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Jonathan is 40-year-old man with a body mass index (BMI) of 29 kg/m2, and a 3-year history of type 2 diabetes. He presents in January for a biannual checkup. He states that he has been exercising and watching his diet, and that he has been “feeling great”.

  • Physical examination reveals no abnormalities on vital signs normal and no weight gain since his last visit.
  • Recent laboratory results indicate that his blood glucose is well controlled (A1c = 6.9%) and slightly elevated triglyceride levels (160 mg/dL).

Listen to the community physicians’ discussion on adult vaccinations for Jonathan.
Eugene Cullen, MD; Christopher Flores, MD; Jessica Irvine, DO 

Listen to Dr. File's final recommendations for adult vaccinations for Jonathan.    
Thomas M. File, Jr, MD, MSc, MACP, FIDSA, FCCP 

Transcript of all audio for Case 4: Jonathan 5325_Jonathan Case Transcript.pdf