Friday , August 26 2016

From the Editor

August, 2016

  • 23 August

    August 23, 2016

    dave

    Last week, I had a new patient referred to me with adult onset type 1 diabetes. The patient was 63 years old and — although she had been losing weight over the past year — it was a 16 pound loss over the previous 2 weeks that got the physician concerned. An A1c test came ...

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Latest Articles

August, 2016

  • 23 August

    When There’s Water, Check the Shoes

    wet-shoes

    People who have diabetes are usually taught to purchase protective soft leather shoes with a wide toe box. That doesn’t mean everybody who has diabetes follows those recommendations. A woman, type 2 diabetes, who is knowledgeable about diabetes and foot complications was wearing cloth shoes with a “corded” bottom and manmade rubber sole. She was caught in the rain. Her shoes were soaked.

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  • 23 August

    Kimberly Ward Part 6, Insurance Reimbursement

    KimberlyWard

    In the conclusion of this Exclusive Interview, Kimberly Ward explains how Roche can help the patient with private insurance to get help obtaining a preferred co-pay for the Accu-Check system.

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  • 23 August

    Beta-Cell Classification of Diabetes and the Egregious Eleven Part 6

    iStock_000067390361_Small

    In this week's Homerun Slides, the call for patient-centered approach to diabetes therapy that factors in the patient's individual cause of metabolic dysregulation.

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  • 23 August

    International Textbook of Diabetes Mellitus, 4th Ed., Excerpt #38: Normal Beta-cell Function Part 3 of 6

    DeFronzoCover

    Beta-Cell response to nonglucose secretagogues: Proteins and amino acids -- The insulinotropic effect of oral proteins was first described almost 50 years ago and recently confirmed. After the ingestion of a small amount of proteins (30–50 g) or a larger amount of proteins (2 g kg−1), plasma insulin was raised two- to threefold over baseline and remained persistently elevated for 90 or 240 minutes, respectively. In either case, blood glucose did not change, whereas both GLP-1 and GIP levels were raised threefold over fasting values.

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  • 20 August

    IGT Tied to Increased Mortality

    iStock_000019826933_Small

    A study in Diabetes Care showed that 74.7% of deaths among patients with impaired glucose tolerance happened after progression to type 2 diabetes.

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Test Your Knowledge

Question #847

Weight loss has been shown to have a positive impact on glucose control and cardiovascular risk factors. At which weight loss threshold do these positive benefits start to become meaningfully apparent?

Correct

Answer: B. Weight reduction of 5-10%

Modest weight loss of 5-10% has been shown to positively influence glucose control and cardiovascular risk factors. Weight loss may be through dietary, pharmacological, or surgical means.

Obes Rev. 2015 Jan; 16(1): 77–87.

Diabetes Care 2011 Jul; 34(7): 1481-1486. http://dx.doi.org/10.2337/dc10-2415

 

Incorrect

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August, 2016