{"id":1657,"date":"2024-09-29T12:21:56","date_gmt":"2024-09-29T09:21:56","guid":{"rendered":"https:\/\/themedicalist.org\/?p=1657"},"modified":"2024-10-14T15:00:49","modified_gmt":"2024-10-14T12:00:49","slug":"cases","status":"publish","type":"post","link":"https:\/\/themedicalist.org\/index.php\/2024\/09\/29\/cases\/","title":{"rendered":"Cases"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"1657\" class=\"elementor elementor-1657\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c5d7548 e-flex e-con-boxed e-con e-parent\" data-id=\"c5d7548\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2c2571d elementor-widget elementor-widget-heading\" data-id=\"2c2571d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Cases<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5e4879a elementor-widget elementor-widget-post-info\" data-id=\"5e4879a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"post-info.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-inline-items elementor-icon-list-items elementor-post-info\">\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-repeater-item-efa0983 elementor-inline-item\" itemprop=\"datePublished\">\n\t\t\t\t\t\t<a href=\"https:\/\/themedicalist.org\/index.php\/2024\/09\/29\/\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-calendar\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M12 192h424c6.6 0 12 5.4 12 12v260c0 26.5-21.5 48-48 48H48c-26.5 0-48-21.5-48-48V204c0-6.6 5.4-12 12-12zm436-44v-36c0-26.5-21.5-48-48-48h-48V12c0-6.6-5.4-12-12-12h-40c-6.6 0-12 5.4-12 12v52H160V12c0-6.6-5.4-12-12-12h-40c-6.6 0-12 5.4-12 12v52H48C21.5 64 0 85.5 0 112v36c0 6.6 5.4 12 12 12h424c6.6 0 12-5.4 12-12z\"><\/path><\/svg>\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text elementor-post-info__item elementor-post-info__item--type-date\">\n\t\t\t\t\t\t\t\t\t\t<time>September 29, 2024<\/time>\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t<\/li>\n\t\t\t\t<li class=\"elementor-icon-list-item elementor-repeater-item-45958dd elementor-inline-item\">\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-far-clock\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M256 8C119 8 8 119 8 256s111 248 248 248 248-111 248-248S393 8 256 8zm0 448c-110.5 0-200-89.5-200-200S145.5 56 256 56s200 89.5 200 200-89.5 200-200 200zm61.8-104.4l-84.9-61.7c-3.1-2.3-4.9-5.9-4.9-9.7V116c0-6.6 5.4-12 12-12h32c6.6 0 12 5.4 12 12v141.7l66.8 48.6c5.4 3.9 6.5 11.4 2.6 16.8L334.6 349c-3.9 5.3-11.4 6.5-16.8 2.6z\"><\/path><\/svg>\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text elementor-post-info__item elementor-post-info__item--type-time\">\n\t\t\t\t\t\t\t\t\t\t<time>12:21 pm<\/time>\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-6efe7d8 e-flex e-con-boxed e-con e-parent\" data-id=\"6efe7d8\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-e8c7e0c e-con-full e-flex e-con e-child\" data-id=\"e8c7e0c\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-08b1bac e-flex e-con-boxed e-con e-child\" data-id=\"08b1bac\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e645824 elementor-widget elementor-widget-heading\" data-id=\"e645824\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Case 1:<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-26ca074 elementor-widget elementor-widget-text-editor\" data-id=\"26ca074\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>A 32-year-old Caucasian woman, referred to as Patient X, visits her primary care physician, reporting increased urination over the past month. During the assessment, she mentions an upcoming optometrist appointment due to recently developed blurred vision. She is 5 feet 5 inches tall and weighs 142 pounds, giving her a BMI of 23.6 kg\/m\u00b2. Patient X has a family history of diabetes on her father&#8217;s side and leads a predominantly sedentary lifestyle. A random finger stick test shows her blood glucose level at 257 mg\/dL.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-10dafa1 elementor-widget elementor-widget-eael-adv-accordion\" data-id=\"10dafa1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"eael-adv-accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t            <div class=\"eael-adv-accordion\" id=\"eael-adv-accordion-10dafa1\" data-scroll-on-click=\"no\" data-scroll-speed=\"300\" data-accordion-id=\"10dafa1\" data-accordion-type=\"accordion\" data-toogle-speed=\"300\">\n            <div class=\"eael-accordion-list\">\n\t\t\t\t\t<div id=\"click-here-for-diagnosis\" class=\"elementor-tab-title eael-accordion-header\" tabindex=\"0\" data-tab=\"1\" aria-controls=\"elementor-tab-content-1761\"><span class=\"eael-accordion-tab-title\">CLICK HERE FOR DIAGNOSIS<\/span><svg aria-hidden=\"true\" class=\"fa-toggle e-font-icon-svg e-fas-angle-right\" viewBox=\"0 0 256 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M224.3 273l-136 136c-9.4 9.4-24.6 9.4-33.9 0l-22.6-22.6c-9.4-9.4-9.4-24.6 0-33.9l96.4-96.4-96.4-96.4c-9.4-9.4-9.4-24.6 0-33.9L54.3 103c9.4-9.4 24.6-9.4 33.9 0l136 136c9.5 9.4 9.5 24.6.1 34z\"><\/path><\/svg><\/div><div id=\"elementor-tab-content-1761\" class=\"eael-accordion-content clearfix\" data-tab=\"1\" aria-labelledby=\"click-here-for-diagnosis\"><p><strong>Rationale and Comments: The findings support a diabetes diagnosis, as a random blood glucose above 200 mg\/dL, combined with symptoms like polyuria and blurred vision, meets the diagnostic criteria.<\/strong><\/p><p>Patient X undergoes fasting blood tests, which yield the following results:<\/p><p>&#8211; HbA1c: 8.5% (estimated average glucose: 197 mg\/dL)<\/p><p>&#8211; Fasting blood glucose:147 mg\/dL<\/p><p>&#8211; Two-hour glucose level (after 75 g oral glucose tolerance test): 240 mg\/dL<\/p><p>&#8211; Triglycerides: 152 mg\/dL<\/p><p>&#8211; Low-density lipoprotein (LDL): 97 mg\/dL<\/p><p>&#8211; HDL: 35 mg\/dL<\/p><p>&#8211; Liver function tests: Normal<\/p><p>&#8211; Renal function: Normal<\/p><p>She is referred to an ADA-recognized diabetes education program for guidance on self-management, monitoring blood glucose, and planning meals and exercise.<\/p><p>After three months, Patient X returns for follow-up. Her HbA1c shows minimal improvement at 8.2% (estimated average glucose: 189 mg\/dL), with a fasting blood glucose of 156 mg\/dL. Self-monitoring records indicate fasting glucose levels between 135 mg\/dL and 160 mg\/dL, and post-meal levels ranging from 230 mg\/dL to 300 mg\/dL. Despite following her meal and exercise plan, she reports limited success.<\/p><\/div>\n\t\t\t\t\t<\/div><div class=\"eael-accordion-list\">\n\t\t\t\t\t<div id=\"click-here-for-treatment\" class=\"elementor-tab-title eael-accordion-header\" tabindex=\"0\" data-tab=\"2\" aria-controls=\"elementor-tab-content-1762\"><span class=\"eael-accordion-tab-title\">CLICK HERE FOR TREATMENT<\/span><svg aria-hidden=\"true\" class=\"fa-toggle e-font-icon-svg e-fas-angle-right\" viewBox=\"0 0 256 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M224.3 273l-136 136c-9.4 9.4-24.6 9.4-33.9 0l-22.6-22.6c-9.4-9.4-9.4-24.6 0-33.9l96.4-96.4-96.4-96.4c-9.4-9.4-9.4-24.6 0-33.9L54.3 103c9.4-9.4 24.6-9.4 33.9 0l136 136c9.5 9.4 9.5 24.6.1 34z\"><\/path><\/svg><\/div><div id=\"elementor-tab-content-1762\" class=\"eael-accordion-content clearfix\" data-tab=\"2\" aria-labelledby=\"click-here-for-treatment\"><p><strong>The physician reviews her blood work and medical history, concluding that initiating sulfonylurea therapy is appropriate. Patient X starts glipizide at 5 mg each morning, with a strong emphasis on continuing her meal and exercise regimen.<\/strong><\/p><p><strong>Rationale and Comments: This treatment plan is suitable for Patient X, given that she is not classified as obese and has adhered to her dietary and exercise guidelines with inadequate results. Elevated fasting glucose levels, combined with high postprandial readings, are contributing to her HbA1c levels. The sulfonylurea glipizide should help address the elevated post-meal glucose due to diminished first-phase insulin response.<\/strong><\/p><\/div>\n\t\t\t\t\t<\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-eb742e1 elementor-widget elementor-widget-heading\" data-id=\"eb742e1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Case 2:<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-34fe945 elementor-widget elementor-widget-text-editor\" data-id=\"34fe945\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Patient V is a 61-year-old Hispanic man who visits his primary care physician, reporting increased thirst, hunger, and fatigue over the past month. He mentions needing a new eyeglass prescription due to blurred vision. Standing 5 feet 10 inches tall and weighing 245 pounds, his BMI is calculated at 35.2 kg\/m\u00b2. With a family history of diabetes on both sides, he works in a physically demanding job lifting heavy items. A random finger stick indicates a blood glucose level of 220 mg\/dL, supporting a diabetes diagnosis.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c863414 elementor-widget elementor-widget-eael-adv-accordion\" data-id=\"c863414\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"eael-adv-accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t            <div class=\"eael-adv-accordion\" id=\"eael-adv-accordion-c863414\" data-scroll-on-click=\"no\" data-scroll-speed=\"300\" data-accordion-id=\"c863414\" data-accordion-type=\"accordion\" data-toogle-speed=\"300\">\n            <div class=\"eael-accordion-list\">\n\t\t\t\t\t<div id=\"click-here-for-diagnosis\" class=\"elementor-tab-title eael-accordion-header\" tabindex=\"0\" data-tab=\"1\" aria-controls=\"elementor-tab-content-2101\"><span class=\"eael-accordion-tab-title\">CLICK HERE FOR DIAGNOSIS<\/span><svg aria-hidden=\"true\" class=\"fa-toggle e-font-icon-svg e-fas-angle-right\" viewBox=\"0 0 256 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M224.3 273l-136 136c-9.4 9.4-24.6 9.4-33.9 0l-22.6-22.6c-9.4-9.4-9.4-24.6 0-33.9l96.4-96.4-96.4-96.4c-9.4-9.4-9.4-24.6 0-33.9L54.3 103c9.4-9.4 24.6-9.4 33.9 0l136 136c9.5 9.4 9.5 24.6.1 34z\"><\/path><\/svg><\/div><div id=\"elementor-tab-content-2101\" class=\"eael-accordion-content clearfix\" data-tab=\"1\" aria-labelledby=\"click-here-for-diagnosis\"><p>Fasting blood work results include:<\/p><p>&#8211; HbA1c: 8.7% (estimated average glucose: 203 mg\/dL)<\/p><p>&#8211; Fasting blood glucose: 151 mg\/dL<\/p><p>&#8211; Two-hour glucose level (after 75 g oral glucose tolerance test): 233 mg\/dL<\/p><p>&#8211; Triglycerides: 210 mg\/dL<\/p><p>&#8211; Low-density lipoprotein (LDL):112 mg\/dL<\/p><p>&#8211; HDL: 35 mg\/dL<\/p><p>&#8211; Liver function tests: Normal<\/p><p>&#8211; Renal function: Normal<\/p><p>Patient V is referred to an ADA-recognized diabetes education program and is scheduled for a follow-up in three months.<\/p><p>At the follow-up visit, his HbA1c shows slight improvement at 8.2% (estimated average glucose: 189 mg\/dL) with a fasting blood glucose of 156 mg\/dL. Self-monitoring records show fasting levels between 135 mg\/dL and 160 mg\/dL and postprandial levels between 220 mg\/dL and 248 mg\/dL. His lipid levels remain elevated, and he reports limited success following his dietary and exercise recommendations.<\/p><\/div>\n\t\t\t\t\t<\/div><div class=\"eael-accordion-list\">\n\t\t\t\t\t<div id=\"click-here-for-treatment\" class=\"elementor-tab-title eael-accordion-header\" tabindex=\"0\" data-tab=\"2\" aria-controls=\"elementor-tab-content-2102\"><span class=\"eael-accordion-tab-title\">CLICK HERE FOR TREATMENT<\/span><svg aria-hidden=\"true\" class=\"fa-toggle e-font-icon-svg e-fas-angle-right\" viewBox=\"0 0 256 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M224.3 273l-136 136c-9.4 9.4-24.6 9.4-33.9 0l-22.6-22.6c-9.4-9.4-9.4-24.6 0-33.9l96.4-96.4-96.4-96.4c-9.4-9.4-9.4-24.6 0-33.9L54.3 103c9.4-9.4 24.6-9.4 33.9 0l136 136c9.5 9.4 9.5 24.6.1 34z\"><\/path><\/svg><\/div><div id=\"elementor-tab-content-2102\" class=\"eael-accordion-content clearfix\" data-tab=\"2\" aria-labelledby=\"click-here-for-treatment\"><p><strong>After reviewing his progress, the physician decides to start treatment with acarbose, an alpha-glucosidase inhibitor. Patient V is prescribed 25 mg of acarbose with each meal, emphasizing the importance of adhering to culturally appropriate meal and exercise plans.<\/strong><\/p><p><strong>Rationale and Comments: Acarbose is a suitable choice for Patient V given his elevated lipid levels and postprandial hyperglycemia. Although fasting glucose levels are concerning, the physician identifies postprandial spikes as the primary contributor to his elevated HbA1c. This medication should help manage both his post-meal glucose and lipid levels effectively.<\/strong><\/p><\/div>\n\t\t\t\t\t<\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-792cef9 elementor-widget elementor-widget-heading\" data-id=\"792cef9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Case 3:<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4ee730e elementor-widget elementor-widget-text-editor\" data-id=\"4ee730e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Patient K is a 71-year-old Caucasian woman who presents to her primary care physician with fatigue, increased urination, excessive thirst, and hunger over the past few months. She is 5 feet 4 inches tall, weighs 205 pounds, and has a BMI of 35.3 kg\/m\u00b2. Patient K has a family history of diabetes on her mother&#8217;s side, has previously given birth to a large child, and has bilateral knee arthritis. A finger stick test shows a blood glucose level of 198 mg\/dL.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-705bf5b elementor-widget elementor-widget-eael-adv-accordion\" data-id=\"705bf5b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"eael-adv-accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t            <div class=\"eael-adv-accordion\" id=\"eael-adv-accordion-705bf5b\" data-scroll-on-click=\"no\" data-scroll-speed=\"300\" data-accordion-id=\"705bf5b\" data-accordion-type=\"accordion\" data-toogle-speed=\"300\">\n            <div class=\"eael-accordion-list\">\n\t\t\t\t\t<div id=\"click-here-for-diagnosis\" class=\"elementor-tab-title eael-accordion-header\" tabindex=\"0\" data-tab=\"1\" aria-controls=\"elementor-tab-content-1171\"><span class=\"eael-accordion-tab-title\">CLICK HERE FOR DIAGNOSIS<\/span><svg aria-hidden=\"true\" class=\"fa-toggle e-font-icon-svg e-fas-angle-right\" viewBox=\"0 0 256 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M224.3 273l-136 136c-9.4 9.4-24.6 9.4-33.9 0l-22.6-22.6c-9.4-9.4-9.4-24.6 0-33.9l96.4-96.4-96.4-96.4c-9.4-9.4-9.4-24.6 0-33.9L54.3 103c9.4-9.4 24.6-9.4 33.9 0l136 136c9.5 9.4 9.5 24.6.1 34z\"><\/path><\/svg><\/div><div id=\"elementor-tab-content-1171\" class=\"eael-accordion-content clearfix\" data-tab=\"1\" aria-labelledby=\"click-here-for-diagnosis\"><p><strong>Rationale and Comments: Although she exhibits symptoms of diabetes, the blood glucose level of 198 mg\/dL is not definitive for diagnosis without further testing.<\/strong><\/p><p>To gather more information, Patient K undergoes a comprehensive blood work-up, revealing:<\/p><p>&#8211; HbA1c: 8.0% (estimated average glucose: 183 mg\/dL)<\/p><p>&#8211; Fasting blood glucose: 195 mg\/dL<\/p><p>&#8211; Two-hour glucose level (after 75 g oral glucose tolerance test): 160 mg\/dL<\/p><p>&#8211; Triglycerides: 167 mg\/dL<\/p><p>&#8211; Low-density lipoprotein (LDL): 123 mg\/dL<\/p><p>&#8211;\u00a0 HDL: 29 mg\/dL<\/p><p>&#8211;\u00a0 Liver function tests: Normal<\/p><p>&#8211;\u00a0 Renal function: Normal<\/p><p>With this information, Patient K is diagnosed with type 2 diabetes and referred to an ADA-recognized diabetes education program. During her three-month follow-up, her HbA1c increases to 8.6% (estimated average glucose: 200 mg\/dL), and her fasting blood glucose is 205 mg\/dL. Self-monitoring records indicate fasting levels between 180 mg\/dL and 210 mg\/dL and postprandial levels between 150 mg\/dL and 170 mg\/dL. Patient K admits she did not attend the education class but has tried to limit her sugar intake. She has avoided starting an exercise program due to knee pain.<\/p><\/div>\n\t\t\t\t\t<\/div><div class=\"eael-accordion-list\">\n\t\t\t\t\t<div id=\"click-here-for-treatment\" class=\"elementor-tab-title eael-accordion-header\" tabindex=\"0\" data-tab=\"2\" aria-controls=\"elementor-tab-content-1172\"><span class=\"eael-accordion-tab-title\">CLICK HERE FOR TREATMENT<\/span><svg aria-hidden=\"true\" class=\"fa-toggle e-font-icon-svg e-fas-angle-right\" viewBox=\"0 0 256 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M224.3 273l-136 136c-9.4 9.4-24.6 9.4-33.9 0l-22.6-22.6c-9.4-9.4-9.4-24.6 0-33.9l96.4-96.4-96.4-96.4c-9.4-9.4-9.4-24.6 0-33.9L54.3 103c9.4-9.4 24.6-9.4 33.9 0l136 136c9.5 9.4 9.5 24.6.1 34z\"><\/path><\/svg><\/div><div id=\"elementor-tab-content-1172\" class=\"eael-accordion-content clearfix\" data-tab=\"2\" aria-labelledby=\"click-here-for-treatment\"><p><strong>Considering her elevated blood glucose levels and lack of lifestyle changes, the physician prescribes metformin at 500 mg each evening, alongside recommending water aerobics. The importance of self-monitoring blood glucose and diabetes education is reiterated.<\/strong><\/p><p><strong>Rationale and Comments: This treatment is appropriate due to her elevated fasting and postprandial glucose levels and suspected insulin resistance. Metformin is expected to help reduce her blood glucose by decreasing liver glucose production and improving insulin sensitivity<\/strong>.<\/p><\/div>\n\t\t\t\t\t<\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b359e77 elementor-widget elementor-widget-heading\" data-id=\"b359e77\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Follow-Up Case 3:<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-55e12ee elementor-widget elementor-widget-text-editor\" data-id=\"55e12ee\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>One year later, Patient K is on metformin, now taking 1,000 mg twice daily. At her recent appointment, her HbA1c is 8.8% (estimated average glucose: 206 mg\/dL). She reports adherence to her meal and exercise plans, but sporadic self-monitoring shows fasting levels between 145 mg\/dL and 170 mg\/dL and postprandial levels between 180 mg\/dL and 230 mg\/dL. Despite slight improvements, her results are still unsatisfactory, necessitating a more intensive therapy with an additional antihyperglycemic agent. The physician prescribes glyburide at 2.5 mg daily, but Patient K expresses concern over costs due to her fixed income. The physician offers a combination medication that is more affordable, and Patient K agrees to start Glucovance 2.5 mg\/500 mg in the morning while continuing metformin in the evening.<\/p><p>During her next follow-up three months later, her HbA1c decreases to 8.1% (estimated average glucose: 186 mg\/dL) with a fasting blood glucose of 110 mg\/dL. Her self-monitoring shows fasting levels between 98 mg\/dL and 120 mg\/dL and postprandial levels between 160 mg\/dL and 200 mg\/dL. Patient K has made significant progress in adhering to her meal and exercise plans, although her HbA1c remains above the target of 7.0%. They agree to adjust her regimen to Glucovance 2.5 mg\/500 mg twice daily, and she is advised to check her morning blood glucose at least twice in the first week to monitor for nocturnal hypoglycemia.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a2d2eab elementor-widget elementor-widget-eael-adv-accordion\" data-id=\"a2d2eab\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"eael-adv-accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t            <div class=\"eael-adv-accordion\" id=\"eael-adv-accordion-a2d2eab\" data-scroll-on-click=\"no\" data-scroll-speed=\"300\" data-accordion-id=\"a2d2eab\" data-accordion-type=\"accordion\" data-toogle-speed=\"300\">\n            <div class=\"eael-accordion-list\">\n\t\t\t\t\t<div id=\"click-here-for-treatment\" class=\"elementor-tab-title eael-accordion-header\" tabindex=\"0\" data-tab=\"1\" aria-controls=\"elementor-tab-content-1701\"><span class=\"eael-accordion-tab-title\">CLICK HERE FOR TREATMENT<\/span><svg aria-hidden=\"true\" class=\"fa-toggle e-font-icon-svg e-fas-angle-right\" viewBox=\"0 0 256 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M224.3 273l-136 136c-9.4 9.4-24.6 9.4-33.9 0l-22.6-22.6c-9.4-9.4-9.4-24.6 0-33.9l96.4-96.4-96.4-96.4c-9.4-9.4-9.4-24.6 0-33.9L54.3 103c9.4-9.4 24.6-9.4 33.9 0l136 136c9.5 9.4 9.5 24.6.1 34z\"><\/path><\/svg><\/div><div id=\"elementor-tab-content-1701\" class=\"eael-accordion-content clearfix\" data-tab=\"1\" aria-labelledby=\"click-here-for-treatment\"><p><strong>Rationale and Comments: \u00a0While Patient K\u2019s fasting levels are close to target, her postprandial readings are still elevated. Metformin will continue to address her fasting and midday glucose levels, while glyburide will help stimulate insulin production. Patient K will need education on recognizing signs of hypoglycemia and understanding when to contact her physician.<\/strong><\/p><\/div>\n\t\t\t\t\t<\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6698ece elementor-widget elementor-widget-image\" data-id=\"6698ece\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"864\" height=\"864\" src=\"https:\/\/themedicalist.org\/wp-content\/uploads\/2024\/09\/Interactive-Cases-Announcement-Gif.gif\" class=\"attachment-large size-large wp-image-1679\" alt=\"\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ead5285 elementor-share-buttons--view-icon elementor-share-buttons--shape-rounded elementor-share-buttons--align-left elementor-share-buttons--skin-gradient elementor-grid-0 elementor-share-buttons--color-official elementor-widget elementor-widget-share-buttons\" data-id=\"ead5285\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"share-buttons.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-grid\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-grid-item\">\n\t\t\t\t\t\t<div\n\t\t\t\t\t\t\tclass=\"elementor-share-btn elementor-share-btn_x-twitter\"\n\t\t\t\t\t\t\trole=\"button\"\n\t\t\t\t\t\t\ttabindex=\"0\"\n\t\t\t\t\t\t\taria-label=\"Share on x-twitter\"\n\t\t\t\t\t\t>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-share-btn__icon\">\n\t\t\t\t\t\t\t\t<svg class=\"e-font-icon-svg e-fab-x-twitter\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M389.2 48h70.6L305.6 224.2 487 464H345L233.7 318.6 106.5 464H35.8L200.7 275.5 26.8 48H172.4L272.9 180.9 389.2 48zM364.4 421.8h39.1L151.1 88h-42L364.4 421.8z\"><\/path><\/svg>\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-grid-item\">\n\t\t\t\t\t\t<div\n\t\t\t\t\t\t\tclass=\"elementor-share-btn elementor-share-btn_facebook\"\n\t\t\t\t\t\t\trole=\"button\"\n\t\t\t\t\t\t\ttabindex=\"0\"\n\t\t\t\t\t\t\taria-label=\"Share on facebook\"\n\t\t\t\t\t\t>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-share-btn__icon\">\n\t\t\t\t\t\t\t\t<svg class=\"e-font-icon-svg e-fab-facebook\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M504 256C504 119 393 8 256 8S8 119 8 256c0 123.78 90.69 226.38 209.25 245V327.69h-63V256h63v-54.64c0-62.15 37-96.48 93.67-96.48 27.14 0 55.52 4.84 55.52 4.84v61h-31.28c-30.8 0-40.41 19.12-40.41 38.73V256h68.78l-11 71.69h-57.78V501C413.31 482.38 504 379.78 504 256z\"><\/path><\/svg>\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-grid-item\">\n\t\t\t\t\t\t<div\n\t\t\t\t\t\t\tclass=\"elementor-share-btn elementor-share-btn_linkedin\"\n\t\t\t\t\t\t\trole=\"button\"\n\t\t\t\t\t\t\ttabindex=\"0\"\n\t\t\t\t\t\t\taria-label=\"Share on linkedin\"\n\t\t\t\t\t\t>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-share-btn__icon\">\n\t\t\t\t\t\t\t\t<svg class=\"e-font-icon-svg e-fab-linkedin\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 32H31.9C14.3 32 0 46.5 0 64.3v383.4C0 465.5 14.3 480 31.9 480H416c17.6 0 32-14.5 32-32.3V64.3c0-17.8-14.4-32.3-32-32.3zM135.4 416H69V202.2h66.5V416zm-33.2-243c-21.3 0-38.5-17.3-38.5-38.5S80.9 96 102.2 96c21.2 0 38.5 17.3 38.5 38.5 0 21.3-17.2 38.5-38.5 38.5zm282.1 243h-66.4V312c0-24.8-.5-56.7-34.5-56.7-34.6 0-39.9 27-39.9 54.9V416h-66.4V202.2h63.7v29.2h.9c8.9-16.8 30.6-34.5 62.9-34.5 67.2 0 79.7 44.3 79.7 101.9V416z\"><\/path><\/svg>\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ec5966c elementor-widget elementor-widget-post-navigation\" data-id=\"ec5966c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"post-navigation.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-post-navigation\">\n\t\t\t<div class=\"elementor-post-navigation__prev elementor-post-navigation__link\">\n\t\t\t\t<a href=\"https:\/\/themedicalist.org\/index.php\/2024\/09\/26\/atrial-fibrillation-redefined\/\" rel=\"prev\"><span class=\"post-navigation__arrow-wrapper post-navigation__arrow-prev\"><i class=\"fa fa-caret-left\" aria-hidden=\"true\"><\/i><span class=\"elementor-screen-only\">Prev<\/span><\/span><span class=\"elementor-post-navigation__link__prev\"><span class=\"post-navigation__prev--label\">Previous<\/span><span class=\"post-navigation__prev--title\">Atrial Fibrillation Redefined<\/span><\/span><\/a>\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"elementor-post-navigation__next elementor-post-navigation__link\">\n\t\t\t\t<a href=\"https:\/\/themedicalist.org\/index.php\/2024\/09\/30\/understanding-the-treatment\/\" rel=\"next\"><span class=\"elementor-post-navigation__link__next\"><span class=\"post-navigation__next--label\">Next<\/span><span class=\"post-navigation__next--title\">Understanding the Pathophysiology and Treatment Strategies<\/span><\/span><span class=\"post-navigation__arrow-wrapper post-navigation__arrow-next\"><i class=\"fa fa-caret-right\" aria-hidden=\"true\"><\/i><span class=\"elementor-screen-only\">Next<\/span><\/span><\/a>\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-936955d e-flex e-con-boxed e-con e-child\" data-id=\"936955d\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-a4a9b16 e-con-full e-flex e-con e-child\" data-id=\"a4a9b16\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ea3017b elementor-widget-divider--view-line_text elementor-widget-divider--element-align-left elementor-widget elementor-widget-divider\" data-id=\"ea3017b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t\t<h3 class=\"elementor-divider__text elementor-divider__element\">\n\t\t\t\tRelated Posts\t\t\t\t<\/h3>\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3886a2e elementor-grid-tablet-1 elementor-grid-3 elementor-grid-mobile-1 elementor-posts--thumbnail-top elementor-widget elementor-widget-posts\" data-id=\"3886a2e\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;classic_row_gap&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:12,&quot;sizes&quot;:[]},&quot;classic_columns_tablet&quot;:&quot;1&quot;,&quot;classic_columns&quot;:&quot;3&quot;,&quot;classic_columns_mobile&quot;:&quot;1&quot;,&quot;classic_row_gap_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;classic_row_gap_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]}}\" data-widget_type=\"posts.classic\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-posts-container elementor-posts elementor-posts--skin-classic elementor-grid\">\n\t\t\t\t<article class=\"elementor-post elementor-grid-item post-2323 post type-post status-publish format-standard has-post-thumbnail hentry category-all category-consensus-2024 category-consensus-v1-2024\">\n\t\t\t\t<a class=\"elementor-post__thumbnail__link\" href=\"https:\/\/themedicalist.org\/index.php\/2024\/12\/19\/new-consensus\/\" tabindex=\"-1\" >\n\t\t\t<div class=\"elementor-post__thumbnail\"><img decoding=\"async\" width=\"750\" height=\"375\" src=\"https:\/\/themedicalist.org\/wp-content\/uploads\/2024\/09\/Consensus.png\" class=\"attachment-large size-large wp-image-1493\" alt=\"\" srcset=\"https:\/\/themedicalist.org\/wp-content\/uploads\/2024\/09\/Consensus.png 750w, https:\/\/themedicalist.org\/wp-content\/uploads\/2024\/09\/Consensus-300x150.png 300w\" sizes=\"(max-width: 750px) 100vw, 750px\" \/><\/div>\n\t\t<\/a>\n\t\t\t\t<div class=\"elementor-post__text\">\n\t\t\t\t<h3 class=\"elementor-post__title\">\n\t\t\t<a href=\"https:\/\/themedicalist.org\/index.php\/2024\/12\/19\/new-consensus\/\" >\n\t\t\t\tNew Consensus\t\t\t<\/a>\n\t\t<\/h3>\n\t\t\t\t<div class=\"elementor-post__meta-data\">\n\t\t\t\t\t<span class=\"elementor-post-date\">\n\t\t\t12\/19\/2024\t\t<\/span>\n\t\t\t\t<span class=\"elementor-post-time\">\n\t\t\t3:43 pm\t\t<\/span>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/article>\n\t\t\t\t<article class=\"elementor-post elementor-grid-item post-2309 post type-post status-publish format-standard has-post-thumbnail hentry category-all category-medical-projects category-medical-projects-v1\">\n\t\t\t\t<a class=\"elementor-post__thumbnail__link\" href=\"https:\/\/themedicalist.org\/index.php\/2024\/12\/19\/evma\/\" tabindex=\"-1\" >\n\t\t\t<div class=\"elementor-post__thumbnail\"><img decoding=\"async\" width=\"1024\" height=\"681\" src=\"https:\/\/themedicalist.org\/wp-content\/uploads\/2024\/12\/qewfq-1024x681.jpg\" class=\"attachment-large size-large wp-image-2311\" alt=\"\" srcset=\"https:\/\/themedicalist.org\/wp-content\/uploads\/2024\/12\/qewfq-1024x681.jpg 1024w, https:\/\/themedicalist.org\/wp-content\/uploads\/2024\/12\/qewfq-300x200.jpg 300w, https:\/\/themedicalist.org\/wp-content\/uploads\/2024\/12\/qewfq-768x511.jpg 768w, https:\/\/themedicalist.org\/wp-content\/uploads\/2024\/12\/qewfq.jpg 1431w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/div>\n\t\t<\/a>\n\t\t\t\t<div class=\"elementor-post__text\">\n\t\t\t\t<h3 class=\"elementor-post__title\">\n\t\t\t<a href=\"https:\/\/themedicalist.org\/index.php\/2024\/12\/19\/evma\/\" >\n\t\t\t\tEVMA\t\t\t<\/a>\n\t\t<\/h3>\n\t\t\t\t<div class=\"elementor-post__meta-data\">\n\t\t\t\t\t<span class=\"elementor-post-date\">\n\t\t\t12\/19\/2024\t\t<\/span>\n\t\t\t\t<span class=\"elementor-post-time\">\n\t\t\t2:29 pm\t\t<\/span>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/article>\n\t\t\t\t<article class=\"elementor-post elementor-grid-item post-2098 post type-post status-publish format-standard has-post-thumbnail hentry category-all category-simulator-2024 category-simulator-v1-2024\">\n\t\t\t\t<a class=\"elementor-post__thumbnail__link\" href=\"https:\/\/themedicalist.org\/index.php\/2024\/10\/01\/the-power-of-simulators-in-education\/\" tabindex=\"-1\" >\n\t\t\t<div class=\"elementor-post__thumbnail\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"768\" src=\"https:\/\/themedicalist.org\/wp-content\/uploads\/2024\/10\/WhatsApp-Image-2024-09-25-at-15.51.19_eff7a144-1024x768.jpg\" class=\"attachment-large size-large wp-image-2100\" alt=\"\" srcset=\"https:\/\/themedicalist.org\/wp-content\/uploads\/2024\/10\/WhatsApp-Image-2024-09-25-at-15.51.19_eff7a144-1024x768.jpg 1024w, https:\/\/themedicalist.org\/wp-content\/uploads\/2024\/10\/WhatsApp-Image-2024-09-25-at-15.51.19_eff7a144-300x225.jpg 300w, https:\/\/themedicalist.org\/wp-content\/uploads\/2024\/10\/WhatsApp-Image-2024-09-25-at-15.51.19_eff7a144-768x576.jpg 768w, https:\/\/themedicalist.org\/wp-content\/uploads\/2024\/10\/WhatsApp-Image-2024-09-25-at-15.51.19_eff7a144.jpg 1280w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/div>\n\t\t<\/a>\n\t\t\t\t<div class=\"elementor-post__text\">\n\t\t\t\t<h3 class=\"elementor-post__title\">\n\t\t\t<a href=\"https:\/\/themedicalist.org\/index.php\/2024\/10\/01\/the-power-of-simulators-in-education\/\" >\n\t\t\t\tThe Power of Simulators in Education\t\t\t<\/a>\n\t\t<\/h3>\n\t\t\t\t<div class=\"elementor-post__meta-data\">\n\t\t\t\t\t<span class=\"elementor-post-date\">\n\t\t\t10\/01\/2024\t\t<\/span>\n\t\t\t\t<span class=\"elementor-post-time\">\n\t\t\t1:49 pm\t\t<\/span>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/article>\n\t\t\t\t<\/div>\n\t\t\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>A 32-year-old Caucasian woman, referred <\/p>\n","protected":false},"author":1,"featured_media":1655,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[23,11,12],"tags":[],"class_list":["post-1657","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-all","category-education","category-education-v1"],"_links":{"self":[{"href":"https:\/\/themedicalist.org\/index.php\/wp-json\/wp\/v2\/posts\/1657","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/themedicalist.org\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/themedicalist.org\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/themedicalist.org\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/themedicalist.org\/index.php\/wp-json\/wp\/v2\/comments?post=1657"}],"version-history":[{"count":0,"href":"https:\/\/themedicalist.org\/index.php\/wp-json\/wp\/v2\/posts\/1657\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/themedicalist.org\/index.php\/wp-json\/wp\/v2\/media\/1655"}],"wp:attachment":[{"href":"https:\/\/themedicalist.org\/index.php\/wp-json\/wp\/v2\/media?parent=1657"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/themedicalist.org\/index.php\/wp-json\/wp\/v2\/categories?post=1657"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/themedicalist.org\/index.php\/wp-json\/wp\/v2\/tags?post=1657"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}