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Production Assistant, Diabetes In Control

Culture: Think About It

Man, 32 years of age, of Asian Indian descent, family history of type 2 diabetes, BMI-28,  blood pressure 142/84, WC-92cm visited for annual physical. Although the patient has not at this time been diagnosed with type 2 diabetes, the numbers and history were revealing that he is at increased risk. Not just because of his family history but also his BMI and WC. We discussed the importance of this person’s weight with him. In discussing this, we talked about making some changes in his meal plan and increasing his activity.

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International Textbook of Diabetes Mellitus, 4th Ed., Excerpt #154: Monogenic Disorders of the Beta Cell Part 4

Transcription factor MODY: The majority of MODY genes encode transcription factors (TF). Transcription factors have an important role in regulating the expression of genes. They have a critical role in the variations in gene expression in the different stages of embryological development, and in different tissues. Transcription factors can also regulate expression of other transcription factors, thus establishing a complex regulatory network controlling gene expression.

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Hypertriglyceridemia Strategies

Which of the following is a recognized strategy when considering diet and exercise in the management of hypertriglyceridemia?

A. Individuals should consume 45% of calories as fat, with saturated fat reduced to approximately 20% of calories.
B. Restricting simple carbohydrates and increasing dietary fiber are ineffective for lowering triglycerides.
C. Exercise has minimal impact on lowering triglyceride levels.
D. Progressive aerobic and toning exercise, weight loss, and dietary management can significantly lower triglyceride levels.

Follow the link for the answer.

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Considering Ethnicity

Do you consider ethnicity when determining the best treatment options for your patients? Follow the link to see how you and your colleagues compare.

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