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#397: Insulin, Type 2 Diabetes, Fanny Packs, and Hypoglycemia with Dr. Jeff Colburn

The Curbsiders Internal Medicine Podcast

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The Effects of Metformin on Weight Loss and Diabetes

The patient's daughter mentions that because mrs. DD wakes up late in the morning she usually eats only once per day and maybe she has a snack before bedtime sometimes. In the office her rattles are 142 over 61 her BMI is 24.6 and again we have a point of care a1c machine i'm assuming it's a machine i've never actually seen one in real life. As patients age they eat less often so their insulin needs might drop oftentimes they may lose body weight as we get older due to sarcopenia which is muscle loss or other things and their insulin dose drops. So there's a lot to look at for calorie intake and just um what I like

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