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Letter From The Editor

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...


Letter from the Editor #652

As we try to address the burgeoning problem of diabetes worldwide, studies dealing with food choices or physical activity always catch our attention. We want to take advantage of the results and apply them to patients regardless of whether the...


Editor's Note, DCMS #110: Insulin Degludec Slides and More

Last week we reported that the FDA advisory board had given their blessing to the new long-acting insulin, degludec. However, trying to find good information about this product, how it works, and what makes it different from insulin glargine or...


Letter from the Editor #651

This week week the FDA's Endocrinologic and Metabolic Drugs Advisory Committee recommended that degludec, Novo's new long acting insulin, be approved for use in the United States. There was a lot of the usual fuss about CV studies that seems...


Editor's Note, DCMS #109: Hypoglycemia

Hypoglycemia is always on every medical professional's mind when they think about using insulin. It doesn't really matter if the patient has type 1 or type 2 diabetes, or is well-controlled or out of control. As long as they are on insulin there is...


Letter from the Editor #650

Last week CMS finally issued guidelines temporarily increasing primary-care physician payments from Medicaid. The new Medicaid Rule (click here for...


Editor's Note, DCMS #108: Some Like It Hot But....

Years ago, Tony Curtis, Jack Lemmon, and Marilyn Monroe starred in the movie, "Some Like It Hot," and it was an instant hit for the three of them. However, when it comes to insulin, hot is never a good thing and this week's Disaster...


Letter from the Editor, #649

As part of our education program for diabetes patients we encourage them to do multiple small things which can promote weight loss and healthier living. A couple of examples we've given here include adding protein to breakfast, and beans or lentils...


Editor's Note DCMS #107

Over the past few weeks we have been sharing excerpts from Diabetic Emergencies: Diagnosis and Clinical Management on how to manage diabetic ketoacidosis in adults, and you have made this series one of the most read ever.  This week we...


Letter from the Editor #648

I have spent the past 10 weeks criss-crossing the country talking to pharmacy groups about the value pharmacists add to the care of hypertension through MTM (medication therapy management). Many Part D providers have...


Editor's Note, DCMS #106: Timing Is Everything

Timing is everything and without a doubt this is true when it comes to eating, obesity and weight loss. This week's Clinical Text from JOSLIN’S DIABETES DESKBOOK – A Guide for Primary Care Providers gives us some


Letter from the Editor #647

Years ago, just out of pharmacy school, I worked in a nursing home pharmacy where we supplied the oral and IV medications for several facilities. When we could not get an IV started in a patient we used a drug called hyaluronidase to increase...


Editor's Note: Rhinocerebral Mucormycosis

The complication of the week seems to be rhinocerebral mucormycosis. If you are not familiar with this infection then check out this week's Homerun Slides, which include a section on


Letter from the Editor #646

The EASD meeting was chock full of news about the latest drugs and new classes of medications. In one important...


Editor's Note, DCMS #104:

We are all aware of the problems which can occur when our patients take too much insulin or sulfonylureas, potentially leading to dangerously low blood glucose levels. But can you imagine that a diabetes patient could end up beaten and in jail...


Letter from the Editor #645

This week we have an article in the European Heart Journal that points out having high levels of cardiorespiratory fitness can actually help an obese...


Editor's Note, DCMS #103

Each time we see our diabetes patients we stress lifestyle modifications. We know that our patients want to improve but we also know how hard it can be. This week, we feature Homerun Slides prepared by Margarita Stanosyan, Doctor of...


Letter from the Editor #644: The "Arnold Factor" and Waist-to-Hip Ratio

Years ago we made a determination that BMI was the most important indicator of a person's risk for diabetes, hypertension and heart disease. We even use a BMI value to determine if a person is either obese or just overweight. However there was...


Editor's Note, DCMS #102: All About Sugars

Did you know that fructose is the only sugar that does not need insulin to be absorbed into the muscles or fat cells? If you give a little thought to this, then you might think that fructose would be a good energy source for athletes. However for...


Letter from the Editor #643 My Well Planner

About two months ago I was asked to be on an advisory board with other medical professionals, including physicians, nurses and other CDE's. We were brought together to review a new web portal for diabetes patients. Like most of my colleagues in...


Editor's Note, DCMS #101: Medication Errors

I did a program in Nashville this past weekend for a group of pharmacists on medical errors. One of the slides shows that when it comes to medication-related errors,  the ISMP, IHI and Joint Commission all agree that insulin is the...



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