Author | Edward J. Shahady, MD

Articles

Man With Newly Diagnosed Type 2 Diabetes: What HbA1c Goal-And How to Get There?

May 07, 2013

The patient, an active 49-year-old man, had an HbA1c of 8.6 after diabetes was first diagnosed. It’s now 7.6 with metformin and lifestyle measures. Is the current A1c goal adequate, or should you treat more aggressively?

Type 2 Diabetes and Chronic Kidney Disease in an Elderly Woman: How Would You Treat?

December 04, 2012

Reducing hyperglycemia in older patients with chronic kidney disease may be best accomplished using incretin-based agents.

Hypertension and Glucotoxicity in a Patient With Newly Diagnosed Type 2 Diabetes: Treatment Recommendations

September 28, 2012

Hypertension is very common in people with diabetes; in this patient’s case, it may have been present for 5 to 10 years before the hyperglycemia appeared.

Diabetes Quiz: A 79-Year-Old With Elevated AlC Who Has Had a Stroke: How Would You Treat?

April 30, 2012

The elderly patient has had type 2 diabetes for 15 years is now home bound after a stroke. Her HbA1c is 9.6 and she takes only metformin. Review the rest of her laboratory results and propose a management plan.

Woman With Elevated A1C Who Has Had a Stroke

April 30, 2012

Would you treat the elevated A1C aggressively-and what would your target level be? Would you consider statins? Dr Shahady invites your insights.

Pre-Diabetes, Non-HDL Cholesterol, and Cardiovascular Risk

March 05, 2012

Do you consider an LDL of 100 and a non-HDL of 150 significant? What is your diagnosis? Would you consider medication in addition to recommending lifestyle changes? Answers to these quiz questions here.

A Middle-Aged Man With Multiple Red Flags: How Would You Proceed?

February 22, 2012

A 47-year-old man sees you for a check-up. He complains only of low energy and attributes it to recent weight gain. But, there is much more.