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"The Texas Tech Medcast is a podcast for medical residents, medical students, practicing physicians, and others involved in medical education and high quality, patient-centered primary care."  "This episode is the second of a 2-part podcast that addresses why it's important for your patient to achieve glycemic control and 5 ways to help them do it.

Learning Objectives: the physician audience should be able to: Explain the importance of helping patients achieve glycemic control Apply 5 more steps to improve patients' glycemic control:

            6. Don't wait to titrate

7. After 3 months, if patients are not at target HbA₁C < 6.5%, consider combination therapy

8. Initiate combination therapy or insulin immediately for all patients with HbA₁C > 9% at diagnosis

9. Use combinations of agents with different courses of action.

10. Use an interdisciplinary approach to diabetes management to encourage patient education and self-care

Use control therapies sooner to achieve target glucose levels more quickly Treat co-morbid conditions aggressively in patients with diabetes Take advantage of a team approach that includes other health care professionals and the patient's own disease management

Podcast Pearl: Male patients with DM may experience erectile dysfunction, but may be too embarrassed to ask the physician about treatment options (Dr. Jack Dyer)

There is a Fact Sheet available at:  http://www.ttuhsc.edu/som/fammed/ttmedcast/PodcastEpisodeFS_DMGlycControl2.pdf

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