http://link.pri-med.com/h/5M8UZ/NPYXG/OS/5C7S3

Presentation: A 59-year-old white female with type 2 diabetes presents
for a checkup for the first time in over a year. She returns to her
physician to get refills on her antihyperglycemic agents. Currently,
her diabetes is treated with sulfonylurea (SU) therapy, and she is not
self-monitoring her plasma glucose. It has been 14 months since she
last visited her clinician's office, at which time her A1C was 7.7%.
She denies any symptoms of hyperglycemia, including blurry vision,
polydipsia, polyuria, or fatigue.

Comment:

It is our collective clinical experience that when type-2 diabetic
patients are not given parameters that allow them to be pro-actively
involved in the decision-making that utilizes fasting blood glucose
measurements to determine whether antihyperglycemic agents should be
held to avoid hypoglycemic attacks, that the above non-optimal
presentation typically happens.

This is why the diabetic 2PD-OMER Approach requires such parameters
from the supervising physician.

It remains smart for a diabetic to eat less, down to the right amount.

http://HeartMDPhD.com/BeSmart

Be hungry... be healthy... be hungrier... be euglycemic... be blessed:

http://TheWellnessFoundation.com/BeHealthy

Prayerfully in the infinite power and might of the Holy Spirit,

Andrew <><
--
Andrew B. Chung, MD/PhD
Lawful steward of http://EmoryCardiology.com
Swordbearer for the KING of kings and LORD of lords.
http://HeartMDPhD.com/Sword