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#I was coding ICUs across the country. DKA is a critical illness that KILLS. OFTEN.
creepyscritches · 1 year
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Fuckin nuts that we've been having injectable diabetes med shortages (to the extent that pharmacies run out and can't fill diabetic patient prescriptions) due to it being increasingly prescribed for weight loss. We don't tier necessity for drugs, so diabetics are spending periods of time w/o their glycemic control (these drugs aren't insulin) :/
The meds are prescribed off label for patients w bmi over 30, but I cannot stress enough how common that bmi is. Currently the reporting baseline for coding morbid obesity is a bmi of 40 or greater--basic obesity USED to begin at bmi of 25, that's fucking nuts, that's just most healthy weights!!!! Clinical weight-loss is a good option for people who want/need it, but prescribing vital DM drugs for a huge swath of the bmi demographic to the point of causing national shortages for non-permanent weight-loss........girlies.....................dont even get me started on the influencer culture swarming the drugs or we'll be here all day
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