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Patient lost lots of weight needs target re-setting and medications adjusting

Kamlesh Khunti, Leicester General Hospital, UK

The case:

Sally Wilson is a 64 years old retired photographer. She lives with her husband and grown up son. Sally had type 2 diabetes diagnosed five years ago. Her BMI was previously 33 but she has been on a diet and lost 5 stone (32kg) and now her BMI is 26.

She is having her annual review with practice nurse.

Her diabetes medications are: Metformin 1g bd and Empagliflozin 10mg od

HbA1c= 55mmol/mol (7.2%)

Her agreed target was 58 mmol/mol (7.5%) as previous levels had been above 64mmols/mol (8%)

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