Case: 67 yr old black female with hx of impaired fasting glucose, HTN (BP today = 138/62), and obese (BMI=33). Taking ARB, CCB, and aspirin. What's the best move today?

  • Start metformin (46%, 96 Votes)
  • Start SGLT2 inhibitor (21%, 44 Votes)
  • Stop aspirin (23%, 48 Votes)
  • Switch ARB to thiazide (10%, 20 Votes)

Total Voters: 208

Start Date: January 12, 2022 @ 1:54 PM
End Date: No Expiry

Gabapentin has become a "drug of concern" for many practitioners and regulators. What's the best way to handle it?

  • Educate prescribers & patients; limit supply to 30 days (34%, 21 Votes)
  • Add gabapentin to the state's PMP (39%, 24 Votes)
  • Make gabapentin a schedule IV drug (25%, 15 Votes)
  • Avoid gabapentin - use pregabalin instead (2%, 1 Votes)

Total Voters: 61

Start Date: December 13, 2021 @ 9:44 AM
End Date: January 12, 2022 @ 1:57 PM

CASE: 67 year old obese woman with type 2 DM. Most recent A1c=8.7%. Morning fasting BG < 110mg/dL most days. On metformin + basal insulin. What next?

  • Add GLP1-RA (85%, 62 Votes)
  • Add prandial insulin (3%, 2 Votes)
  • Dietary consult! (7%, 5 Votes)
  • Start CGM (5%, 4 Votes)

Total Voters: 73

Start Date: November 17, 2021 @ 5:30 AM
End Date: No Expiry

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