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 Endocrine Today, Endocrine Practice, Journal of Clinical Densitometry, Journal of Women's Health, Osteoporosis International and Calcified Tissue International. Dr. Kleerekoper is also a founding board member of the newly formed Academy of Women’s Health.

Where does the fault lie?

July 3, 2012

I recently saw three new patients with type 2 diabetes, two referred by their PCPs and one came on the recommendation of an existing patient who had brought his HbA1c…

Cutting DXA reimbursement won't improve the quality of the testing

May 31, 2012

For the second time in just a few years reimbursement for bone density testing has been reduced quite a bit. When that last happened only a few years ago, I posted a…

FNA or surgery?

April 23, 2012

A 37-year-old woman was referred for evaluation and management of a thyroid cyst. During the past year she had noted a swelling in her neck but was otherwise well and…

A lesson learned?

February 22, 2012

A 20-year-old woman was referred for "thyroid disease" that was easy to eliminate based on the history, physical examination and accompanying thyroid function…

High bone mass

January 18, 2012

Jennifer's bone density report stated that lumbar spine bone mineral density was + 3.2 and that bone density was "normal". Each vertebra, L1-L4, had a BMD T-score…

It seems so straightforward - why can't I get it right?

December 14, 2011

The growing epidemic of type 2 diabetes is well documented, as is the importance of diet and exercise in the management of diabetes.

Stormin' Norman

November 29, 2011

Norman is a 64-year-old man with a defibrillator in situ who presented to his cardiologist when the instrument was activated three times over a 48-hour period…

'Hashitoxicosis'

October 7, 2011

I am caring for a 16-year-old girl who presented with typical Graves' disease and a thyroid gland that was more than twice the normal size. It was clearly visibly…

Insulin via pump for type 2 diabetes

September 19, 2011

Patients with type 2 diabetes who are failing to maintain glycemic control with oral therapy are candidates for insulin. Whether to replace their oral therapy with…

Polypharmacy at its worst

August 22, 2011

A 64-year-old patient referred for management of diabetes weighed 256 lb (she was 134 lb when she got married 40 years ago); was 60” tall; and had a BMI of 50. Her…