[The keys to lose weight]. / Les ingrédients de la perte de poids.

Losing weight is not only a pound's problem! It is a long and strenuous process. Rapidly, the care giver or the patient may be demotivated by lack of success. It is important to systematize the follow-up and sustain motivation. Firstly, this article points out the difficulties met during the follow-up: these difficulties linked both to the patient and the health care provider could be at the origin of resistance to weight loss. Secondly, we propose seven criteria to be evaluated in order to follow the patients towards the process of weight loss.

[Co-trimoxazole administration: a rare cause of hypoglycemia in elderly persons]. / Prise de co-trimoxazole: une cause rare d'hypoglycémie chez la personne âgée.

We report a case of severe hypoglycaemia following co-trimoxazole therapy. An 88-year-old woman was admitted with urinary tract infection and treated with co-trimoxazole (960 mg bid). Seven days after initiation of the treatment she became comatose. Blood sugar was 1.3 mmol/l and C-peptide at the upper limit of normal range. Glucose infusion restored normal consciousness and no hypoglycaemia recurred after interruption of co-trimoxazole therapy. Advanced aged was the only risk factor identified. Other risk factors described in previous case reports are renal failure, poor nutritional state and high doses of co-trimoxazole.