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Sometimes Less is More: When to De-Escalate Diabetes Medications

Sometimes Less is More: When to De-Escalate Diabetes Medications

by Eric Christianson | Mar 8, 2026 | Endocrine Medication and Disease State Clinical Pearls

Diabetes management can be quite complex as it is a progressive disease, and goals can change depending on a variety of patient factors. In general, the ADA suggests an A1C goal of <7%, but in some cases, less stringent goals like <8% may be appropriate. The...
Diabetes Polypharmacy – 3 Case Examples

Diabetes Polypharmacy – 3 Case Examples

by Eric Christianson | Jan 18, 2026 | Endocrine Case Studies

Prescribing cascades don’t usually start with “bad” medications. In fact, they often begin with some of our most effective therapies. Metformin, SGLT2 inhibitors, and GLP-1 receptor agonists all have strong outcome data in type 2 diabetes. But when adverse effects are...
Ertugliflozin – Where Does It Fit in Practice?

Ertugliflozin – Where Does It Fit in Practice?

by Eric Christianson | Jul 30, 2025 | Endocrine Medication and Disease State Clinical Pearls

Ertugliflozin was first approved in 2017 for the treatment of type 2 diabetes. This medication is an SGLT2 inhibitor that prevents the resorption of glucose back into systemic circulation. It has been shown to be effective in lowering A1c and managing diabetes. In...
Sulfonylureas with Insulin – Case Scenario

Sulfonylureas with Insulin – Case Scenario

by Eric Christianson | Jun 15, 2025 | Endocrine Case Studies

One of my biggest pet peeves is the use of sulfonylureas with insulin. Recall that sulfonylureas stimulate the release of insulin and in many patients with Type 2 diabetes we may not be getting much out of the sulfonylurea or in some cases, the extra boost in insulin...
Prednisone and Diabetes – Case Scenario

Prednisone and Diabetes – Case Scenario

by Eric Christianson | Mar 26, 2025 | Endocrine Case Studies

In this case scenario, we discuss the interplay between prednisone in diabetes. Clinical situations like this are frequent in practice and prednisone can really mess up a patient’s well-controlled blood sugars (common board exam question). Here’s the...
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Subscribe to the Blog!

Enjoy the blog?  Over 6,000 pharmacy loving folks follow the blog, why aren't you? Subscribe now and get a free gift as well!

Recent Posts

  • Sometimes Less is More: When to De-Escalate Diabetes Medications
  • Rheumatoid Arthritis Case Review
  • Licensing Roadmap Tips Every Pharmacy Student Should Know Before Graduation
  • Medications That Cause Hypotension (That Aren’t Blood Pressure Meds)
  • Top 5 Medications That Cause Tachycardia

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