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*TT = waist circumference Patrick is in his 40’s and has been my patient since November 2016. He came to me with a diagnosis of type 2 diabetes and was overweight. Within a few weeks, I diagnosed and started treating Patrick for hypertension, gout, and dyslipidemia. I also suspected sleep apnea and fatty liver. Medication: Viacoram (combination of amlodipine and perindopril) 2.5+3.5mg, Metformin 500mg TID, and Januvia 100mg. At that time, I was personally eating low carb, and I had just completed my training with Intensive Dietary Management. But I wasn’t ready to start giving it to my patients as a therapeutic option. So, I sent Patrick to see our clinic’s diabetes nurse. She is paid by pharmaceutical companies to help us optimise our diabetic patients’ medication. This is standard treatment. In February 2017, she suggested we replaced Januvia with Saxenda if his insurance covered it, so that the patient would lose some weight and get better control on his blood...[Read More ...]
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Low-carb case report: Patrick was originally posted by Ketogenic Diet
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