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Joy Pape, MSN, FNP-C, CDE, WOCN, CFCN, FAADE

Joy Pape, MSN, FNP-C, CDE, WOCN, CFCN, FAADE
(Associate Medical Editor Diabetes In Control) Clinical Nurse Practitioner, CDE, Comprehensive Weight Control Center, Weill Cornell Medical College; President of EnJoy Life! Health Consulting, New York City, NY; co-author of the Real-Life Guide to Diabetes; Immediate Past President for the Metropolitan New York Association of the American Diabetes Association of Diabetes Educators (MNYADE). As an internationally known family nurse practitioner (FNP) and certified diabetes educator (CDE), Joy Pape specializes in diabetes, weight management, home blood pressure monitoring, sleep, and foot care. She is the co-author of the Real-Life Guide to Diabetes (The American Diabetes Association). She writes for several national magazines, is a dynamic national motivational presenter for both health-care professionals and the general public, and is a partner of Laugh it Off! a health edutainment team. Joy says, “Most important is that I still see patients. That is my passion…to connect with my patients so that together we can help them reach their optimum health.

Take a Second Look at Surgery Recommendations

Patient is male, 48 years of age, type 2 diabetes with hyperglycemia for eight years, class III obesity,  and very symptomatic GERD. Patient planned to have laparoscopic sleeve gastrectomy. I asked him why he chose that particular surgery. He said, "Because it's less invasive." I asked if his surgeon told him the sleeve gastrectomy could increase his GERD, and is not as effective for the treatment of type 2 diabetes nor for weight loss as is a bypass. He said, "No, the surgeon just left it to my choice. I said I wanted the sleeve and he was good with that."

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Talk About Aspirin With Your Patients

Male, 69 years of age, coronary artery disease,  two cardiac stents, hypertension, hyperlipidemia, prediabetes, bladder cancer.  His sister is 64 years of age, coronary artery disease, prediabetes, PCOS, elevated cardiac calcium score of >1000, no hyperlipidemia. HO early heart disease, stroke, and early death in family. There have been recent reports in the media speaking of the ASPREE Trial, which reported that taking aspirin daily is not effective for all people, and in some it may be more detrimental due to bleeding risks.

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What Your Patients Don’t Want to Hear

We recently had a new patient, 75 years of age, who has class I obesity and prediabetes, and has had hypothyroidism for over 25 years. She is very active and has purposely lost weight, about 6 pounds. She told me she has had hair loss over the years and has seen a specialist for this, but lately it's been worse. She takes spironolactone, biotin, and zinc for her hair loss. She wanted to know what she could do about her hair. She is taking 150 mcg levothyroxine and 5 mcg liothyronine.

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Rhoda Cobin 2018 Complete Interview

Rhoda H. Cobin, MD, MACE is Clinical Professor of Medicine at the Ichan School of Medicine at Mount Sinai NYC. She is a founding board member of AACE, served as its president and the president of the American College of Endocrinology. Dr. Cobin's academic interests include reproductive endocrinology, thyroid disease and thyroid cancer, and diabetes. She was one of the chairs for the production of AACe's Disease State Clincial Review : Guide to the Best Practices in the Evaluation and Treatment of Polycystic Ovary Syndrome. She and AACE have particularly been concerned for over a decade with increasing awareness of the significant cardiometabolic consequences of PCOS.

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Rhoda Cobin 2018 Transcript

In this Exclusive Interview transcript, Rhoda Cobin talks with Diabetes in Control Medical Editor Joy Pape during the AACE 2018 convention in Boston about the association between diabetes and PCOS, the genetic component of PCOS, and the syndrome's long-term health implications.

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