Tuesday , August 22 2017

From the Editor

August, 2017

  • 22 August

    Aug. 22, 2017

    dave

    Too often when we see patients we arbitrarily give them a goal A1c. Most of us don’t make every person strive for 5.7, but we sometimes forget to find out what the patient really thinks they can accomplish. This week we combined information from Dr. Karl Nadolsky and our Medical Editor to ...

    Read More »

Latest Articles

August, 2017

  • 22 August

    The Power of Numbers

    iStock_000002772179_Small

    A disaster can be considered many different things to different people. For some it could mean developing type 2 diabetes rather than preventing or delaying it. If you watch our expert video series you will hear our Publisher ask many of our experts, “Whether or not you have diabetes, what would you like your A1C to be?” As our expert, Dr. Karl Nadolsky said, he’d like his to be in the normal range, ~ 5%. This is not unusual for us as health care providers to want and work towards a normal A1C, that is, depending on age, and risk for complications of hypoglycemia.

    Read More »
  • 22 August

    Sood & Messer Part 1, Introduction and Background

    Sood&Messer

    Dr. Minisha Sood is an endocrinologist, assistant professor at Hofstra School of Medicine and a 2017 recipient of the Castle Connolly Exceptional Women in Medicine Award. Her areas of expertise include diabetes, thyroid disorders, obesity, and polycystic ovary syndrome. Also the 2017 recipient of the Castle Connolly Exceptional Women in Medicine Award, Dr. Caroline Messer is a clinical assistant professor at the Mount Sinai School of Medicine and an assistant professor at Hofstra School of Medicine. Dr. Messer is actively engaged in clinical research and is a frequent guest lecturer to other physicians on topics such as thyroid disease, osteoporosis, polycystic ovary syndrome, and diabetes.

    Read More »
  • 22 August

    Albuminuria: A Lot More Than Just a Little Protein in the Urine Part 1

    Human kidney cross section

    In this week's Homerun Slides, Dr. Claude Lardinois focuses on the importance of albuminuria as it relates to chronic kidney disease in people with type 2 diabetes.

    Read More »
  • 22 August

    International Textbook of Diabetes Mellitus, 4th Ed., Excerpt #84: Measuring Insulin Action In Vivo

    DeFronzoCover

    The wonders of lactate: Very recently, our laboratory has made a major improvement in the use of the minimal model to assess insulin sensitivity and evaluate its importance in metabolic control. During the FSIGT, as it is practiced, there is initially a large increase in glucose concentration, due to the glucose injection, there is an endogenous finite insulin response in normal individuals, and the insulin is then increased again at 20 min after the exogenous insulin injection. We considered the question of the fate of the injected glucose before the secondary insulin injection. In the absence of a large increase in insulin, much of the glucose is disposed by an insulin-independent mechanism, a process we termed “glucose effectiveness.”

    Read More »
  • 20 August

    Karl Nadolsky Full Interview

    Diabetes in Control Publisher Steve Freed talks with Dr. Karl Nadolsky at the AACE 26th Annual Scientific & Clinical Congress in Austin, Texas. Dr. Nadolsky discusses lifestyle as medicine and treating the disease of obesity in a holistic manner. Dr. Karl Nadolsky, DO is an endocrinologist at Walter Reed National ...

    Read More »

Test Your Knowledge

Self-Reported Decline in Memory

Subjective cognitive decline: What proportion of Americans age 45 y and older have self-reported memory problems?

Correct

Answer: C. 1 in 9

Explanation: According to the 2015 Behavioral Risk Factor Surveillance System (BRFSS), 1 in 9 Americans age 45 y and older describe worsening memory problems, but only 44.5% of these have sought medical help. More than 40% of those who self-report memory problems say they've given up daily activities because of their symptoms. Subjective cognitive decline may be an early indicator of Alzheimer's disease.

Cognitive Data from the 2015 BRFSS. Alzheimer's Association. http://www.alz.org/publichealth/downloads/fact-sheet-cog-data-2015BRFSS.pdf. Published October 2016. Accessed March 2017.  Jessen F, et al. Alzheimers Dement. 2014;10(6):844-852.

Incorrect

More Articles

August, 2017