Patient Education

How to use trulicity pen for diabetes

How to use trulicity pen for diabetes

Trulicity is a GLP-1 receptor agonist. It increases intracellular cAMP in beta cells leading to glucose-dependent insulin release. It also decreases glucagon secretion and slows gastric emptying.

Trulicity is supplied as a solution for subcutaneous injection. The recommended initiating dose is 0.75 mg once weekly. The maximum recommended dose is 1.5 mg once weekly. Administered once weekly, any time of day, with or without food. Trulicity should be injected subcutaneously in the abdomen, thigh, or upper arm.


Frailty and exercise in aging population

Frailty and exercise in aging population

A structured exercise program was not associated with a decreased risk for frailty among older adults. However, the beneficial effect of the exercise program on reducing major mobility disability was not affected by whether the participants were frail at baseline.


Is your cortisol abnormally high?

Dear patient:


Slightly high blood cortisol (a stress hormone) can cause weight gain, diabetes, insulin resistance, high blood pressure, osteoporosis, and more importantly cardiovascular disease.

There is a simple and effective blood test that identifies patients with slight cortisol elevation. The test, which is usually covered by insurance, involves a two-step process:

A.    The patient receives a 1 mg oral dexamethasone pill precisely at 11 pm (any day of the week). A prescription needs to be provided.

B.    Then the patient does blood work (cortisol) the very next day between 7-8 AM. The test is positive if morning blood cortisol is >1.8.


If you have any of the following conditions, you could qualify for the above test.

1.    Difficult to control type 2 diabetes and being overweight.

a.    Using 2 or more medications for diabetes.

b.    Using insulin for type 2 diabetes.

2.    Using 3 or more medications to control high blood pressure.

3.    Overweight while having insulin resistance or prediabetes.

4.    Unexplained osteoporosis or bone fractures.



Dr. Tashko