I remember when I was a child, my uncle who was insulin-dependent made a habit of eating whatever he wanted and adjusting his insulin on his own. He said it didn’t matter what he ate that the insulin would cover him. That obviously wasn’t the right thing to do, however, it appears that times haven’t changed much as a recent study referenced in the Journal of the American Heart Association found that patients who initiated medication use had an increase in body mass index and their physical activity declined. The likelihood of becoming obese and physically inactive was higher in people being treated with medications. The findings suggest that initiation of antihypertensive and statin medication is associated with lifestyle changes and some are not favorable. Remember to encourage weight management and physical activity with residents in your center receiving these medications!