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The Curbsiders Internal Medicine Podcast
REBOOT #387: Diabetes Updates with Dr. Marie McDonnell: New Tools for the New Rules
Jul 29, 2024
Dr. Marie McDonnell, a leading expert in diabetes advancements, discusses the evolving landscape of diabetes care. The conversation covers the personalized approach to managing type 2 diabetes, emphasizing real-life strategies over numerical guidelines. New medications like GLP-1 agonists are highlighted for their effectiveness, along with the importance of lifestyle changes. The role of extended-release medications and optimizing metformin dosing for patient adherence are also explored, showcasing innovative strategies for better diabetes management.
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Quick takeaways
- Effective management of type 2 diabetes requires a holistic approach, considering patient history, symptoms, and lifestyle factors to tailor treatment.
- While metformin is common, other options like GLP-1 receptor agonists should be considered when patients face challenges or side effects.
Deep dives
Understanding Type 2 Diabetes Management
Effective management of type 2 diabetes often begins with assessing the patient's overall health and history. The interview with an expert in diabetes highlighted the importance of understanding the patient's age, weight, and any symptoms they may be experiencing, such as polyuria. For instance, a 39-year-old female patient with class III obesity and an A1C of 9.6% required a careful approach in treatment. The expert recommended starting with lifestyle modifications and metformin, but also emphasized the need for quick follow-ups and additional treatment options if the patient's condition did not improve.
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