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Episode 24 Hypothyroidism

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Intro Music: KI Instrumental (Rock Celtic) by Lyrium-2025

Outro Music: KI Instrumental Classic-Waltz by Lyrium-2025 Siggi Würtz

Courtesy of Pixabay under non-commercial creative commons

Produced by: Todd Fredricks DO MSS

Edited by: Todd Fredricks DO MSS

Answers for Episode 23 Type 1 DM

Question 1: Clinical Application of Technology in Older Adults

A 75-year-old man with long-standing Type 1 diabetes is experiencing frequent episodes of severe hypoglycaemia, including nocturnal events. He lives independently with minimal caregiver support. Which of the following interventions is most likely to reduce his risk of hypoglycaemia and improve his quality of life?

C. Initiation of continuous glucose monitoring (CGM) with predictive alerts

Question 2: Understanding Glycaemic Variability

Which of the following best describes the clinical significance of glycaemic variability (GV) in older adults with diabetes?

B. GV is associated with increased risk of cognitive decline, frailty, and mortality

Question 3: Barriers to Technology Use

An 82-year-old woman with Type 1 diabetes, moderate cognitive impairment, and visual deficits is being considered for diabetes technology. Which of the following is the most appropriate next step?

C. Assess cognitive function, dexterity, and social support before initiating technology

Paper for next week:

Sun Y. Lee, Elizabeth N. Pearce, MD, Hyperthyroidism: A Review, JAMA. 2023 October 17; 330(15): 1472–1483.

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