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Expert Opinion / Cases · September 15, 2021

Recurrent Pancreatitis Due to Hypertriglyceridemia in a Patient With Poor Glycemic Control

Written by
Anika Anam MD


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  • Ioan Andrei Veresiu

    Sep 17, 2021

    Adding insulin is, in my opinion, the rational decision.

  • Melvyn Rubenfire

    Sep 17, 2021

    agree to add insulin

  • Gurdeep Sethi

    Sep 17, 2021

    I would add Basal insulin and DPP4. For glycolic control and for TG's I will replace Gemfibrogyl with lipaglyn 4 mg

  • Nagaram Reddy

    Sep 17, 2021

    I would start SGLT2 inhibitor like empagliflozin starting dose of 10 mg OD 


    Sep 17, 2021

    I suggest testing prolactin before making disease worse ..

  • John Whillier

    Sep 18, 2021

    Give her a CGM to find out what is really driving her condition, not the theoretical assumptions.

  • Ruddy Brown

    Sep 22, 2021

    How do you address the severe muscle aches?

  • S. Edany

    Nov 17, 2021

    SGL2i for DM tx+ EPA for high TG

  • Nagaram Reddy

    Dec 11, 2021

    I would add Empagliflozin start with 10 mg OD and after one month increase to 25 Mg OD, also consider adding Semaglutide start with 0.5 Mg Sub Cut weekly and gradually increase as needed can go up to 2 mg 
    If need we can add sitagliptin

  • Sep 28, 2023

    Pending Moderator approval.

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