Case Study: Weight Loss in a Patient with Type 2 Diabetes: Challenges of Diabetes Management

被引:5
作者
Lotfi, Katayoun [1 ]
Palmer, Kenya [2 ]
Apovian, Caroline M. [3 ]
机构
[1] Boston Med Ctr, Ctr Nutr & Weight Management, Boston, MA USA
[2] Boston Med Ctr, Endocrinol Diabet Nutr & Weight Management, Boston, MA USA
[3] Boston Univ, Sch Med, Nutr & Weight Management Ctr, Obes Res Ctr,Boston Med Ctr, Boston, MA 02118 USA
关键词
D O I
10.1002/oby.21095
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
This patient with BMI 36 kg/m2 and T2DM on insulin glargine and glyburide as well as atenolol for HTN was able to lose 10% of his initial body weight with a low-carbohydrate diet and exercise and adjustment of medications in approximately a 36-week time frame. Insulin glargine and glyburide were reduced gradually with blood glucose monitoring and replaced by an increase in metformin, start of liraglutide, and eventually phentermine/topiramate and canagliflozin (Figure). Therefore, medications that can exacerbate weight gain were discontinued in place of medications which promote weight loss (1). © 2015 The Obesity Society.
引用
收藏
页码:S11 / S12
页数:3
相关论文
共 1 条
[1]   AMERICAN ASSOCIATION OF CLINICAL ENDOCRINOLOGISTS' COMPREHENSIVE DIABETES MANAGEMENT ALGORITHM 2013 CONSENSUS STATEMENT - EXECUTIVE SUMMARY [J].
Garber, Alan J. ;
Abrahamson, Martin J. ;
Barzilay, Joshua I. ;
Blonde, Lawrence ;
Bloomgarden, Zachary T. ;
Bush, Michael A. ;
Dagogo-Jack, Samuel ;
Davidson, Michael B. ;
Einhorn, Daniel ;
Garvey, W. Timothy ;
Grunberger, George ;
Handelsman, Yehuda ;
Hirsch, Irl B. ;
Jellinger, Paul S. ;
McGill, Janet B. ;
Mechanick, Jeffrey I. ;
Rosenblit, Paul D. ;
Umpierrez, Guillermo E. ;
Davidson, Michael H. .
ENDOCRINE PRACTICE, 2013, 19 (03) :536-547