Editor's Note: "Complementary" Diabetes Products, GLP-1 Slides Wrap-up, and Mixed Insulin Order Clarity
With the plethora of information available on the internet and the uncountable amount of products available to "treat diabetes naturally" it is only normal to expect that our patients will try different products. This is especially true if we tell...
Letter from the Editor: 100 Ways to Cut Calories, Benefits of Magnesium
This week the US Pro Challenge starts in Colorado. This event pits the top 3 finishers in last month's Tour de France against over 200 hundred of the world's top road cyclists, in what is billed as the highest altitude mountain climbs ever...
Editor's Note: It’s Too Darn Hot
This has been the hottest summer on record for most of the US. In fact I have been inviting people to come down to Florida to cool off, so you knew it was only a matter of time before the intense heat would lead to a potential diabetes disaster....
Letter from the Editor #586
During the recent AADE meetings there was a lot of attention placed on the idea of the Patient Centered Medical Home and how diabetes educators might take an active role in bridging the gap between the prescriber and the patient. ...
Editor's Note: Dangers of Hospital "One-Size-Fits-All" Strategies
This week's Disaster Averted highlights one of the common risks of hospital stays for diabetic patients: the discontinuation of their normal insulin regimen and the initiation of a reactive, sliding-scale, "one-size-fits-all" strategy...
Letter from the Editor: Dr. Rosalyn Yalow, Dr. John Eng, Pioneers in Endocrine Research
Many of you have never heard the name Dr. Rosalyn Yalow, and few of us would have known her as the "Mother of Endocrinology." This scientist, who made the possibility of measuring such things as insulin and thyroid levels a reality, passed...
GLP-1 Special Series Bonus Issue Editor's Desk
We are all familiar with the phrase, "Save the Best for Last," and as we finish up our special GLP-1 Series, we have done exactly that.
This week we have the completion of an interview that our publisher, Steve Freed,...
Editor's Note DCMS #44
Over the past two months we have provided you with a special GLP-1 newsletter. During this time we have seen that the science behind this class of drugs known as GLP-1- Analogs is solid and the results are positive. Many of you asked for more...
Letter from the Editor: FDA vs. EU, Scale Weights
If you think that the U.S. House and Senate are on two totally different paths on spending, taxes and deficit management, they don't even come close to the vastly different paths that the FDA and the European Union are taking. It appears that...
GLP-1 Special Series Issue #8 Editor's Note
If you do enough interviews you are bound to get a few great ones. Often when we talk to researchers they either hold back on information that they are afraid to share or they try to be experts on everything we ask them. Our publisher, Steve...
Editor's Note: Diabetes Myths, Diabetic Retinopathy Slides and More...
Misconceptions abound when it come to diabetes, and this week's Clinical Mastery Newsletter looks at a couple of them. Our Clinical Case Study looks at the reasons why telling patients that they are "borderline" may not be...
Letter from the Editor: New Cardiology CME, Medical Homes, AADE Conference Info
Each time I sit down with a group of patients to talk about food choices for diabetes the topic of carbohydrates always comes up. I get a lot of groans when I talk about counting carbs and keeping track, but for the...
GLP-1 Special Series Editor's Note #7
There's been some interesting research on a compound that appears to be a partner peptide for GLP-1. Oxyntomodulin is released in response to a meal and seems to have a significant effect on glucose levels. Our current PharmD candidate, ...
Editor's Note: Anti-inflammatory Steroids and "Hypoglycemia"
There has been a shortage of methylprednisolone and prednisone dose packs available in pharmacies lately and this week's Disaster Averted deals with what happens when patients get their anti-inflammatory steroids in a bottle instead of...
Letter from the Editor #582
The National Committee for Quality Assurance (NCQA) recently held a series of webinars to help clinicians in "Achieving and Outperforming Type...
GLP-1 Special Series Editor's Note #6
This week we get back to our interview with Dr. Aaron Vinik, Director, EVMS Strelitz Diabetes Research Center. He has been at the forefront in developing new technologies for growing and regenerating beta cells. Our publisher, Steve...
Editor's Note: The Value of Glucagon Kits; Retinopathy Homerun Slides; and Fear of Insulin
Many times our patients get a Glucagon Kit when they start on insulin and since most patients are taught to only use the injection if they are unconscious, they never use it. However, in this week's Diabetes Disaster Averted, the use of part...
Letter from the Editor #581: Exenatide News and Type 1 News from the ADA
There was a news release that caught my attention this past week. Eli Lilly announced that the Exenatide tQT Study Showed...
GLP-1 Special Series #5 Editor's Note
This week in Part 3 of our Case Study, Mr. Walker and his wife return for a follow-up visit as his glucose control has not improved as much as expected.
Editor's Note: Misconceptions about Diabetes and Eye Disease, Correct Pump Settings and Case Study
This week I picked up my new glasses and was chatting with the optometrist about how many of his patients have diabetes. Dr. Adler sees a good number of them as his population is a little older and what surprises him is that they often make no...
Letter from the Editor: We Bring You the Best of the ADA
Steve and Andrew came home with tons of new information from the recent ADA 71st Scientific Sessions. We are going to be sharing the information with you for the next couple of weeks as we continue to review and evaluate the...
GLP-1 Special Issue #4 Editor's Note
Steve and Andrew came back with a ton of new data on GLP-1 Agonist therapies from the 71st Scientific Sessions of the ADA. We turned over these articles, abstracts, posters and presentations to our interns for them to get...
Editor's Note: Knowing Your A1c and Learning How to Use an Insulin Pen Correctly
While I was talking to a large group of employees on the west coast of Florida, I made the comment that if you are over 40 and have a family history of diabetes, overweight, hypertension or have elevated lipids, you should get an A1c test at...
Letter from the Editor: ADA Preview
Airfares are at an astronomical level this year, hotels in San Diego cost more to stay in than the national debt of most major countries, and we know that many of you can't get away for 4 or 5 days anyway to attend...
GLP-1 Issue #3 Editor's Note
This week we have the results from our GLP-1 Survey. Thanks to the great number of you who participated, and congratulations to Dr. Donald W., of Southern Pines, North Carolina, the winner of our Kindle/Nook giveaway....
Editor's Note: Hot Summer Weather and Insulin Stability
Over the past month there have been record high temperatures all over the US. Cities that were at minus 45° Fahrenheit with wind chill in February were at 104° just two weeks ago, and summer just started today. All t...
Letter from the Editor: Young Adults Keen on Having a Patient-Centered Medical Home
We have spent a lot of time over the past few months helping you learn about Shared Medical Appointments and Patient Centered Medical Homes, and most of the time we all think about seniors as the most likely...
GLP-1 Editor's Note:
This week I had a chance to interview Dr. Vivian Fonseca on the use of GLP-1 agonists, and he shared his thoughts on why these medications are a logical choice. He also gave us a little information on a study using GLP-1 agonists with...
Editor's Note: Diabetic Eye Disease and What We Think We See
Lately I have been doing a lot of education classes for patients and when it comes to complications of diabetes, patients often want to focus (no pun intended) on vision problems. During my discussions it appears that the fear of losing the...
GLP-1 Notes from the Editor
Welcome to our first edition of our new GLP-1 education series. I am sure that every one of you is familiar with the use of GLP-1 agonists in the treatment of diabetes.
Ever since Bayliss and Starling discovered secretin...
Letter from the Editor: SGLT-2 Inhibitors, Animas Vibe at ADA, GLP-1 Survey
We are less than two weeks away from the American Diabetes Association's 71st Scientific Sessions in San Diego, and we are starting to get a glimpse of what is going to be on the agenda. In addition to multiple...
Editor's Note: Lipaemia Retinalis, Mixing the Unmixable, and GLP-1 Survey
Have you ever seen a patient with lipaemia retinalis? This week's case discussion focuses on a patient who has this and other problems, and how the "experts" would react.
If you have been following our...
Letter from the Editor: Pyramids, Plates and Weight Gain, New GLP-1 Series Coming Soon
This week there's been a lot of conflicting press about how much of each food group people should be eating. The new USDA "plate" replaces the food pyramid and already has healthcare experts in an uproar. One USDA...
Editor's Note: Emotional Barriers to Weight Loss and Mrs. KB
This week's Case Study deals with the misconceptions that we often make about how people listen to what we are saying and how we think we told them something that we really didn't. This is especially true when we are trying to get them...
Letter from the Editor: Summer Temptations, Emotional Barriers to Weight Loss and More
Now that we are past Memorial Day, school is almost done, and the outdoor season is officially upon us, it is interesting to watch how patients look for excuses to not care for their diabetes. End-of-school...
Editor's Note: Whole Teams, Crushing Problems, and More Great Neuropathies Slides
We often talk of the "whole team" concept when treating our diabetes patients, and that usually includes a prescriber, a nurse, a diabetes educator and a pharmacist, but this week's Case Discussion offers up the problems a 68-year-old...
Letter from the Editor: Flash Diet Successes and Interval Training
A couple of weeks ago I wrote about the "flash diet." This program requires the participant to take a picture of everything that they are about to eat, usually with their phone camera, with the idea that they might not eat...
Editor's Note: LTC/AL Patients and the Challenge of Diabetes
While you are reading this, I am in Las Vegas for the American Society of Consultant Pharmacists meeting. These pharmacists work with clinicians and residents in LTC and AL facilities and are specialists in geriatric medicine: they have their work...
Letter from the Editor: More Electronic Prescriptions and "The Question is, My Dear Watson, Why Did the Dog Not Bark?"
This week, a new study from Surescripts found that the use of electronic prescribing in 2010 increased by 72% over 2009, climbing to 326 million up from 190 million e-prescriptions in 2009. By the end of 2010,...
Editor's Note: "Rotating the Site," Neuropathy Slides from Dr. Vinik, and More
It is not often that you get someone who wrote the ADA guidelines to share his slides with you, but this week our publisher, Steve Freed, asked his good friend Dr. Aaron I. Vinik, MD, PhD, FCP, MACP, Eastern Virginia Medical School, Strelitz...
