Sign up for our complimentary
weekly e-journal

Main Newsletter
Mastery Series
Therapy Series
Letter From The Editor

CMS just rolled out the new five-star ratings for hospitals and the results are less than stunning. Out of 3,500 hospitals, twice as many hospitals received one or two stars as those receiving five stars. The new ratings are part of a broader initiative by the federal agency to use a five-star rating system across all of its web pages intended to help consumers compare the quality of healthcare providers. Hospitals had a chance to preview the ratings last fall and many have already expressed concern. They question the methodology and whether the ratings reflect "meaningful reflections of performance." They also say trying to boil down a hospital's performance to a single score may oversimplify the information that is most relevant to consumers. These ratings affect hospital income and Medicare billing rates, and so you can imagine why there is such concern among these hospitals.

Now that the weather is warming up, many of our patients and colleagues will be increasing their physical activity, for weight loss and improved blood pressure and glucose, and they all want to maximize their activity. This week, Sheri Colberg, PhD discusses the differences between the three distinct energy systems to supply muscles with ATP to help you maximize results in Exercise Energy Systems: A Primer


Announcements: Sunday, April 19, 7PM ET

From "Vietnam veterans who developed type 2 diabetes after exposure to Agent Orange recount their struggles. Plus, Chef Michel Nischan in the dLife kitchen with a cheesy veggie favorite, and Jim Turner in the dentist's chair." Sundays live online at at 7 PM ET, 6 PM CT, and 4 PM PT. Keep up on the latest dLife news at

TCOYD Health Fair Conference, Hawaii Convention Center, Honolulu, Hawaii, Saturday, April 25, 2015

With a day packed full of education, motivational tools, one-on-one sessions, and workshops, the TCOYD health fair is a great way to get your patients to take better care of their health and themselves.

We can make a difference!


Dave Joffe, Editor-in-chief

 … Read More

Scroll down for items in the current newsletter


New FDA Warnings Possible for the DPP-4's. See item #1 below.

FDA Accepts Resubmitted Applications for Tresiba, Ryzodeg. More news coming soon.


Product of the Week


altNearly a century ago, the first patient was injected with insulin. Now, patients with diabetes are on the verge of being able to set their insulin doses using their smartphones. The progress in tech-based treatment in recent years is staggering, with wireless and implantable technologies emerging that just a few years ago might have seemed like science fiction. Watch for any of the new pumps coming soon with an app for your smartphone.



Sheri Colberg, PhD: Exercise Energy Systems: A Primer


It may have been a while since you've given much thought to how the body fuels the activities that a person does. The way that muscles make and use energy, which is affected by how fast people move, how much force their muscles produce, and how long the activity lasts, can affect blood glucose levels.

The body has three distinct energy systems to supply muscles with ATP (adenosine triphosphate), a high-energy compound found in all cells that directly fuels muscular work. The three systems act as a continuum, with one, then the next, and finally the third producing ATP as exercise continues. If anyone exercises long enough (even just a minute), he or she use all three systems to varying degrees. All of the energy systems work by increasing the production of ATP as it directly fuels all contractions. When a nerve impulse initiates a muscle contraction, calcium is released within recruited muscle cells, ATP "energizes" the muscle fibers, and they go into action. Without ATP, muscles can't contract and people won't be able to exercise. Full Story



Test Your Knowledge Question #777

Clinicians treating patients with type 2 diabetes should include lifestyle interventions when developing diabetes management plans. Which of the following is NOT appropriate?

A. Weight reduction if necessary

B. A minimum of 150 minutes/week of moderate activity (aerobic, resistance training, flexibility)

C. General diabetes education

D. A high-fiber, low-fat diet

E. A high-energy, high-protein, low-fat diet

For the complete question and answer, just follow this link. 


Diabetes In Control Has Over 15500 Studies & Articles In Our Archives

Quote of the Week!

"I am not afraid of storms for I am learning how to sail my ship."
          ...Louisa May Alcott

Diabetes in Control gratefully acknowledges the assistance of the following University of Florida pharmacy doctoral candidate in the preparation of this week's newsletter: 

Trisha Le, LECOM College of Pharmacy

Julie Vu, PCOM College of Pharmacy

Cast Your Vote
Will you stop recommending the DPP-4s for your patients?
CME/CE of the Week
Kazu Suzuki, DPM, CWS

Category: General Diabetes
Credits: 1


Search Articles On Diabetes In Control