practice. I’ve definitely seen a fair share of mistakes with levothyroxine. Here’s a few common ones that come to mind. Dosing levothyroxine based upon TSH is...
Polypharmacy is a big topic in geriatrics. In the case below, I provide an example of diabetes medications and how we can try to minimize medications. Specifically, I look at the use of sulfonylureas with long acting insulin. An 88 year old female with a past...
As many of you well know, I work closely with a lot of folks in the long term care business. Insulin errors can be one of the scariest errors that can happen. Here’s a case scenario I don’t like seeing happen, but have unfortunately seen it a few times....
