A patient’s A1C was chronically high at around 9.0 with poor diet compliance. They were already reciving a fairly high dose of a sulfonylurea (glipizide) – remember that sulfonylureas stimulate the release of insulin. They were also on metformin 1000 mg...
I can remember doing a home visit with a patient who had recently been discharged from the hospital. This particular individual had a recent CHF exacerbation as well as pneumonia. I will never forget the experience that made me reflect upon how I try to educate...
Often in CHF you may see spironolactone used in combination with loops and other diuretics to try to help treat edema. There are certainly other indications for spironolactone, but I’ll leave that for another day. My patient was having difficulty with edema and...
