My diabetic patient refuses to regulate his blood sugar and.......
My diabetic patient came with an abscess.
he's refusing to regulate his blood sugar with insulin but he's suffering a severe pain because of that abscess
I tried to refer him to someone else but he refused that.
What should I do? how do I manage his case? how do I drain his abscess without causing any damage to his health? (Source: Student Doctor Network)
Source: Student Doctor Network - January 5, 2017 Category: Universities & Medical Training Authors: Sho-4 Source Type: forums
Question about acromegaly, IGF, glucose intolerance
So for some reason, i'm having difficulty understanding this concept. In growth hormone excess (such as acromegaly), you have an increase in IGF, which apparantly causes hyperglycemia. I don't understand how an excess of IGF causes hyperglycemia, if IGF's function is similar to that of insulin. shouldn't it cause hypoglycemia? (Source: Student Doctor Network)
Source: Student Doctor Network - December 31, 2016 Category: Universities & Medical Training Authors: otacon88 Source Type: forums
Metformin PRN?!?!
Last day of my family medicine rotation and I had a nurse practitioneer for my final patient of the day. Of course, she corrected me when I called her Mrs. instead of "Dr." She had been a diabetic for many years and we went over her insulin regimen. Apparently, she "tweaked" her own sliding scale and told me she takes metformin "as needed" and lispro at bedtime. Wtf? Do they not teach NPs about metformin increasing the sensitivity of insulin action? Did she not know lispro is a...
Metformin PRN?!?! (Source: Student Doctor Network)
Source: Student Doctor Network - December 3, 2016 Category: Universities & Medical Training Authors: sun_devil33 Source Type: forums
Epinephrine, glucagon, insulin "big picture" clarification
I have a couple of big picture questions that have come up when reviewing metabolism and I think they reflect some fundamental issues in my understanding. Sorry I couldn't be more concise.
1. I don't understand the purpose of gluconeogenesis/ glycogenlysis. I see the purpose is to "maintain blood sugar levels" but why does blood sugar need to be maintained? Again, I've read the reason is so that the rbcs and brain have a fuel source since they "use glucose". However, to my knowledge,...
Epinephrine, glucagon, insulin "big picture" clarification (Source: Student Doctor Network)
Source: Student Doctor Network - October 4, 2016 Category: Universities & Medical Training Authors: dfgyz230 Source Type: forums
Family members treating/loaning medications to patients?
I've recently had a spate of family members loaning antibiotics/insulin/medications to other family members --
most recently today -- had a female patient present for a cough and find out the husband had some Cipro lying around and treated her for 6 days with Cipro. When I inquired about it, I was told "don't try it" -- almost in the sense of questioning his "medical judgement". To my knowledge, they were not a physician ---
so -- how do the rest of you handle family members doctoring...
Family members treating/loaning medications to patients? (Source: Student Doctor Network)
Source: Student Doctor Network - September 11, 2016 Category: Universities & Medical Training Authors: JustPlainBill Source Type: forums
DPP 4 Inhibitors: cautious friendship with sulphonylurea, but good friendship with metformin and insulin
(Source: BMJ Comments)
Source: BMJ Comments - August 24, 2016 Category: Journals (General) Source Type: forums
How much rounding can one get away with?
Does anyone work for insurance? What if I rounded a Novolog box from 31 days supply to 30 days, will that be charged back during an audit? Is there even a set number days we can round before insurance takes it back? (Source: Student Doctor Network)
Source: Student Doctor Network - July 22, 2016 Category: Universities & Medical Training Authors: ArtificallyFlavored Source Type: forums
Question about hypodermic needle/syringe laws in Texas
Can anyone point me in the direction of where this is? I've looked in the law book for the boards and even online at the state board of pharmacy's website but I have had no luck. I've been told that they need proof of insulin use in their medication profile, but I would like to see the law myself regarding quantities we are allowed to sell, if we need to ID, age restrictions, etc. (Source: Student Doctor Network)
Source: Student Doctor Network - May 27, 2016 Category: Universities & Medical Training Authors: crossurfingers Source Type: forums
scary RN questions
I will start by saying, I love the RN's I work with - well, most of them. I see them and interact with the more than my fellow pharmacists - but dang, every now and then I get one of the questions that scare the hell out of me. (although most MD's would probably say the same about RPh's) - all professionals have those wack jobs and we all have an off day.
Lets get a list of some of the funny/scary questions we have gotten.
I had this one - from a seasoned RN even. I have this insulin...
scary RN questions (Source: Student Doctor Network)
Source: Student Doctor Network - May 2, 2016 Category: Universities & Medical Training Authors: Dred Pirate Source Type: forums
Reimbursements on packaged medications
I am confused about how insurance reimburses packaged medications and would like someone clarify it for me.
To my understanding, let's say, creams and solutions which comes in different weights like 15g, 30g should have different reimbursement rates right? Does that work the same for solutions and broken insulin pen packages (e.g. 10ml of Novolog dispensed instead of the 15ml?)
Thanks (Source: Student Doctor Network)
Source: Student Doctor Network - April 3, 2016 Category: Universities & Medical Training Authors: ZakMeister Source Type: forums
Do you Recommend Insulin Pump For Type 2 Diabetes
Many debates and ongoing researches have not yet come to a conclusion to weigh between the advantages and disadvantages for Insulin Pump specially for diabetes type 2, however many diabetic patients are rushing to aquire the device, irrespective of the main serious side effects such as infection and DKA
I think we need more researches to finalize the usefulness of Insulin Pump , and proper health education for diabetic patients on this subject (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - March 10, 2016 Category: Cardiology Authors: alaminium Source Type: forums
Re: Liraglutide in people treated for type 2 diabetes with multiple daily insulin injections: randomised clinical trial (MDI Liraglutide trial)
(Source: BMJ Comments)
Source: BMJ Comments - November 1, 2015 Category: Journals (General) Source Type: forums
Weight
Hey
Over one year i have lost 10 kilos (22 lbs)
And about 30-40% of. Lung function.
Earlier this year i was diagnosed with cfrd and my cf doctors expected an incline in both lungfunction and weight gain because now im gonna be treated with insulin.
They basically thought the weight loss and lungfunction loss was caused by the cfrd.
That was back in may. When i started the insulin
Its now august, and i havent gained any weight or lungfunction.
In fact i lost a lil bit more weight and about 2-4% lungfunction.
So its definitly not getting better as expected.
Idk how, or why
Have any of you expierence with cfrd?
And g...
Source: Cystic Fibrosis Adults Forum - August 13, 2015 Category: Respiratory Medicine Authors: Rickengelage Tags: Adults Source Type: forums
question about insulin
Hi
i was just a bit stuck on these two questions and would be grateful if anyone could help.
Which peritoneum-covered structure lies immediately posterosuperior to the normal
spleen? is it the diaphragm or kidney?
Describe the anatomical route taken by insulin released from the pancreas. Which
tissue removes the greatest amount of insulin from the blood?
Thanks a lot (Source: New Media Medicine)
Source: New Media Medicine - May 30, 2015 Category: Universities & Medical Training Authors: n9acimasiz Tags: Glasgow Medical School Source Type: forums
Has anyone tried Plexus for Blood Sugar control?
Hi y'all! I am 32 yo female and found out last June my A1C was elevated. Rather than jump right into insulin, I decided to do my best to control by being careful about the foods I eat. I was having some success (when I was perfect) but now I'm pregnant! With pregnancies 1 and 2 this meant sugars that went a little crazy. My friend sells Plexus products (they have a full selection of supplements, probiotics, etc) and a specific product called Plexus Slim. Anyone heard of it? Well, don't let the name fool you. It was developed for blood sugar regulation and then they discovered some people lost weight on it (because of BS re...
Source: Cystic Fibrosis Alternative Medicine Forum - March 15, 2015 Category: Respiratory Medicine Authors: jmiller1 Tags: Alternative Medicine Source Type: forums
