Obesity

• Initial assessment: BMI calculation and plotting
• Screen for comorbidities
• Primary intervention: Lifestyle modifications and nutritional counseling
• Consider medications or surgery for severe cases

Diabetes

• DKA
  • Insulin, hyperhydration, urine ketone checks
  • Other labs: screen for other autoimmunities > TTG IgA antibody and total IgA, TSH
  • Dosing Decisions
    • Weight-based dosing:
      • Total daily dose (TDD) = patient's weight (kg) * multiplier based on clinical presentation
      • Compare weight-based dosing to 80% of your patient's home dose and (usually) use the lower
    • Divide TDD into 50% basal and 50% bolus split TID with meals

Disorders of Sexual Development