Friday , June 23 2017

From the Editor

June, 2017

  • 20 June

    June 20, 2017

    dave

    Now that the hot weather is upon all of us, the loss of minerals while perspiring is higher than any time during the year. As cyclists, both Steve and I know the importance of keeping certain minerals in the body to keep from cramping and to reduce pain while increasing ...

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Latest Articles

June, 2017

  • 20 June

    What is the Most Ineffective Medication?

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    As we know, the most ineffective medication is the one needed but never taken. There are many reasons our patients don’t take prescription medicines, but a biggy is the cost. If a medicine is too expensive, the patient will not fill the prescription, therefore won’t take it. For example, when ordering an SGLT-2 and/or GLP-1, each can cost hundreds or more for a month’s prescription. Some are covered for both. Some are covered for one brand, but not the other.

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  • 20 June

    Fernando Guerrero Full Interview

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    In this Exclusive Interview, Dr. Fernando Guerrero discusses the usefulness of magnesium in the treatment of diabetes.

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  • 20 June

    Dr. Fernando Guerrero Transcript

    fernando-guerrero

    Dr. Guerrero discusses his work in magnesium research and the relationship between magnesium and diabetes and glucose metabolic disorders in diabetes.

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  • 20 June

    Insulin & Vascular Function Part 9

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    In this week's Homerun Slides, the current therapy for type 2 diabetes.

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  • 20 June

    International Textbook of Diabetes Mellitus, 4th Ed., Excerpt #79: Insulin Actions In Vivo: Glucose Metabolism Part 5 of 9

    DeFronzoCover

    The fed state is the absorptive period between meals. Carbohydrates are normally mixed with lipids and protein in the diet and make up 40 – 60% of the caloric content. Absorption of dietary carbohydrates is influenced by their chemical form (refined sugars or complex carbohydrates) and by other components of food. Furthermore, disposition of dietary carbohydrate is indirectly affected by fats and protein to the extent that these latter (i) compete with glucose as substrates, and (ii) interfere with glucoregulatory hormones by altering insulin secretion.

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Test Your Knowledge

Realistic A1C Targets

A 78-year old patient with a 15-year history of type 2 diabetes arrives in your office for a check-up. He suffers from stage 3 chronic kidney disease and lives alone. From previous visits you have learned he has very few support services. What would be a realistic A1C treatment target for this individual?

Correct

Answer: B.  A1C 7.5-8.0%
Educational Critique: Less-stringent A1C targets are acceptable in certain individuals, such as those with a history of severe hypoglycemia, extensive comorbidities/complications, limited life expectancy and difficulty achieving target A1c despite education, support and polypharmacy. Clinical Diabetes and Endocrinology

Incorrect

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June, 2017