What lifestyle modifications should be recommended? {Ans: -losing weight if overweight -elevating head of bed while asleep -eating smaller meals -avoid foods/meds that exacerbate gerd -stop smoking -stop drinking alcohol}A patient with type 1 diabetes reports taking propranolol for hypertension. What concern does this information present for the provider? {Ans: A patient with Type 1 DM is insulin dependent for glucose control and at high risk for hypoglycemic episodes. Propanolol causes prolonged hypoglycemic episodes. Needs to switch to ACE or ARB.}ED treatment should include: {Ans: Non-pharmacological interventions Reduce fat and cholesterol in diet Decrease or limit alcohol consumption Eliminate tobacco use and substance abuse Weight loss if appropriate Regular exercise Co-morbidity (DM, HTN, etc.) management - including (if possible) removal of causal medications}Hypothyroidism in pregnancy: {Ans: hypothyroidism â—¦Levothyroxine - DOC â—¦Attain normal thyrotropin concentrations â—¦Women who received thyroid replacement prior to pregnancy can expect an increased dosage requirement of 25-50% during pregnancy}Before initiating treatment for ED {Ans: a physical examination and thorough medical, social, and medication histories with emphasis on cardiac disease must be taken to assess for ability to safely perform sexual activity and to assess for possible drug interactions Diagnosis should include PE