A 48 year old male with a 8 year history of type 2 diabetes…

A 48 year old male with a 8 year history of type 2 diabetes presents to your office for follow up. He has a BMI of 32.  His A1c is 8.2% despite metformin 1gm BID and has a history of of CKD stage 1.  No weight gain, excessive thirst, or polyuria.  He has a personal history HTN and dyslipidemia. What medication class is a best choice for add-on therapy per ADA guidelines?  

Jane is a 17 year old girl who presents for fatigue with int…

Jane is a 17 year old girl who presents for fatigue with intermittent abdominal bloating and cramps over the past few months, She has noticed pale stools and a NEW onset of intermittent diarrhea and correlates with food intake but no diary obtained. She is concerned  about her abdominal bloating and gas.  She has a lost 10lbs over the past 2 months without dieting. PMH: Type 1 diabetes mellitus , but is adherent to treatment and within treatment goal Meds: She is sexually active, and takes oral contraceptives. Which of the following are the priority in the diagnosis and management of Jane with her history?