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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...
Counteracting Drug Effects: 5 Case Examples I’ve Seen In Practice

Counteracting Drug Effects: 5 Case Examples I’ve Seen In Practice

by Eric Christianson | Jul 16, 2025 | Polypharmacy Cases And The Prescribing Cascade

Counteracting drug effects are all too common in geriatric and polypharmacy patients. I wanted to share common examples that I’ve seen in my practice as a clinical pharmacist. NSAIDs vs. AntihypertensivesCase: A 68-year-old man with hypertension controlled on...
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...
Sulfonylureas and Insulin – Should They Be Used Together?

Sulfonylureas and Insulin – Should They Be Used Together?

by Eric Christianson | Jan 26, 2025 | Endocrine Medication and Disease State Clinical Pearls

Type II diabetes is a complicated disease state that often requires a combination of medications to control. However, some combinations of antidiabetes medications, such as sulfonylureas and basal insulin, may lead to unintended adverse effects. In this article, we...
Managing Insulin in Type 2 Diabetes

Managing Insulin in Type 2 Diabetes

by Eric Christianson | Mar 10, 2024 | Endocrine Medication and Disease State Clinical Pearls

For individuals with type 2 diabetes taking insulin, managing doses is a critical aspect of their treatment regimen. Proper management of insulin doses can help maintain blood sugar levels within a healthy range and prevent complications associated with high or low...
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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

  • OCD Versus Depression – SSRI Dosing
  • Tapering Seizure Medications – Practical Advice From the Front Lines
  • Rivaroxaban Versus Apixaban – Clinical Comparison and New Evidence
  • Assisted Living Medication Deficiencies – Consultant Pharmacist’s Role and Examples
  • Pharmacology Acronyms: A FREE Study Guide From MedEd101

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