Patients live with the disease for decades and need increasingly complicated treatment regimens to attain glycemic goals. But other goals such as cardiovascular risk reduction, weight control, and avoidance of hypoglycemia also need consideration.
Diabetes management is often complicated with comorbidities, such as cardiovascular disease, obesity, hypoglycemia and out-of-pocket medication cost. In this article, endocrinologist Vinni Makin, MD, reviews the literature and shares best practices for diabetes management.
Diagnosing ectopic ACTH syndrome requires high levels of clinical suspicion. In this case report, Vinni Makin, MD, explains her clinical decision-making process.
Primary care physicians rate their knowledge of adrenal insufficiency as only average, according to a recent study. Endocrinologist Vinni Makin, MD, describes her research and efforts to develop resources to meet this need.
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Metformin should be considered in all adult patients with type 2 diabetes; gradual titration and extended release formulation should reduce adverse effects.
Metformin improves glycemic control without tending to cause weight gain or hypoglycemia, and should be considered in all adult patients with type 2 diabetes.
In older adults, aging and chronic illness can mask symptoms of hyperthyroidism. Discover best practices for diagnosing and managing Graves’ disease, toxic multimodal goiter, toxic adenoma and subclinical hypothyroidism.