Medicine and Health Sciences Commons^™

The Effect Of Metformin Vs Lifestyle Modifications On The Prevention Of Prediabetes To Type Ii Diabetes, Brittany Mcpherson

Physician Assistant Scholarly Project Posters

• Literature was performed using an electronic search database to identify literature related to preventing the conversion of prediabetes to type 2 diabetes.

• Literature review looks at the effectiveness of metformin, diet alone, exercise alone, and a combination of diet and exercise.

• Research shows that both metformin and lifestyle modification have been effective in reducing the progression of prediabetes to type 2 diabetes.

• While lifestyle modifications appear to show greater benefit in the short term, their impact has shown to be less effective when studied in the long term.

• Primary care treatment of prediabetes requires a …

Childhood Obesity: Adding Metformin To Lifestyle Modification For Weight Reduction, Kelli Strege

Physician Assistant Scholarly Project Posters

One of the most challenging health conditions primary care providers face is combating the ever-rising incidence of obesity, especially among children. The objective of this literature review is to determine the effects of metformin implemented in addition to lifestyle modification for the treatment of childhood obesity. Efficacy, to include change in weight, BMI, insulin resistance, and overall safety of metformin was studied. The online databases searched in this review were PubMed, Cochrane Library, Embase, and CINAHL. Literature chosen for review included randomized control trials, meta-analysis, and systematic reviews published between 2015 and 2020. Much of the studied research indicates positive …

Comparing Rates Of Macrosomia And Neonatal Hypoglycemia Of Differing Treatment Modalities Of Gestational Diabetes Mellitus, Ashleigh Milbrath

Physician Assistant Scholarly Project Posters

Gestational diabetes mellitus (GDM) is a known potential complication that can occur during pregnancy. Unmanaged GDM can result in maternal hyperglycemia, which can cause increased neonatal complications, two of which are macrosomia and neonatal hypoglycemia. To prevent maternal hyperglycemia, treatment of GDM typically begins with dietary changes, home glucose monitoring, increased exercise patterns and other lifestyle modifications. However, if maternal hyperglycemia persists after two weeks of maternal lifestyle modifications, there are not current best practice guidelines established for the treatment of GDM. Historically, subcutaneous multiple daily dosed insulin (MDI) has been the gold standard for treatment after lifestyle modification. However, …

Delaying Diabetes In The Native American Population, Seth Tramm

Physician Assistant Scholarly Project Posters

Diabetes is a debilitating disease process caused by the body’s inability to control blood glucose levels. With over 30 million diabetics in the United States and another 85 million prediabetics, the effects of this disease are wide-spread and farreaching. Native American/Alaska Native populations have a nearly two-fold increase in prevalence of diabetes when compared to non-native populations. Risk factors for diabetes in all populations include modifiable risks such as obesity, diet, and physical inactivity as well as non-modifiable factors such as age, family history, and ethnicity. Studies have shown that early identification of symptoms, coupled with proper and intentional treatment …