0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

Early Pharmacotherapy in Non-Insulin-Dependent Diabetes Mellitus: Help or Hindrance?-Reply

Nelson B. Watts, MD
Arch Intern Med. 1991;151(1):201. doi:10.1001/archinte.1991.00400010180034.
Text Size: A A A
Published online

In Reply—  In our study,1 we showed that a majority of obese patients with non-insulin-dependent diabetes mellitus who lost 9.1 kg of body weight failed to improve their blood glucose levels and that patients in whom blood glucose levels came down after a weight loss of 9.1 kg often improved with as little weight loss as 2.3 kg. We recommended pharmacologic treatment (oral hypoglycemic agents or insulin) for patients who fail to improve their blood glucose level after weight loss (and for those who fail to lose weight). We have not studied the results in nonresponders, but we expect that there are differences in the safety and efficacy of these therapies. Sheehan raises several points in favor of oral hypoglycemic agents over insulin therapy for this group of patients, but convincing data are lacking. Clearly, additional information is needed to guide the clinician in selecting treatment in this common

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();