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Letter From The Editor

Letter from the Editor #671

Our newly diagnosed patients receive so much information from friends, family, and the internet that they become desensitized to having diabetes and what that means in real terms. This overload of information and long list of do's and don'ts can be...


Editor's Note, DCMS #130

About three quarters of our diabetes patients have dyslipidemia and elevated triglycerides, along with high insulin resistance and an increased risk of CAD. Our Clinical Text from Joslin


Letter from the Editor #670

Last November our intern Andre McMahon put together a good article on How the Liver...



Editor's Note, DCMS #129

One of the most often mentioned and least understood acronyms in diabetes is HOMA. We see this four letter abbreviation used in almost every diabetes study and evaluation but exactly what is HOMA...


Letter from the Editor #669

Last week I asked all of you to contact your legislator about Senate Bill S1468 the Medicare Diabetes Self-Management Training Act of 2011 and the corresponding House of Representatives Bill HR2787. Not being one to ask you do do something that I...


Editor's Note, DCMS #128

We constantly talk to our diabetes patients about complications due to microvascular damage caused by elevated glucose levels. Nerve damage in the extremities and reduced kidney function are two we often speak about. However, only in recent...


Letter from the Editor #668:

This week we are sharing a plea from the American Association of Clinical Endocrinologists (AACE) for medical professionals and diabetes patients to urge members of Congress to pass the National Diabetes Clinical Care Commission Act. This...


Editor's Note, DCMS #127: Sick-day Rules for Diabetes Patients

It seems that every couple of weeks we are sharing new guidelines for treating problems related to diabetes, hypertension, hyperlipidemia, and the like. Often times we get a chart and a paragraph, and are left on our own to figure things out. When...


Letter from the Editor #667: Meaningful Use of EHRs Paying Less

Now that the sequestration has started, time alone will tell how much impact it will have on healthcare providers. We do know that according to CMS, Medicare incentive payments for meaningful use of electronic health records (EHRs)...


Editor's Note, DCMS #126

Have you ever heard of the "lag effect" (and I don't mean when you fall behind in a bike race)? This week our excerpt from Joslin's Diabetes Deskbook looks at


Letter from the Editor #666: ARK-Care Real-time Data Management System

It seems like every day there is a new study that conflicts with the results released only a couple of days before. Over the past 3 months we have had 5 articles discussing whether diet drinks increase caloric intake, appetite and diabetes risk.


Editor's Desk, #125: Special Feature Article from ISMP

Every week our readers share their stories of Diabetes Disasters Averted with us and most of the time these real-life experiences deal with insulin. There are many techniques and procedures that have been developed in order to help prevent...


Letter from the Editor, #665: Knowledge Gaps and Medical Professional

This week we have an article on the gaps in knowledge and information that prescribers have when it comes to diabetes care. In addition to these gaps...


Editor's Note, DCMS #124: Diabetes and Testosterone

Did you know that men with diabetes often have low free testosterone levels? If they are obese, this risk increases: about 50% of obese men with diabetes have low levels. Other factors influence levels also and in part two of our...


Letter from the Editor, #664: The Glucocard Expression

Every week our publisher and production editor give me a deadline to have my "Letter from the Editor" to them. It seems no matter how early I get started, I barely get it to them in time. This delay in doing my part causes all of us extra...


Editor's Note, DCMS # 123: Two New Insulins Delayed

Typically this clinical letter focuses on articles related to patient disasters averted, medical slides and clinical texts. However I am going to make an exception this week and share information from Novo Nordisk on the approval process for two...


Letter from the Editor #663: LDL and the Bile Acid Sequestrant Colesevelam

This past week I got a call from a friend and Weight Watchers instructor who had gotten her labs done and found out that her LDL was slightly elevated. Her physician wanted her to start on Atorvastatin. She had been handed...


Editor's Note, DCMS #122: Physical Activity and Looking at Numbers the Wrong Way

This past Sunday I was on a 50 mile Sunday Bike Ride with about 30 others. We were riding along at about 24 mph when the sprint started near Redington Beach. Immediately a group of eight of us pulled away in our race to the bridge. Our speed was up...


Letter from the Editor #662: Changes in Medicare Pricing

One of our sources has been in touch with the Centers for Medicare & Medicaid Services (CMS) and found that new, lower Medicare prices  will go into effect this July in a major expansion of the DMEPOS Competitive Bidding Program. The CMS...


Editor's Note, DCMS #121

Hypertension can be an expensive disease and how poor a job we do managing it in older patients can increase managed care costs. This week's Homerun Slides series, 


Letter from the Editor #661: Shared Medical Appointments for the Elderly

Each week there is something new about how we can improve patient care by improving transitions for patients between healthcare units. A recent Medicare initiative aimed at smoothing transitions of care through community-based interventions...


Editor's Note, DCMS #120

This week our Homerun Slides have a dual value to everyone who subscribes to Diabetes In Control. As we know...


Letter from the Editor #660

We have spent many an hour helping you learn about the new ways that reimbursement will be changing to reward providers that provide the best care. This applies to hospitals as well. Healthgrades, a healthcare quality reporting group, has released...


Editor's Note, DCMS #119

Each week in our newsletter we bring you multiple articles on the reasons for lowering patients' A1c and controlling their glucose levels. In addition we often include studies that encourage us to use insulin sooner and more aggressively. Anytime...


Letter from the Editor, #659

As I write this, I'm on the last day of the Consumer Electronics Show (CES) in Las Vegas, and if you switch on any television news show you are bound to see all the new TV's, computers and phones. However what you...


Editor's Note, DCMS #118

In last Saturday's newsletter, my editorial focused on physical activity and how the new year brings all kinds of exercise programs that will make our patients thinner and...


Letter from the Editor #658

I have a very good friend who is a Weight Watcher's program leader and this week we were talking about how each and every new year, millions of people decide to take control of their own lives, and get fit and healthy. She...


Editor's Note, DCMS #117

In last Friday's newsletter, I had some interesting insights into the use of patient surveys and how the way these are written can affect a provider's overall scores. This week we have a Mastery In Minutes video from Andrew VanZee, MHA,...


Letter from the Editor, #657

Please Note: We are re-sending this weekend’s newsletter to correct a technical issue for iPhone users. Our apologies for any inconvenience. Thanks for your commitment to great diabetes care!   While looking at...


Editor's Note, DCMS #116

Hope everyone had a great holiday weekend and that you are now ready for the New Year. This week we have part two of our current clinical text, 


Special Edition - The Best Articles of 2012

This year has just sped by for all of us here at Diabetes In Control and we suspect for many of you as well. In this holiday season of rushing around, we hope that you have a chance to relax, catch your breath and enjoy the season for...


Editor's Note, DCMS #115

Hypoglycemia and hyperglycemia are often exaggerated during the holidays, either because of too much food, increased activity, more travel than usual, or all of these combined. For our type 1 patients both low and elevated levels might be because...


Letter from the Editor #656: Extending Patients’ Lives by Five Years

We are coming to the end of the holiday season and many of our patients are starting to think about what they will do for their health in the new year. Some of them have asked for exercise equipment or gadgets as a holiday gift, and others have...


Editor's Note DCMS #114

Adipocytes, hormones, pro-hormones, cytokines and enzymes are all found in adipose tissue but what does this have to do with the endocrine system? Can they affect total-body metabolism and cardiovascular health? This week our excerpt from the...


Letter from the Editor #655: How to Avoid Burnout

Many of us have been seeing patients for a long time and as we squeeze more patients into each hour to be profitable, there is an increasing risk of burnout. This burnout can lead to misdiagnoses according to Dr. Paul Griner, MD, and past...


Editor's Desk, DCMS #113: Upcoming Changes in the Healthcare System

This past weekend I delivered a talk on "Provider Evolution: Medical Homes and Accountable Care Organizations (ACOs)" to a large group of medical professionals. Two of the slides stood out like big red bullseyes. The first ranked the...


Letter from the Editor, #654

There are some looming issues in reimbursement for healthcare coming in the next year. If things don't change prescribers will be faced with a 27% decrease in reimbursement rates for Medicare and Medicaid...


Editor's Note DCMS #112

Each week we try to bring you useful information on how to improve your patients' care. Most of us have come to realize that no one method or idea works for every patient so when our staff selects information for you we try to bring you solutions...


Letter from the Editor #653

Hope everyone had a great Thanksgiving and that you found everything you wanted during your Black Friday shopping spree. During the recent Liver Meeting 2012 in Boston


Editor's Note DCMS #111

According to dictionary.com, "iatrogenic" is defined as an adverse effect induced in a patient as the result of a physician's words or actions, especially as a consequence of taking a drug prescribed by the physician. No other drug...



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