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Letter From The Editor

This week I got to see exactly how easy it is for our patients to add extra calories and sugar to their daily routine. It seems that Labor Day is no longer a holiday worthy of a special section in the grocery store for holiday food. On August 14, grocery stores in our area declared that the Halloween season was upon us and the shelves needed to be filled with Kit Kats, M&M's, and Almond Joy bars.

What is really interesting about this "phenomenon" is how people will just start snacking on the candy as soon as they get it home and will buy more before the holiday season. In fact, this week I worked in a pharmacy in a small town about 50 miles north of St. Petersburg and was talking to the manager about the Halloween season, and he said that sales of these candies were almost as high right now as the week before the holiday.

I also learned how the Facebook theory of marketing was invading the world of loyalty cards, and directing patients to sugary foods. We all have seen how ads seem to pop up on our Facebook page with the things we look at on Amazon, eBay, or Craigslist. This happens based on our searches and what sites we go to.

Now food stores are getting in on the act. When your grocer scans your loyalty card your purchases are recorded and then the next time you shop, coupons come out of the machine for you to use. One example of this I saw was when a customer got a coupon for $2.00 off Iced Coffee. Evidently this non-coffee drinker had purchased some hazelnut-flavored creamer to make a cheesecake and now they have been identified as a coffee lover.

It would be better if these coupons were for foods like pistachios which according to this week's Item #9 can actually improve metabolic risk in diabetes and pre-diabetes. 


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. 
From "Professional snowboarder Sean Busby teaches smart diabetes management on the slopes; little-known diabetes complications and physical therapy "fixes;" and a cheesy, family-pleasing casserole from the dLife kitchen. Plus, dining out disappointments with dLife's Jim Turner." Sundays live online at at 7 PM ET, 6 PM CT, and 4 PM PT. Keep up on the latest dLife news at
We can make a difference!

Dave Joffe, Editor-in-chief

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Diabetes Drug Empagliflozin (Jardiance) SGLT-2 Inhibitor Available in Pharmacies

See this week's Item #10. 

Tool for your Practice

12 Best Fiber Foods 

fiber-foods-imageCarbs raise blood sugar but fiber can moderate that rise. Fiber comes with a host of other health benefits as well besides the fact that fibrous food is more satiating. Here is a list from dLife of 12 foods high in fiber to provide to your patients to help lower blood sugars. 12 Best Fiber Foods (pdf) 

Product of the Week

Calorie Counting Machine 

calorie-counting_machine-imageGeneral Electric is working on a calorie counting device that could make dieting easier. The device uses microwaves and scales to measure food. It's placed over a plate and then shows how much energy is in any particular meal. The researchers commented, "If we have the weight of the food and the proportion that's water and the proportion that's fat, from that information, we can estimate calories." However, the product is still in the testing phase and there is a ways to go according to GE. 






Mobile App of the Week 



Getting your patients moving may be one of the biggest challenges that diabetes practitioners face. The Moves app automatically tracks their everyday life and exercise, and all they need to do is to carry their phone with them with the app turned on. The app recognizes places in their daily life and create an easy-to-read timeline so that they can see exactly what they've done. This can make it easier to see where small changes might be made... Just follow this link for more information and to download the app for either iOS or Android.  





Test Your Knowledge Question #744

A 54-year-old-woman with type 2 diabetes is in your office for follow-up. You are considering starting an SGLT2 inhibitor in combination with her existing diabetes regimen, which includes insulin. The use of a SGLT2 inhibitor in combination with insulin in this patient:

A. Should be avoided, since the combination has not been evaluated in clinical trials

B. Requires a reduction in the SGLT2 inhibitor dose

C. Can cause hypoglycemia requiring a reduction in insulin

D. Can lead to weight gain, so it is important to start the patient on a diet 

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


Diabetes In Control Has Over 15000 Studies & Articles In Our Archives

Quote of the Week!

"It is hard to fail, but it is worse never to have tried to succeed." 

         ................Theodore Roosevelt 


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

Simi A. Lukose, 
Florida A&M University

Mai Do, Florida A&M University

Joanna Dam, LECOM College of Pharmacy 


Cast Your Vote
When Afrezza is available, will you prescribe it immediately or wait until it has been on the market for a while?
CME/CE of the Week
Peter Blume, DPM

Category: Wound Care
Credits: .5


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