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Letter From The Editor

Editor's Note, DCMS #184

How would you feel if your 85-year-old mother or grandmother got a call from her hospital that she needed to get an HIV and hepatitis test? This might have happened to her if she was one of over 4,200 patients in a Long Island hospital where they...


Letter from the Editor #724:

This week the CMS announced that they will start to publish the amount of money that is paid to prescribers for Medicare patients. This goes along with ProPublica's announcement that they will be releasing complete...


Editor's Note DCMS #183

Now that the weather is warming up and thoughts of summer are starting to creep into the minds of many of our patients the idea of looking good at the pool or the beach has led to more ads on ways to lose weight fast. These ads often focus on a...



Letter from the Editor #723: Patient Handouts for Managing Weight and Medications, and the Artificial Sweetener Maze

It seems like every week our patients come to us with a new diet plan or a 1 minute exercise routine that will make them drop 25 lbs in the first week. It amazes me that these patients won't pay a 20 dollar copay for a diabetes med but they will...


Editor's Note, DCMS #182: Basal Insulin Incorrectly Withheld

Multiple studies have shown that patients who are overweight or obese are more likely to have impaired pulmonary function, obstructive sleep apnea, and the obesity hypoventilation syndrome. These problems are in addition to the more recognized ones...


Letter from the Editor #722: Enrollment in ACA May Mean More Patients Needing Diabetes Prescriptions

This Monday ends the official enrollment period for The Affordable Care Act, aka Obamacare, and both the Obama White House and the Congressional Budget office are reporting that over 6 million people have enrolled in the state and federal exchange...


Editor's Note, DCMS #181: Metabolically Healthy Obesity

Do you have any healthy looking weight appropriate patients who are metabolically unhealthy or any obese patients who are metabolically healthy? Can you tell the difference? This week's


Special GLP-1 Edition, March 2014

There is no doubt that all too many times in the past we have heard great news on non-injectable insulin drugs. First we had inhaled, which flopped and buccal which seems to be stuck in other countries except the U.S. Over the past 10 years we have...


Letter from the Editor #721:

This past Friday I had the pleasure of presenting a CE program at the annual meeting of the Washington Association of Diabetes Educators. There were 250+ diabetes educators in attendance and we were talking about the use of new technology. During...


Special Edition SGLT-2 Inhibitors, March 2014

Typically when we have discussions about new drugs or drug classes they are not really discussions but presentations by someone on behalf of the manufacturer, and most of the questions are geared to promote the positive aspects of the new...


Editor's Note, DCMS #180: Adisopathy & Obesity

We know that obesity can lead to diabetes and often we focus on that in prediabetes, but as soon as someone is diagnosed with diabetes we change our focus to treating diabetes, and "live" with the obesity and weight gain. This...


Letter from the Editor #720: CMS Backs MTM Services

On Thursday night I had the chance to talk to a group of MTM pharmacists for one of the original pioneer ACO's in the U.S. It was interesting that they had been able to build a good...


Editor's Note, DCMS #179

My dad has been visiting us for the past several months as he escapes the cold weather in Kentucky. Like many of our older patients he has some health challenges that could prevent him from getting enough physical activity. These frustrations are...


Letter from the Editor #719

We often talk about the increase in AGEs (Advanced Glycation Endproducts) in patients with diabetes. We mainly think about these AGE’s in the development of vascular injury in our diabetes patients. However, the collagen in our joints is also...


Editor's Desk, DCMS #178: Dangers of Grocery Store Checkout Line Magazine Browsing

I was in the check-out lane at a grocery store yesterday and, as I was waiting, I couldn’t avoid noticing the headlines of the magazines available for impulse purchase. It seemed that every one of these had some way to "cure"...


Letter from the Editor #718

This week I saw patients in a couple of offices and whenever the men were over 60 and had either loss of muscle or increased fat, my first thought was to get a testosterone level to find out if they were low. This got me thinking about why we make...


Editor's Note, DCMS #177: Taking Advantage of Free Tech

We talk about the use of technology to improve diabetes care but often it is some "new magic" device that costs a fortune and that no insurance company will pay for. This week, our Disaster Averted shows


GLP-1 Agonists Special Edition, February 2014

When we talk to diabetes experts they all say that GLP-1 agonists will continue to change the way we treat diabetes now and in the future. They also comment on the slow but growing acceptance of this class as the "go to" drug for type 2...


Letter from the Editor #717: Mobile Healthcare Technologies

As the national healthcare landscape changes with the integration of the recent government laws and expansion of medical information technology, more emphasis has been placed on patient-centered care. I believe that if patient engagement were a...


SGLT2 Inhibitors Special Editions, February 2014

Now that there is a second SGLT-2 inhibitor on the market, prescribers will be approached even more often with information on this new class of drugs. These medications are likely to be big competitors with the DPP-4 inhibitors because they are...


Editor's Note, DCMS #176: Setting Targets Too High

Most of us who treat diabetes patients know that the hardest part is getting patients to make positive changes. We often set the targets so high that patients just give up. If you take a careful look at our Homerun Slides from Dr. Stanley...


Letter from the Editor #716:

According to an article in the Consumer Electronics Association newsletter this week, the shipments of wearable bands including smart watches and fitness trackers are forecast to exceed more than 17 million units this year. The smart band...


Editor's Note, DCMS #175: Dr. Sheri Colberg

Most of you are very familiar with Dr. Sheri Colberg. She has been sharing her wisdom with us for many years and just last Saturday she shared


Letter from the Editor #715:

Many times our patients will say "just give me a book I can read that will fix all my problems and I will do it," and we know full well that it will most likely never happen. Over the years I have recommended a few but the patients could...


Editor's Note:

While I was enjoying the 80 degree weather in Florida, our publisher kept wishing the thermometer would get up to zero in Chicago. Even though it is bitterly cold in those northern places, patients still bundle up, put on their warmest boots and...


Letter from the Editor, #714: Diabetes Optimal Care Not Cost Effective

This week was not a good one in our area for getting an appointment with an endocrinologist. Most of our endo's are over 60 years old and we have only had two new endocrinologists come into the area in the past four years. What makes it harder is...


Editor's Note, DCMS #173:

We often hear about the idea of a medical care plan. My interns come to me all full of vim and vigor, and ready to do a plan on any person who presents with diabetes. However, this is hard when you have to take into account insurance plans, patient...


GLP-1 Special Editions, January 2014

As we move into the ninth year that GLP-1 analogs have been available many of you have taken advantage of this class of medications for your patients. Every day more prescriptions are being filled and patients are learning the value of non-insulin...


Letter from the Editor #713:

Now that we have a second SGLT-2 inhibitor on the market we are seeing other companies trying to be the newest "me too's" on the block. Prescriber acceptance of this class is growing and so it only makes sense that more companies will try...


Editor's Note, DCMS #172: 'Sedentarism'

Each year there is a contest to find out which new word added to the dictionary is the most popular. Many of you know that the winner this year was 'selfie', a self-taken picture which gets posted on Facebook and other social media sites. But when...


Editor's Note, SGLT2 Inhibitors Special Editions, January 2014

I was talking to a physician recently when the topic of SGLT2 inhibitors came up. He spoke about his experience with the drugs and how he felt that a lot of physicians had a negative feeling about the drug because of the chance of UTI's. He felt...


Letter from the Editor #712:

This past week, I was in an office in St. Petersburg seeing patients and almost all of them were on insulin. In fact they were either on Reg and NPH, or 70/30 lin mix. I have always believed that for most type 2 patients who don't count carbs or use...


Editor's Note, DCMS #171: Dapagliflozin Approval

Last Friday, the FDA approved the SGLT2 inhibitor dapaglifozin. This is the second drug...


Letter from the Editor, #711: CES, Forxiga, and Keeping New Year's Resolutions

I am at the annual Consumer Electronics Show in Las Vegas this week and it is easy to see how technology is moving into the healthcare segment. Three years ago, less than 2% of the booths were dedicated to health and wellness -- this year, a full...


Editor's Note, DCMS #170:

As soon as someone with diabetes goes in the hospital they are usually put on insulin. Since many of the patients have been insulin naive or only on long-acting insulin the introduction of R or analog insulins can often be problematic. In part six...


Letter from the Editor, #710:

The new year is finally here which means the Affordable Care Act started this past Wednesday. The start-up has been fraught with computer problems, misrepresentations, and half-truths from all sides of the political spectrum. As a medical...


Editor's Note, DCMS #169

What would you do if you had a patient with type 1 diabetes, unusual fatigue, weight gain, and an A1c 1.3% higher than her previous one? If it was weight gain and a lower A1c it might mean one thing; higher A1c and lower weight would mean...


Letter from the Editor #709:

Happy Holidays from all of us at Diabetes In Control.   As I was reviewing the articles for this week I got a call at the pharmacy from a 40 year old patient asking me to refill her two diabetes drugs:...


Editor's Note, DCMS #168: How Pharmacists Can Help Reduce Hospital Errors

Studies have shown that, on average, 54% of patients experience some type of error in medication reconciliation in the hospital. This leads to all kinds of problems as often these patients are prescribed hospital meds with no way to know if...


Letter from the Editor #708:

As we come to the holiday season there is a lot to be thankful for but some people are going to have a lot better Christmas than others. These "lucky schemers" have figured out a way to make millions by defrauding the Medicare Part D dry...



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