Michael Kleerekoper, MD, MACE | Endocrinology Blogs

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href="/web/20140214034632/http://www.healio.com/endocrinology"><img alt="" height="61" width="401" src="/web/20140214034632im_/http://www.healio.com/endocrinology/blogs/~/media/15B090D51C184B5C9AE6108307AB4EE4.ashx"/></a> </li> </ul>  </div>   <div class="col2" id="greetingcontainer"> <div id="greetingContainer2_divPartialReg"> <style type="text/css"> .linkNav { background: #f0f0f0; border: 1px solid #bdbdbd; color: #527091; padding: 5px; padding-left: 20px; } .linkNav a { color: #527091; text-decoration: none; cursor: pointer; } .ctaTextArea { position: absolute; width: 220px; bottom: 8px; left: 0px; font-weight: bold; text-align: center; } .ctaRegLink { position: relative; } </style> <script type="text/javascript"> //JS here $j(document).ready(function () { var showCta = false; var currentCTA = ''; if(showCta){ $j(".ctaImageLinkWrapper").click(function (event) { _gaq.push(['_trackEvent', 'Registration Process', 'CTA Click', currentCTA]); }); _gaq.push(['_trackEvent', 'Registration Process', 'CTA Load', currentCTA]); } }); </script> </div> <div id="greetingContainer2_divVisitor"> <style type="text/css"> .ctaShortRegForm { border: 2px solid #74b64a; background: #e7f3e0; } .shortRegTitle { background: #74b64a; color: White; padding: 3px; font-weight: bold; font-size: larger; } .shortRegForm { padding: 3px; position: relative; } .linkNav { background: #f0f0f0; border: 1px solid #bdbdbd; color: #527091; padding: 5px; padding-left: 20px; } .linkNav a { color: #527091; text-decoration: none; cursor: pointer; } /*Form Styling*/ .scfSectionContent .healioregform .scfValidator { position: absolute; top: 25px; left: 0; color: Red; width: 150px; height: 30px; overflow: hidden; background: #e7f3e0; } .scfSectionContent .healioregform:first-child .scfValidator { position: absolute; top: 55px; left: 0; color: Red; width: 150px; height: 30px; overflow: hidden; background: #e7f3e0; } .scfValidationSummary { position: absolute; top: 60px; left: 3px; color: Red; width: 150px; height: 30px; overflow: hidden; background: #e7f3e0; } .healioregform input.scfSingleLineTextBox { width: 150px !important; border: 1px solid #ccc !important; } .healioregform .scfSingleLineTextLabel { width: 30px !important; padding-bottom: 10px !important; padding-left: 10px !important; } .scfSubmitButtonBorder { text-align: right !important; } .healioregform { position: relative; clear: both; } .healioregform .scfRequired { position: absolute; left: 0px; width: 5px !important; } .ctaShortRegForm { height: 115px; } .scfSubmitButtonBorder { text-align: right !important; } </style> <script type="text/javascript"> //JS here $j(document).ready(function () { $j(".scfSubmitButton").attr("disabled","disabled"); var showModal = false; var smcookie = $j.cookie('hregshowthanks'); if(smcookie != null){ if(smcookie.length>0){ showModal = (smcookie == 'true'); } } var ctaValue = 'landingcta3'; if ($j.cookie('hregctaval') != null) { if ($j.cookie('hregctaval').length>0) { ctaValue = $j.cookie('hregctaval'); } } if(showModal){ $j(".fancybox").fancybox({afterClose:(function(){ $j.cookie('hregshowthanks','false',{expires:30,path:'/'});_gaq.push(['_trackEvent', 'Registration Process', 'CTA Form Modal Closed', ctaValue]);})}); $j(".fancybox").eq(0).trigger('click'); $j(".hregThanksModalClick").click(function (event) { $j.cookie('hregshowthanks','false',{expires:30,path:'/'}); _gaq.push(['_trackEvent', 'Registration Process', 'CTA Form Modal Click', ctaValue]); }); } var cookieHideCTA = $j.cookie('hreghidecta') == 'true'; var showCta = true; if(showCta){ // check cookie for display of cta at all: if( cookieHideCTA ) { $j(".ctaImageLink").hide(); $j(".ctaShortRegForm").show(); $j(".scfSubmitButton").removeAttr("disabled"); } else { _gaq.push(['_trackEvent', 'Registration Process', 'CTA Load', ctaValue]); //if form not submitted $j(".ctaImageLink").click(function (event) { $j(this).hide(); $j.cookie('hreghidecta','true'); $j.cookie('hregctaval',ctaValue); $j(".ctaShortRegForm").show(); _gaq.push(['_trackEvent', 'Registration Process', 'CTA Click', ctaValue]); }); } $j(".scfSubmitButton").click(function (event) { var ok = true; $j('input.scfSingleLineTextBox').each(function(){ if($j(this).val() == $j(this).data('originalValue') || $j(this).val() == ''){ ok=false; } }); if(ok){ $j.cookie('hregshowthanks','true',{expires:30,path:'/'}); _gaq.push(['_trackEvent', 'Registration Process', 'CTA Form Submit', ctaValue]); } else{ return false; } }); //make sure text box inputs have an original value set in data $j("input.scfSingleLineTextBox").each(function(){ if (!$j(this).data('originalValue')) { $j(this).data('originalValue', $j(this).val()); } }); //adjust user input $j('input.scfSingleLineTextBox').focus(function () { if (!$j(this).data('originalValue')) { $j(this).data('originalValue', $j(this).val()); } if ($j(this).val() == $j(this).data('originalValue')) { $j(this).val(''); } //simple validation $j(this).keyup(function(){ var ok = true; $j('input.scfSingleLineTextBox').each(function(){ if($j(this).val() == $j(this).data('originalValue') || $j(this).val() == ''){ $j(".scfSubmitButton").attr("disabled","disabled"); ok=false; } }); if(ok){ $j(".scfSubmitButton").removeAttr("disabled"); } }); }).blur(function () { $j(this).unbind('onkeyup') if ($j(this).val() == '') { $j(this).val($j(this).data('originalValue')); } }); } }); </script> <div id="greetingContainer2_ctlLanding_divCtaLandingContainer" class="ctaLandingContainer"> <div id="greetingContainer2_ctlLanding_divCtaImage" class="ctaImageLink"> <img src="/web/20140214034632im_/http://www.healio.com/~/media/Healio/thousandvids.jpg" alt="Register Now" width="220" height="112"/> </div> <div class="ctaShortRegForm" style="display: none;"> <div class="shortRegTitle"> Free Video Access</div> <div class="shortRegForm"> <div class="scfForm" id="form_83EA09863C65413F858E12608727AA3B"><input type="hidden" name="greetingContainer2$ctlLanding$form_83EA09863C65413F858E12608727AA3B$formreference" id="greetingContainer2_ctlLanding_form_83EA09863C65413F858E12608727AA3B_formreference" value="form_83EA09863C65413F858E12608727AA3B"/><h1 id="greetingContainer2_ctlLanding_form_83EA09863C65413F858E12608727AA3B_title" class="scfTitleBorder"> </h1> <div id="greetingContainer2_ctlLanding_form_83EA09863C65413F858E12608727AA3B_intro" class="scfIntroBorder"> </div> <div id="greetingContainer2_ctlLanding_form_83EA09863C65413F858E12608727AA3B_form_83EA09863C65413F858E12608727AA3B_submitSummary" class="scfSubmitSummary" style="color:Red;"> </div> <div id="greetingContainer2_ctlLanding_form_83EA09863C65413F858E12608727AA3B_fieldContainer"> <div class="scfSectionBorder"> <div class="scfSectionBorder"> <div class="scfSectionContent"> <div id="greetingContainer2_ctlLanding_form_83EA09863C65413F858E12608727AA3B_field_7AD0EC0F17284404BA069F2293CDF992_scope" class="healioregform fieldid.%7b7AD0EC0F-1728-4404-BA06-9F2293CDF992%7d name.Email predefinedValidator.A9F21BCD4C754A3486C7A2B3C19E04FF regex.%5e%5bA-Za-z0-9%5d((%5b_%5c.%5c-%5d%3f%5ba-zA-Z0-9%5d%2b)*)%40(%5bA-Za-z0-9%5d%2b)((%5b%5c.%5c-%5d%3f%5ba-zA-Z0-9%5d%2b)*)%5c.(%5bA-Za-z%5d%7b2%2c%7d)%24"> <label for="greetingContainer2_ctlLanding_form_83EA09863C65413F858E12608727AA3B_field_7AD0EC0F17284404BA069F2293CDF992" id="greetingContainer2_ctlLanding_form_83EA09863C65413F858E12608727AA3B_field_7AD0EC0F17284404BA069F2293CDF992_text" class="scfSingleLineTextLabel">Email</label><div class="scfSingleLineGeneralPanel"> <input name="greetingContainer2$ctlLanding$form_83EA09863C65413F858E12608727AA3B$field_7AD0EC0F17284404BA069F2293CDF992" type="text" value="name@company.com" maxlength="256" id="greetingContainer2_ctlLanding_form_83EA09863C65413F858E12608727AA3B_field_7AD0EC0F17284404BA069F2293CDF992" class="scfSingleLineTextBox"/><span class="scfSingleLineTextUsefulInfo" style="display:none;"></span> </div><span class="scfRequired">*</span> </div><div id="greetingContainer2_ctlLanding_form_83EA09863C65413F858E12608727AA3B_field_B2904FADB734426E92175F7D6F87CA10_scope" class="healioregform fieldid.%7bB2904FAD-B734-426E-9217-5F7D6F87CA10%7d name.First+Name predefinedValidator.A9F21BCD4C754A3486C7A2B3C19E04FF regex.%5e%5ba-z+A-Z+%2c.%27-%5d%2b%24"> <label for="greetingContainer2_ctlLanding_form_83EA09863C65413F858E12608727AA3B_field_B2904FADB734426E92175F7D6F87CA10" id="greetingContainer2_ctlLanding_form_83EA09863C65413F858E12608727AA3B_field_B2904FADB734426E92175F7D6F87CA10_text" class="scfSingleLineTextLabel">Name</label><div class="scfSingleLineGeneralPanel"> <input name="greetingContainer2$ctlLanding$form_83EA09863C65413F858E12608727AA3B$field_B2904FADB734426E92175F7D6F87CA10" type="text" value="Firstname Lastname" maxlength="100" id="greetingContainer2_ctlLanding_form_83EA09863C65413F858E12608727AA3B_field_B2904FADB734426E92175F7D6F87CA10" class="scfSingleLineTextBox"/><span class="scfSingleLineTextUsefulInfo" style="display:none;"></span> </div><span class="scfRequired">*</span> </div> </div> </div> </div> </div> <div id="greetingContainer2_ctlLanding_form_83EA09863C65413F858E12608727AA3B_footer" class="scfFooterBorder"> </div> <div class="scfSubmitButtonBorder"> <input type="submit" name="greetingContainer2$ctlLanding$form_83EA09863C65413F858E12608727AA3B$form_83EA09863C65413F858E12608727AA3B_submit" value="Submit" onclick="$scw.webform.lastSubmit = this.id;WebForm_DoPostBackWithOptions(new WebForm_PostBackOptions("greetingContainer2$ctlLanding$form_83EA09863C65413F858E12608727AA3B$form_83EA09863C65413F858E12608727AA3B_submit", "", true, "form_83EA09863C65413F858E12608727AA3B_submit", "", false, false));$scw.webform.validators.setFocusToFirstNotValid('form_83EA09863C65413F858E12608727AA3B_submit')" id="greetingContainer2_ctlLanding_form_83EA09863C65413F858E12608727AA3B_form_83EA09863C65413F858E12608727AA3B_submit" class="scfSubmitButton"/> </div> <input type="hidden" name="greetingContainer2$ctlLanding$form_83EA09863C65413F858E12608727AA3B$form_83EA09863C65413F858E12608727AA3B_eventcount" id="greetingContainer2_ctlLanding_form_83EA09863C65413F858E12608727AA3B_form_83EA09863C65413F858E12608727AA3B_eventcount" value="1"/></div> </div> </div> <div class="linkNav"> <a id="greetingContainer2_ctlLanding_hyLogin" href="/web/20140214034632/http://www.healio.com/footer/account-information/login.aspx">Login</a>   |   <a id="greetingContainer2_ctlLanding_hyRegister" href="/web/20140214034632/http://www.healio.com/footer/account-information/welcome">Register</a> </div> </div> <a href="#formSubmitModal" class="fancybox"></a> <div id="formSubmitModal" style="display: none"> <a id="greetingContainer2_ctlLanding_hyThanksModal" class="hregThanksModalClick"></a> </div> </div> <div id="greetingContainer2_divValidationModal"> </div>  <script type="text/javascript"> $j(document).ready(function () { var value1 = $j('input:radio[name=scope]:checked').val(); var value2 = ""; $j("#search input#q").unbind(); $j("#search input#q").keypress(function (e) { var key = (window.event) ? window.event.keyCode : e.which; if (key == 13 && $j(this).val() != "") { $j("#btnG").click(); return false; } }); $j("input:radio[name=scope]").click(function () { value1 = $j(this).val(); //alert(value1); }); $j("#btnG").click(function () { var u = searchRoot + "/search?q=" + $j("#search input#q").val() + ((typeof (value1) === 'undefined' || value1 == "") ? "" : "&" + value1); window.location.replace(u); }); $j("#search input#q").focus(function () { $j("#search input#q").data("bg", $j("#search input#q").css('background')); $j("#search input#q").css('background', 'none') }).blur(function () { $j("#search input#q").css('background', $j("#search input#q").data("bg")) }); }); </script> <script language="javascript">var searchRoot='/endocrinology';</script> <div id="search"> <input type="text" id="q" name="q"/> <input type="button" class="submit" name="btnG" id="btnG" value="Search"/>  <ul id="greetingContainer2_ctl01_Refiner" class="form-controls"> <li> <input type="radio" name="scope" value=""/>All Specialties</li> <li>  <input type="radio" name="scope" value="requiredfields=specialty:Endocrinology" checked="checked"/>Endocrinology</li> </ul>  </div>  </div>  </div>   <div id="menu">   <ul id="subspecialty-menu-b"> <li class="first"><a class="collapsed" style="display:none;">Subspecialties</a> <ul> <li><a 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<li><a class="" href="/web/20140214034632/http://www.healio.com/infectious-disease"> Infectious Disease</a></li> <li><a class="" href="/web/20140214034632/http://www.healio.com/nursing/journals"> Nursing</a></li> <li><a class="" href="/web/20140214034632/http://www.healio.com/ophthalmology"> Ophthalmology</a></li> <li><a class="" href="/web/20140214034632/http://www.healio.com/optometry"> Optometry</a></li> <li><a class="" href="/web/20140214034632/http://www.healio.com/orthopedics"> Orthopedics</a></li> <li><a class="" href="/web/20140214034632/http://www.healio.com/orthotics-prosthetics"> Orthotics/Prosthetics</a></li> <li><a class="" href="/web/20140214034632/http://www.healio.com/pediatrics"> Pediatrics</a></li> <li><a class="" href="/web/20140214034632/http://www.healio.com/psychiatry"> Psychiatry</a></li> <li><a class="" href="/web/20140214034632/http://www.healio.com/rheumatology"> Rheumatology</a></li> <li><a class="" 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</ul> <script type="text/javascript"> jQuery(".nav>li:last>a").addClass("last"); //fix for IE last-child style </script>   <div id="main-content">  <p id="breadcrumbs"> <a href="/web/20140214034632/http://www.healio.com/"> Healio</a> <span>›</span> <a href="/web/20140214034632/http://www.healio.com/endocrinology"> Endocrinology</a> <span>›</span> <a href="/web/20140214034632/http://www.healio.com/endocrinology/blogs"> Blogs</a> </p>   <div class="blog-content">  <div class="blog-tab-group"> <ul class="blog-tabs"> <li> <a class="current" href="/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace">Michael Kleerekoper, MD, MACE</a> </li> <li> <a href="/web/20140214034632/http://www.healio.com/endocrinology/blogs/thomas-b-repas-do-facp-face-cde">Thomas B Repas, DO, FACP, FACE, CDE</a> </li> </ul>  <div class="blog-panes"> <div class="eviblog-header"> <a id="layout_0_maincontent_0_blogcontent_0_HyperlinkBlog" href="/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace">Michael Kleerekoper, MD, MACE</a> </div> <div>  <ul class="blog-bio"> <li class="img"> <img src="/web/20140214034632im_/http://www.healio.com/~/media/Images/Blog Authors/Endocrinology/Kleerekoper.jpg" alt="Michael Kleerekoper, MD, MACE" width="70" height="90"/></li> <li> Michael Kleerekoper, MD, MACE, has joined the faculty at the University of Toledo Medical School where he is Professor in the Department of Internal Medicine and section chief of the Endocrinology Division. The author of numerous journal studies, Dr. Kleerekoper serves on the editorial boards for<em> Endocrine Today</em>, <em>Endocrine Practice</em>,<em> Journal of Clinical Densitometry</em>, <em>Journal of Women's Health</em>, <em>Osteoporosis International</em> and <em>Calcified Tissue International</em>. Dr. Kleerekoper is also a founding board member of the newly formed <em>Academy of Women’s Health</em>.</li> </ul>  <div class="blog-post"> <p class="meta-info"> Tuesday, January 7, 2014 </p> <h2> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_lnkBlogPostTitle_0" class="postTitle" href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/plasmaphoresis--yes-or-no">Plasmaphoresis — Yes or No?</a> </h2> <p class="meta-info"> Michael Kleerekoper, MD, MACE </p> <div class="blog-intro"> It is no secret that I am a “bone head,” literally and figuratively, but from time to time, I encounter uncommon non-skeletal conditions, in this case marked hypertriglyceridemia. </div> <div class="readmore"> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_BlogPostLink_0" href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/plasmaphoresis--yes-or-no">Read more...</a> </div> </div> <div class="blog-post"> <p class="meta-info"> Friday, December 6, 2013 </p> <h2> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_lnkBlogPostTitle_1" class="postTitle" href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/out-of-control-rai-uptake">Out-of-control RAI uptake</a> </h2> <p class="meta-info"> Michael Kleerekoper, MD, MACE </p> <div class="blog-intro"> <p style="margin: 0in 0in 10pt;">Over a period of 6 weeks I received hard to believe results from radioactive iodine uptake in three patients with well-documented hyperthyroidism.</p> <p style="margin: 0in 0in 10pt;">In each of them, the 6-hour uptake was 85% to 90% and 90% to 92% at 24 hours.</p> </div> <div class="readmore"> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_BlogPostLink_1" href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/out-of-control-rai-uptake">Read more...</a> </div> </div> <div class="blog-post"> <p class="meta-info"> Wednesday, November 27, 2013 </p> <h2> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_lnkBlogPostTitle_2" class="postTitle" href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/dariers-sign-and-osteoporosis">Darier's sign and osteoporosis</a> </h2> <p class="meta-info"> Michael Kleerekoper, MD, MACE </p> <div class="blog-intro"> <p style="margin: 0in 0in 10pt;">Melissa, a 61-year-old woman, was referred for evaluation and management of osteoporosis. She was “petite,” with a weight of 115 lb and heigh of 64 inches. She had a bone density study performed at that time (data not available) and was started on alendronate. After 2 years, the therapy was discontinued.</p> <p style="margin: 0in 0in 10pt;">Shortly before this clinic visit, she had a follow up DXA study, which demonstrated a spine T-score of –4.6 and a proximal femur T-score of –5.1 — both values that you and I see infrequently.</p> </div> <div class="readmore"> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_BlogPostLink_2" href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/dariers-sign-and-osteoporosis">Read more...</a> </div> </div> <div class="blog-post"> <p class="meta-info"> Thursday, November 14, 2013 </p> <h2> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_lnkBlogPostTitle_3" class="postTitle" href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/caring-for-patients-undergoing-gender-identify-change">Caring for patients undergoing gender identity change</a> </h2> <p class="meta-info"> Michael Kleerekoper, MD, MACE </p> <div class="blog-intro"> <p style="margin: 0in 0in 10pt;">Some months ago I got a call from a psychologist asking whether I would agree to work with him regarding a patient seeking a gender identity change. Having been involved in this for a few years, albeit with only a few patients and all of whom were adults and men, I accepted the referral with the condition that the patient would continue regular visits with the psychologist.</p> <p style="margin: 0in 0in 10pt;">Since I accepted that first patient, I have been asked, and accepted, to assist in the care of this group of patients by several other psychologists.</p> </div> <div class="readmore"> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_BlogPostLink_3" href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/caring-for-patients-undergoing-gender-identify-change">Read more...</a> </div> </div> <div class="blog-post"> <p class="meta-info"> Friday, September 27, 2013 </p> <h2> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_lnkBlogPostTitle_4" class="postTitle" href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/such-a-sad-story">Such a sad story</a> </h2> <p class="meta-info"> Michael Kleerekoper, MD, MACE </p> <div class="blog-intro"> <p style="margin: 0in 0in 10pt;">My patient is a woman in her 20s with long-standing type 1 diabetes who has chronic renal failure (estimated glomerular filtration rate of 20 to 30) requiring dialysis. What’s worse is she has just lost her vision.</p> <p style="margin: 0in 0in 10pt;">She is a wonderful, stalwart young woman working desperately to maintain her composure; tolerate her dialysis; and try very hard to control her blood glucose to the extent possible. However, despite best intentions by her caregivers, glycemic control in the hospital is proving to be a very difficult task.</p> </div> <div class="readmore"> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_BlogPostLink_4" href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/such-a-sad-story">Read more...</a> </div> </div> <div class="blog-post"> <p class="meta-info"> Friday, September 13, 2013 </p> <h2> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_lnkBlogPostTitle_5" class="postTitle" href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/a-few-thoughts-on-reimbursement">A few thoughts on reimbursement</a> </h2> <p class="meta-info"> Michael Kleerekoper, MD, MACE </p> <div class="blog-intro"> <p style="margin: 0in 0in 10pt;">Health care is getting out of control and I am not referring to “Obamacare” — I readily admit to not being up to date with what has or has not been passed on Capitol Hill.</p> <p style="margin: 0in 0in 10pt;">Early this morning, I got an email from a patient requesting I put in a prior authorization for his Freestyle test strips. He had purchased a new meter a few months ago but was told that test strips for his new meter were no longer approved. Prior authorization worked, but at what expense? See his email below.</p> </div> <div class="readmore"> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_BlogPostLink_5" href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/a-few-thoughts-on-reimbursement">Read more...</a> </div> </div> <div class="blog-post"> <p class="meta-info"> Monday, August 26, 2013 </p> <h2> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_lnkBlogPostTitle_6" class="postTitle" href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/ward-it-off">Ward it off</a> </h2> <p class="meta-info"> Michael Kleerekoper, MD, MACE </p> <div class="blog-intro"> <p style="margin: 0in 0in 10pt;">The International Society for Clinical Densitometry published the following position paper in 2002 in the <i>Journal of Clinical Densitometry</i>: “Which central dual X-ray absorptiometry skeletal sites and regions of interest should be used to determine the diagnosis of osteoporosis?”</p> </div> <div class="readmore"> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_BlogPostLink_6" href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/ward-it-off">Read more...</a> </div> </div> <div class="blog-post"> <p class="meta-info"> Wednesday, July 17, 2013 </p> <h2> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_lnkBlogPostTitle_7" class="postTitle" href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/iodine-deficiency-vs-iodine-excess">Iodine deficiency vs. iodine excess: Which is worse?</a> </h2> <p class="meta-info"> Michael Kleerekoper, MD, MACE </p> <div class="blog-intro"> <p style="margin: 0in 0in 10pt;">The recent AACE Annual Meeting and Clinical Congress included many excellent sessions, with only a few that did not live up to my expectations. One of the best plenary lectures was delivered by <b>Michael Zimmermann, MD,</b> and was titled, “Iodine Deficiency and Excess: Worldwide Status.” </p> <p style="margin: 0in 0in 10pt;">I listened most attentively to the reports on iodine deficiency but was in for quite a surprise when I returned to clinic a few days later.</p> </div> <div class="readmore"> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_BlogPostLink_7" href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/iodine-deficiency-vs-iodine-excess">Read more...</a> </div> </div> <div class="blog-post"> <p class="meta-info"> Tuesday, April 16, 2013 </p> <h2> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_lnkBlogPostTitle_8" class="postTitle" href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/why-dont-patients-care-about-their-diabetes-care">Why don't patients care about their diabetes care?</a> </h2> <p class="meta-info"> Michael Kleerekoper, MD, MACE </p> <div class="blog-intro"> <p class="BodyCxSpFirst">It’s no secret that most of my clinical and research activities involve in bone and mineral metabolism, both in the lab and the clinic. In my new position I am faced with most of my patients coming to clinic for management of diabetes. </p> <p class="BodyCxSpMiddle">In my role as a clinician, I view myself as a teacher to my patients with diabetes, but for the most part, it is an uphill battle. More than 30% of my new patients with type 2 diabetes turn up at the clinic without a glucose meter and/or a blood glucose diary. If they do bring a meter, it is immediately obvious that they do not look at serial blood glucose data and do not know that they should have been taught how to adjust their insulin dosing, or preferably their eating habits, to maintain a more stable capillary blood glucose. When they are concerned about a high fasting glucose (ie, >300mg) they tend to overdose with insulin. Most often they elect to inject glargine twice a day.</p> </div> <div class="readmore"> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_BlogPostLink_8" href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/why-dont-patients-care-about-their-diabetes-care">Read more...</a> </div> </div> <div class="blog-post"> <p class="meta-info"> Thursday, March 7, 2013 </p> <h2> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_lnkBlogPostTitle_9" class="postTitle" href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/how-does-your-thyroid-grow">How does your thyroid grow?</a> </h2> <p class="meta-info"> Michael Kleerekoper, MD, MACE </p> <div class="blog-intro"> <p>In September 2011, I presented the case of a 16-year-old girl who developed substantial thyroid gland growth after she had been treated with radioactive iodine therapy for initial management of severe hyperthyroidism. Every colleague from whom I solicited advice about this uncommon occurrence, as well as anything I could find in the published literature, pointed to marked elevations in thyroid antibodies as the primary cause for this sequence of events. </p> <p>I am now caring for a 30-year-old woman who is 3 months into her therapy for Graves’ disease. She had been taking 20 mg of methimazole daily and also 20 mg of propranolol, but she did not think she was getting better and requested a referral to a surgeon. Some unrelated gynecologic issues developed and she put off her possible surgery while continuing to take her anti-thyroid medication. When I first saw her as a patient it was quickly apparent that her gland had enlarged in size quite substantially despite continued “appropriate” therapy. </p> </div> <div class="readmore"> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_BlogPostLink_9" href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/how-does-your-thyroid-grow">Read more...</a> </div> </div>  <div id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_pagination_divPagination" class="pagination"> <ul> <li> <a class="current page" href="/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace?Filter=&startItem=0"> 1 </a> </li> <li> <a class="page" href="/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace?Filter=&startItem=10"> 2 </a> </li> <li> <a class="page" 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href="/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace?tag=Diabetes">Diabetes</a> <a class="weight1" href="/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace?tag=diabetes">diabetes</a> <a class="weight1" href="/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace?tag=diabetes+education">diabetes education</a> <a class="weight1" href="/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace?tag=DXA">DXA</a> <a class="weight1" href="/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace?tag=osteoporosis">osteoporosis</a> <a class="weight1" href="/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace?tag=bone+mineral+density">bone mineral density</a> <a class="weight1" href="/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace?tag=thyroid">thyroid</a> <a class="weight1" href="/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace?tag=fine+needle+aspiration">fine needle aspiration</a> </li> </ul> </div> <ul class="archives"> <li class="header"> <h6> Archives</h6> </li> <li><a onclick="ToggleVisibility("month-2014")" class="year">2014</a></li><ul id="month-2014" class="month"><li><a onclick="ToggleVisibility("entries-20141")" class="month">January (1)</a><ul id="entries-20141" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/plasmaphoresis--yes-or-no">Plasmaphoresis — Yes or No?</a></li></ul></li></ul><li><a onclick="ToggleVisibility("month-2013")" class="year">2013</a></li><ul id="month-2013" class="month"><li><a onclick="ToggleVisibility("entries-20132")" class="month">February (1)</a><ul id="entries-20132" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/time-for-a-change">Time for a change</a></li></ul></li><li><a onclick="ToggleVisibility("entries-20133")" class="month">March (1)</a><ul id="entries-20133" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/how-does-your-thyroid-grow">How does your thyroid grow?</a></li></ul></li><li><a onclick="ToggleVisibility("entries-20134")" class="month">April (1)</a><ul id="entries-20134" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/why-dont-patients-care-about-their-diabetes-care">Why don't patients care about their diabetes care?</a></li></ul></li><li><a onclick="ToggleVisibility("entries-20137")" class="month">July (1)</a><ul id="entries-20137" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/iodine-deficiency-vs-iodine-excess">Iodine deficiency vs. iodine excess: Which is worse?</a></li></ul></li><li><a onclick="ToggleVisibility("entries-20138")" class="month">August (1)</a><ul id="entries-20138" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/ward-it-off">Ward it off</a></li></ul></li><li><a onclick="ToggleVisibility("entries-20139")" class="month">September (2)</a><ul id="entries-20139" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/such-a-sad-story">Such a sad story</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/a-few-thoughts-on-reimbursement">A few thoughts on reimbursement</a></li></ul></li><li><a onclick="ToggleVisibility("entries-201311")" class="month">November (2)</a><ul id="entries-201311" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/dariers-sign-and-osteoporosis">Darier's sign and osteoporosis</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/caring-for-patients-undergoing-gender-identify-change">Caring for patients undergoing gender identity change</a></li></ul></li><li><a onclick="ToggleVisibility("entries-201312")" class="month">December (1)</a><ul id="entries-201312" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/out-of-control-rai-uptake">Out-of-control RAI uptake</a></li></ul></li></ul><li><a onclick="ToggleVisibility("month-2012")" class="year">2012</a></li><ul id="month-2012" class="month"><li><a onclick="ToggleVisibility("entries-20121")" class="month">January (1)</a><ul id="entries-20121" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/high-bone-mass">High bone mass</a></li></ul></li><li><a onclick="ToggleVisibility("entries-20122")" class="month">February (1)</a><ul id="entries-20122" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/a-lesson-learned">A lesson learned?</a></li></ul></li><li><a onclick="ToggleVisibility("entries-20124")" class="month">April (1)</a><ul id="entries-20124" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/fna-or-surgery">FNA or surgery?</a></li></ul></li><li><a onclick="ToggleVisibility("entries-20125")" class="month">May (1)</a><ul id="entries-20125" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/cutting-dxa-reimbursement-won-t-improve-the-quality-of-the-testing">Cutting DXA reimbursement won't improve the quality of the testing</a></li></ul></li><li><a onclick="ToggleVisibility("entries-20127")" class="month">July (1)</a><ul id="entries-20127" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/where-does-the-fault-lie">Where does the fault lie?</a></li></ul></li><li><a onclick="ToggleVisibility("entries-20128")" class="month">August (1)</a><ul id="entries-20128" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/bone-is-a-plastic-tissue">Bone is a plastic tissue</a></li></ul></li><li><a onclick="ToggleVisibility("entries-20129")" class="month">September (1)</a><ul id="entries-20129" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/hashitoxicosis-revisited">'Hashitoxicosis' revisited</a></li></ul></li><li><a onclick="ToggleVisibility("entries-201210")" class="month">October (1)</a><ul id="entries-201210" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/overcoming-the-vitamin-d-hype">Overcoming the vitamin D hype</a></li></ul></li><li><a onclick="ToggleVisibility("entries-201211")" class="month">November (2)</a><ul id="entries-201211" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/the-skinny-on-diabetes">The 'skinny' on diabetes</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/off-the-chart-tsh-and-heterophilic-antibodies">Off-the-chart TSH and heterophilic antibodies</a></li></ul></li><li><a onclick="ToggleVisibility("entries-201212")" class="month">December (1)</a><ul id="entries-201212" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/very-overweight-with-very-different-stories">Very overweight with very different stories</a></li></ul></li></ul><li><a onclick="ToggleVisibility("month-2011")" class="year">2011</a></li><ul id="month-2011" class="month"><li><a onclick="ToggleVisibility("entries-20111")" class="month">January (2)</a><ul id="entries-20111" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/management-of-type-2-diabetes-in-older-married-couples">Management of type 2 diabetes in older married couples</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/a-bad-miss">A bad miss</a></li></ul></li><li><a onclick="ToggleVisibility("entries-20112")" class="month">February (1)</a><ul id="entries-20112" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/work-up-for-calcium-containing-kidney-stones">Work-up for calcium-containing kidney stones</a></li></ul></li><li><a onclick="ToggleVisibility("entries-20113")" class="month">March (3)</a><ul id="entries-20113" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/hypoglycemia">Hypoglycemia</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/hba1c-2b-or-not-2b">HbA1c — 2B or not 2B?</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/hair-loss-and-thyroid-disease">Hair loss and thyroid disease</a></li></ul></li><li><a onclick="ToggleVisibility("entries-20115")" class="month">May (2)</a><ul id="entries-20115" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/biochemical-markers-of-bone-remodeling-do-the-guidelines-help">Biochemical markers of bone remodeling: Do the guidelines help?</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/preventing-atypical-femur-fractures-in-patients-treated-with-bisphosphonates">Preventing atypical femur fractures in patients treated with bisphosphonates</a></li></ul></li><li><a onclick="ToggleVisibility("entries-20116")" class="month">June (1)</a><ul id="entries-20116" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/clinical-judgment-is-paramount">Clinical judgment is paramount</a></li></ul></li><li><a onclick="ToggleVisibility("entries-20117")" class="month">July (1)</a><ul id="entries-20117" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/low-t-without-elevated-gonadotropins">Low T without elevated gonadotropins</a></li></ul></li><li><a onclick="ToggleVisibility("entries-20118")" class="month">August (2)</a><ul id="entries-20118" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/polypharmacy-at-its-worst">Polypharmacy at its worst</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/caveat-emptor">Caveat Emptor!</a></li></ul></li><li><a onclick="ToggleVisibility("entries-20119")" class="month">September (1)</a><ul id="entries-20119" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/insulin-via-pump-for-type-2-diabetes">Insulin via pump for type 2 diabetes</a></li></ul></li><li><a onclick="ToggleVisibility("entries-201110")" class="month">October (1)</a><ul id="entries-201110" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/hashitoxicosis">'Hashitoxicosis'</a></li></ul></li><li><a onclick="ToggleVisibility("entries-201111")" class="month">November (1)</a><ul id="entries-201111" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/stormin-norman">Stormin' Norman</a></li></ul></li><li><a onclick="ToggleVisibility("entries-201112")" class="month">December (1)</a><ul id="entries-201112" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/it-seems-so-straightforward-why-can-t-i-get-it-right">It seems so straightforward - why can't I get it right?</a></li></ul></li></ul><li><a onclick="ToggleVisibility("month-2010")" class="year">2010</a></li><ul id="month-2010" class="month"><li><a onclick="ToggleVisibility("entries-20101")" class="month">January (3)</a><ul id="entries-20101" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/testosterone-for-older-men">Testosterone for older men</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/monitor-hba1c-but-be-careful">Monitor HbA1c, but be careful</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/type-2-diabetes-and-minimal-trauma-fractures">Type 2 diabetes and minimal trauma fractures</a></li></ul></li><li><a onclick="ToggleVisibility("entries-20102")" class="month">February (3)</a><ul id="entries-20102" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/a-panoply-of-parathyroid-diseases">A panoply of parathyroid diseases</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/not-a-tall-tale">Not a tall tale</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/the-cream-rises-to-the-top-then-creates-problems">The cream rises to the top, then creates problems</a></li></ul></li><li><a onclick="ToggleVisibility("entries-20103")" class="month">March (3)</a><ul id="entries-20103" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/drug-therapy-not-an-exact-science">Drug therapy — not an exact science</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/diabetes-care-in-a-down-economy-put-a-spring-in-your-step">Diabetes care in a down economy – put (a) spring in your step</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/too-much-to-handle-at-once">Too much to handle at once</a></li></ul></li><li><a onclick="ToggleVisibility("entries-20104")" class="month">April (3)</a><ul id="entries-20104" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/dxa-scans">DXA scans</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/a-picture-is-worth-a-thousand-words-continuous-glucose-monitoring">A picture is worth a thousand words — continuous glucose monitoring</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/the-vitamin-d-hype-is-just-that-at-least-for-now">The vitamin D hype is just that — at least for now</a></li></ul></li><li><a onclick="ToggleVisibility("entries-20105")" class="month">May (3)</a><ul id="entries-20105" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/some-do-s-and-don-ts-of-dxa-reporting">Some do’s and don’ts of DXA reporting</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/check-out-these-lab-reports">Check out these lab reports!</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/bisphosphonates-are-both-effective-and-safe">Bisphosphonates are both effective and safe</a></li></ul></li><li><a onclick="ToggleVisibility("entries-20106")" class="month">June (1)</a><ul id="entries-20106" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/steroid-therapy-and-osteoporosis-worth-repeating">Steroid therapy and osteoporosis — worth repeating</a></li></ul></li><li><a onclick="ToggleVisibility("entries-20107")" class="month">July (2)</a><ul id="entries-20107" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/the-uspstf-is-hard-to-please">The USPSTF is hard to please</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/not-an-everyday-occurrence">Not an everyday occurrence</a></li></ul></li><li><a onclick="ToggleVisibility("entries-20108")" class="month">August (1)</a><ul id="entries-20108" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/forearm-dxa">Forearm DXA</a></li></ul></li><li><a onclick="ToggleVisibility("entries-20109")" class="month">September (1)</a><ul id="entries-20109" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/how-would-you-manage-these-patients">How would you manage these patients?</a></li></ul></li><li><a onclick="ToggleVisibility("entries-201010")" class="month">October (2)</a><ul id="entries-201010" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/guide-your-patients-through-the-fda-warning-concerning-bisphosphonates">Guide your patients through the FDA warning concerning bisphosphonates</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/parathyroidectomy-in-the-elderly">Parathyroidectomy in the elderly</a></li></ul></li><li><a onclick="ToggleVisibility("entries-201011")" class="month">November (2)</a><ul id="entries-201011" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/two-ends-of-the-spectrum-part-2">Two ends of the spectrum: Part 2</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/two-ends-of-the-spectrum-part-1">Two ends of the spectrum: Part 1</a></li></ul></li><li><a onclick="ToggleVisibility("entries-201012")" class="month">December (1)</a><ul id="entries-201012" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/the-parathyroidectomy-was-not-successful">The parathyroidectomy was not successful</a></li></ul></li></ul><li><a onclick="ToggleVisibility("month-2009")" class="year">2009</a></li><ul id="month-2009" class="month"><li><a onclick="ToggleVisibility("entries-20091")" class="month">January (8)</a><ul id="entries-20091" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/i-am-going-to-keep-blogging-until-we-get-it-right">I am going to keep blogging until we get it right</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/self-induced-hypoglycemia">Self-induced hypoglycemia?</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/severe-hypothyroidism-and-atrial-fibrillation-a-therapeutic-dilemma">Severe hypothyroidism and atrial fibrillation — a therapeutic dilemma</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/who-what-is-normal">Who/what is NORMAL?</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/thyroid-hormone-therapy-and-the-skeleton">Thyroid hormone therapy and the skeleton</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/primary-hyperparathyroidism">Primary hyperparathyroidism</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/thiazides-and-magnesium">Thiazides and magnesium</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/what-is-the-cause-of-the-anorexia">What is the cause of the anorexia?</a></li></ul></li><li><a onclick="ToggleVisibility("entries-20092")" class="month">February (4)</a><ul id="entries-20092" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/more-on-dxa">More on DXA</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/updated-guidelines-for-management-of-asymptomatic-primary-hyperparathyroidism">Updated guidelines for management of asymptomatic primary hyperparathyroidism</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/multivitamins-safe-but-not-beneficial-are-we-sure">Multivitamins — safe but not beneficial; are we sure?</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/what-my-colleagues-are-asking-about-skeletal-health">What my colleagues are asking about skeletal health</a></li></ul></li><li><a onclick="ToggleVisibility("entries-20093")" class="month">March (5)</a><ul id="entries-20093" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/cme-must-continue-but-is-becoming-increasingly-difficult-to-organize">CME must continue but is becoming increasingly difficult to organize</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/honest-my-hip-broke-before-i-fell">'Honest! My hip broke before I fell!'</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/testosterone-therapy-in-hypogonadal-men">Testosterone therapy in hypogonadal men</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/power-to-the-patient">Power to the patient!</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/corticosteroid-therapy">Corticosteroid therapy</a></li></ul></li><li><a onclick="ToggleVisibility("entries-20094")" class="month">April (5)</a><ul id="entries-20094" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/two-ends-of-the-spectrum">Two ends of the spectrum</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/another-use-for-the-frax-tool">Another use for the FRAX tool!</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/does-the-patient-always-have-the-right-to-know-everything">Does the patient always have the right to know everything?</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/what-s-new-in-osteoporosis-report-of-the-8th-international-symposium-on-osteoporosis">What’s new in osteoporosis: report of the 8th International Symposium on Osteoporosis</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/hypoglycemia-after-roux-en-y-surgery-for-weight-reduction">Hypoglycemia after Roux-en-Y surgery for weight reduction</a></li></ul></li><li><a onclick="ToggleVisibility("entries-20095")" class="month">May (4)</a><ul id="entries-20095" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/don-t-practice-medicine-with-blinders-on">Don’t practice medicine with blinders on</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/what-s-in-a-name-does-the-patient-have-diabetes-or-is-the-patient-a-diabetic">What’s in a name: Does the patient have diabetes or is the patient 'a diabetic'?</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/epidemiology-to-the-rescue">Epidemiology to the rescue?</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/why-does-common-sense-go-out-the-window">Why does common sense go out the window?</a></li></ul></li><li><a onclick="ToggleVisibility("entries-20096")" class="month">June (4)</a><ul id="entries-20096" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/what-is-osteoporosis">What is osteoporosis?</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/rogue-patients">Rogue patients</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/too-hot-to-handle">Too hot to handle</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/vitamin-d-further-down-the-road">Vitamin D further down the road</a></li></ul></li><li><a onclick="ToggleVisibility("entries-20097")" class="month">July (6)</a><ul id="entries-20097" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/short-but-not-very-sweet">Short but not very sweet!</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/common-sense-dxa-reporting">Common sense DXA reporting</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/not-as-sick-as-her-numbers">Not as sick as her numbers</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/osteoporosis-in-premenopausal-women">Osteoporosis in premenopausal women</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/severe-hypothyroidism-and-myocardial-ischemia">Severe hypothyroidism and myocardial ischemia</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/do-stress-fractures-indicate-underlying-bone-disease">Do stress fractures indicate underlying bone disease?</a></li></ul></li><li><a onclick="ToggleVisibility("entries-20098")" class="month">August (4)</a><ul id="entries-20098" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/how-to-determine-who-or-what-is-normal">How to determine who or what is normal</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/body-composition-assessed-by-dxa">Body composition assessed by DXA</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/weigh-out-on-a-limb">‘Weigh’ out on a limb!</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/good-news-bad-news-for-osteoporosis">Good news, bad news for osteoporosis</a></li></ul></li><li><a onclick="ToggleVisibility("entries-20099")" class="month">September (6)</a><ul id="entries-20099" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/testosterone-replacement-for-male-hypogonadism">Testosterone replacement for male hypogonadism</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/empower-the-patient">Empower the patient</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/lots-of-new-information-but-nothing-has-changed">Lots of new information, but nothing has changed!</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/are-we-overtreating-osteoporosis">Are we overtreating osteoporosis?</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/the-worst-headache-i-have-ever-had">'The worst headache I have ever had'</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/sex-ed-for-adults">'Sex Ed' for adults</a></li></ul></li><li><a onclick="ToggleVisibility("entries-200910")" class="month">October (5)</a><ul id="entries-200910" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/bioidentical-hormones">Bioidentical hormones</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/see-ya-lada-alligada">See ya LADA, alliGADa!</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/dxa-under-threat-from-many-directions">DXA under threat from many directions</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/a-heavy-football-weekend">A heavy football weekend</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/dxa-and-scoliosis">DXA and scoliosis</a></li></ul></li><li><a onclick="ToggleVisibility("entries-200911")" class="month">November (4)</a><ul id="entries-200911" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/sight-unseen">Sight unseen</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/unnecessary-uncertainty-continues-to-plague-osteoporosis">Unnecessary uncertainty continues to plague osteoporosis</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/amiodarone-induced-thyroiditis">Amiodarone-induced thyroiditis</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/paget-s-disease">Paget’s disease</a></li></ul></li><li><a onclick="ToggleVisibility("entries-200912")" class="month">December (3)</a><ul id="entries-200912" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/just-hope-the-wires-don-t-get-crossed">Just hope the wires don’t get crossed</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/a-sliding-scale-is-good-for-fishing-but-is-it-good-for-managing-diabetes-in-outpatients">A sliding scale is good for fishing, but is it good for managing diabetes in outpatients?</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/she-didn-t-follow-the-rules">She didn’t follow the rules</a></li></ul></li></ul><li><a onclick="ToggleVisibility("month-2008")" class="year">2008</a></li><ul id="month-2008" class="month"><li><a onclick="ToggleVisibility("entries-20081")" class="month">January (1)</a><ul id="entries-20081" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/does-this-woman-need-therapy-for-osteoporosis">Does this woman need therapy for osteoporosis?</a></li></ul></li><li><a onclick="ToggleVisibility("entries-20082")" class="month">February (4)</a><ul id="entries-20082" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/be-on-the-look-out-for-osteoporosis">Be on the look-out for osteoporosis</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/low-bone-density-leads-to-turner-s-syndrome-diagnosis">Low bone density leads to Turner’s syndrome diagnosis</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/contributing-factors-may-alter-management-of-osteoporosis">Contributing factors may alter management of osteoporosis</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/calibrating-glucose-meters">Calibrating glucose meters</a></li></ul></li><li><a onclick="ToggleVisibility("entries-20083")" class="month">March (9)</a><ul id="entries-20083" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/to-sleep-perchance-to-dream-and-to-make-some-growth-hormone">'To sleep, perchance to dream'* — and to make some growth hormone</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/some-quick-facts-about-vitamin-d">Some quick facts about vitamin D</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/when-expensive-medicine-is-worth-the-cost">When expensive medicine is worth the cost</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/diabetes-care-requires-full-patient-family-involvement">Diabetes care requires full patient, family involvement</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/it-s-hard-to-keep-up-with-osteoporosis-but-it-is-necessary">It’s hard to keep up with osteoporosis—but it is necessary</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/reference-intervals-normal-ranges-not-speed-limits">Reference intervals (normal ranges) not speed limits</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/attendees-of-endocrine-university-show-enthusiasm-for-the-field">Attendees of Endocrine University show enthusiasm for the field</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/do-not-rely-on-hba1c-measurement-alone">Do not rely on HbA1c measurement alone</a></li><li><a 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overweight is not good for you — being too underweight isn’t either</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/share-control-with-the-patient">Share control with the patient!</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/spam">Spam</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/osteouria-the-link-between-osteoporosis-and-hypercalciuria">'Osteouria' the link between osteoporosis and hypercalciuria</a></li><li><a href="https://web.archive.org/web/20140214034632/http://www.healio.com/endocrinology/blogs/michael-kleerekoper-md-mace/where-did-my-bones-go">Where did my bones go?</a></li><li><a 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Michael Kleerekoper, MD, MACE | Endocrinology Blogs