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Letter From The Editor

Editor's Desk: Medical Nutrition Therapy and Diabetes

Did you know that medical nutrition therapy (MNT) has been around longer than insulin? In fact, MNT for diabetes care goes back over 200 years. Our Clinical Text from Joslin's Diabetes Deskbook,


Letter from the Editor, #637: Should we be more aggressive in treating our newly diagnosed type 2 patients?

Steve, Andrew and I would like to extend a warm thanks to all the educators who stopped by our booth at the AADE meeting in Indianapolis. We are especially thankful to those of you who took the time to be interviewed...


Editor's Desk: Global Dimensions of Sugary Beverages

The first thing that gets blamed for obesity and the onset of diabetes is sugary drinks. Logic dictates that the calories from the drinks are responsible for this surge in obesity but are there more factors than just calories and why have we seen...



Special Edition: Maximizing the Benefits of GLP-1

Last year we did a survey of our medical professional readers from across the country to gauge the level of knowledge you had...


Letter from the Editor #636: New Data Points to Impressive CV Effects from GLP-1 Analogs

I want to let all of you know that Steve, Andrew and I will be at the AADE 12 Annual Meeting & Exhibition in Indianapolis this coming week. Please stop by our booth (#526) to pick up some freebies and complete our electronic survey for a...


Editor's Desk: Diet or Regular Soda?

This week's Disaster Averted looks at how, even with the best intentions, patients careful diet strategies can be upset leading to a visit to the...


Letter from the Editor #635: Why HRV Is Important

Many factors affect our cardiovascular health and these can be magnified when diabetes is involved. One often overlooked factor is Heart Rate Variability (HRV). When I first read this week's feature from Sheri Colberg, all I could think of was how...


Editor's Desk: New Homerun Slides on eAG

Two years ago there was a great deal of press about the use of the Estimated Average Glucose (eAG) and how this would revolutionize diabetes care, making things easier for our patients to understand their diabetes. However in practice...


Letter from the Editor #634: Artificial Sweeteners and Obesity vs. Mortality

Last week in a class, three of my patients informed me that using artificial sweeteners actually caused weight gain and higher glucose levels and that it was better to use real sugar if you have diabetes. When I asked them why, I got a variety of...


Editor's Desk: Diabetes Is a Marathon Not a Sprint!

Elliott Joslin once said that the treatment of diabetes is more like a marathon than a sprint. Every day we see how true this statement is, as we look at the increasing number of patients who are still doing well after living with diabetes for over...


Letter from the Editor #633: New EDC Guidelines

I had a chance to get back to nature this week by spending a couple of days in a B&B in the mountains outside of Asheville, NC. While we were enjoying a great breakfast made from hormone-free meat and eggs, and pesticide-free fruits, I...


Editor's Desk: New Therapies on the Horizon

Now that ADA is over there has been a lot of press about the use of newer medications for more aggressively treating elevated A1c's. In addition there were numerous presentations on "not yet approved" treatments in the pipeline. This week our...


Letter from the Editor #632: New Weight Loss Drugs

This week the FDA approved the new weight loss drug lorcaserin. This is the first new drug for weight loss we have had approved in 13 years and...


Editor's Desk: More on ADA-EASD Guidelines

Over the past four weeks we have shared some fantastic Homerun Slides on the new ADA-EASD guidelines for diabetes...


Letter from the Editor #631: Selenium and other Non-traditional Products

Many times our patients come in to us with a list of herbal, nutritional and other non-traditional products to help them avoid disease and live healthier. All we can do is scratch our heads and tell them it might help and hope that it doesn't hurt....


Editor's Desk: Left Knees, Right Knees, Who Has Diabetes?

Your response to the Homerun Slides on the Position Statement of the ADA and the EASD on the Management of Type 2 Diabetes has been overwhelming. I have received a lot of emails hailing the fact that this is the first time these guidelines...


Editor's Desk: Keeping Your Patients on Track with GLP-1 Therapy

Most clinicians I work with or have chatted with want to get their patients in optimal control of their glucose levels. We all work hard to find that right combination of medication, food choices, and physical activity that will achieve our...


Letter from the Editor #630: ADA Scientific Sessions Wrap-up

This week we have packed our newsletter with all the best of the recent 72nd ADA Scientific Sessions in Philadelphia. Steve and Andrew conducted more than 20 interviews with top diabetes thought leaders and we will have those for you in the...


Editor's Note: TID Means 3 Times a Day But Which 3 Times?

If you like the combination of evidence-based medicine and real-world guidelines then you'll want to check out Part 3 of the Position Statement of the ADA...


Letter from the Editor #629: Symptoms of Low Levels of Testosterone

Last week, in the pharmacy, I spoke with 3 male patients, two in their 30's and one who had just turned 50, who were all feeling depressed, tired and had gained about 30 lbs on average over the past 4 months. Each of them also complained that...


Editor's Note DCMS #87: New Factors in Diabetes Guidelines

In last week's set of Homerun Slides, we gave you Part 1 of the ADA/EASD...


Letter from the Editor #628: AADE Highlights

Steve, Andrew, and I are back from the AACE meeting in Philly and have loaded this week's newsletter with the latest news from the meeting. We heard some great information on


Editor's Desk: New Clinical Text from the ADA and Why You Should Read It

This week we bring you another fantastic Clinical Text to help you give the best care to your patients with diabetes. The ADA's Diabetes Ready Reference for Nurse Practitioners is a fabulous reference for all medical professionals. If...


Letter from the Editor: Philadelphia AACE

Steve, Andrew and I are in Philadelphia at the 21st Annual Scientific Conference of the American Association of Clinical Endocrinologists this week and we have been going full force to find the most intriguing information for you. In addition to...


Editor's Desk: Insulin for DKA - Not always a good choice!

Every time we hear of a patient with DKA we think "Trip to the Emergency Room," and "Insulin Drip Immediately." However starting insulin without doing certain labs first can make things worse not better. This week's Disaster Averted points...


Letter from the Editor #626:

Each week I see insulin using patients who are not in control. It doesn't seem to matter if they are type 1 or type 2, old or young, rich or poor, they all have high A1c's and wide swings in blood glucose levels. When we look carefully we find that...


Editor's Desk: Getting Your Patients on Track with GLP-1s

I am often in a position to recommend the selection of medications for the patients with type 2 diabetes who I see in prescribers' offices.   Most medical practitioners will make metformin their first choice as this has...


Editor's Desk DCMS #84

Is it intensity or duration that gives the best results when you exercise? This week's Clinical Text helps us to maximize both for our patients and...


Letter from the Editor #625

I was at a program last week and we were talking about testosterone replacement in men and how our patients often go for years with low levels. There was a lot of conversation about testing and why it does not get done and one of the prescribers in...


Editor's Desk: Improving Safety May Be Easier than You Think

Did you know that standardizing the delivery process of high-alert medications and implementing hospital-wide protocols are key to maximizing safety in the hospital? The ways to do this are often simpler than you think, and our Homerun...


Letter from the Editor #624

The diabetes epidemic keeps finding younger victims and these 10 to 17-year-olds with type 2 diabetes need much more aggressive care than we have been willing to give them. This week's first item,


Editor's Note: Hyperglycemia and Exercise, and the Most Error-prone Drug

Do you know the two situations when exercise can cause a dangerous rise in blood glucose? To find what these two situations are and how to treat them, be sure to check out this week's


Letter from the Editor #623: Focus on GLP-1

The use of GLP-1 analogs is up again this year as clinicians become more comfortable with the class of drugs and more patients are learning about the benefits of these analogs from their practitioners, friends, and websites and blogs on the...


Editor's Note: Dealing with Changes in Practice Methods

Last week's Disaster Averted


Letter from the Editor #622: Exercise, Sleep, and Eat Your Breakfast!

Have you ever noticed that when patients get older they become more scared of falling? Many times they will stop their physical activities because of this fear, which is not a good idea for our diabetes patients. Sheri R. Colberg, PhD...


Editor's Note, DCMS #80: SMA's and Patient Gossip

Have you ever done a shared medical appointment (SMA) in your office? One of our local doctors tried it and learned how patients can be their own worst enemies....


Letter from the Editor #621: Paula Deen and Staying on the Program

Yesterday I was flipping through the channels and stopped at the Food Channel when I saw that Paula Deen was on. Most of us are aware of the media frenzy when she came out and admitted she had diabetes, and all the public snafu's that followed....


Editor's Note, DCMS #79: New Joslin Excerpt

When my interns come to my rotation they have to live like they have type 2 and type 1 diabetes and this includes injecting themselves with saline based on calculating their insulin dose. A couple of years ago I was discussing this with an...


Letter from the Editor #620: It's All about the Pounds This Week...

It's all about the pounds this week in the latest and best articles on the internet from our staff here at Diabetes in Control. The research is exploding in various ways to fight the diabetes, weight, and cholesterol triad. Exercise and...


Editor's Note, DCMS #78: Pill Holder Causes Diabetes

Pill holder causes diabetes ... or so it seems. This week's Disaster Averted comes from one of our advisory board members, Dr Raymond Raitz of Palmetto, Fl. Last week he shared an interesting story about 



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