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David L. Joffe, BSPharm, CDE, FACA

David L. Joffe, BSPharm, CDE, FACA
(Editor-in-Chief Diabetes In Control) A graduate of University of Kentucky College of Pharmacy, he has practiced in the Tampa Bay area since 1986, has been providing diabetes and cardiovascular care in Tampa Bay since 1995, and spent 2 years as an Eckerd Patient Care Pharmacist managing over 100 diabetes patients. Dave currently sees patients in over 30 primary care and endocrinologists offices.

This past week, we had our 3rd endocrinologist retire since December. We have a metropolitan population of just under 3 million people, and now we are down to 17 endocrinologists — and 6 of them only take care of children. Eleven endos for 3 million people is just hard to believe. If …

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Our diabetes disaster looks at the idea that patients often don’t use the information they have to regulate their blood sugars, and a lot of times this is because the right information only makes things worse. Usually this has to do with insulin dosing, and for many patients it can have …

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February 6, 2016

The 2016 professional cycling season has started, and this week Team NovoNordisk is competing in the Tour of Dubai. This race brings together professional cycling teams from all over the world and many of the top riders, including 4 former Tour de France winners. As you know, all the TNN …

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It appears that we are now looking more and more at diabetes as a cardiovascular risk factor, and our therapies and goals for diabetes care need to be targeted in that direction. In order to help make this message as clear as possible, we have focused our homerun slides and …

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January 30, 2016

I did a quick search, and in the past 2 years we have had over 80 items on food choices and the best way to eat for diabetes. This does not even begin to include the ones we turned down. Often these ideas conflict, and experts flip-flop on what works best …

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It is very frustrating when we take our time to educate patients on the complications of diabetes and then they flat out ignore us. These patients usually don’t have symptoms that make them feel bad, and so they feel we are overreacting and don’t really listen or make changes. Usually …

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January 16, 2016

I was traveling this past week and it seemed that almost every person was wearing some kind of fitness tracking device. As I was going through the Atlanta airport, I watched people checking their devices and commenting on their steps while they were walking underground between terminals. When I sat on the plane, …

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It has been a few years since Dr. Steven Nissan shook the diabetes world apart with his scathing review of the TZDs, pioglitazone and rosiglitizone. Many professionals blame him for the demise of rosiglitizone and the almost-death of pioglitazone, because of his comments on heart problems caused by the class …

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January 9, 2016

This week CES (Consumer Electronics Show) is in full swing in Las Vegas. There are over 180,000 attendees, and over the next four days they will look at more than 10,000 displays of products for home, auto, industrial and personal use. When we were there 3 years ago there was one …

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For thousands of years humans had to adapt to their conditions. We were affected by heat and cold, severe weather events, and times of feast or famine. We became good at adapting to our environments, and our bodies learned mechanisms to carry us through almost any condition. During these millennia …

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