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CONDITIONS

International Textbook of Diabetes Mellitus, 4th Ed., Excerpt #6: Classification of Diabetes Mellitus and Other Categories of Glucose Intolerance Part 6 of 6

Impaired glucose tolerance (IGT) and impaired fasting glycemia (IFG) are categorized as stages in the natural history of disordered carbohydrate metabolism. They occur in all individuals as they progress from normal to diabetes, but since the transition through these states is rapid in type 1 diabetes, they are rarely identified in such individuals. Therefore, nearly all of the literature dealing with IGT and IFG is concerned with issues relating to type 2 diabetes, such as risk of developing type 2 diabetes and CVD.

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Look at Whole Picture Before Complimenting Patient’s Weight Loss

Some think you can’t be too rich or too thin. A stylish female, type 2 diabetes, 46 years of age came into the office (a weight loss clinic) for a follow up. Everyone was telling her how great she looked. She said she was feeling great and excited because she could fit into clothes she couldn’t fit in the past few years. She lost 9 pounds in three months. She had not been self monitoring her glucose. She was thrilled, but her doctor wasn’t so thrilled, at least not yet. He was concerned her glucose was elevated.

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What Motivates People to Use Technologies for Tracking Health?

As we all know, it is easy to start out with good intentions to be more active or manage diabetes better, but it’s much more difficult to follow through and stick with such changes so that they become sustainable. While some studies have recently shown that newer devices like the Fitbit can increase physical activity adherence, the real question is, will using the latest health information technologies be motivating enough for most people to continue doing it long-term?

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Make Sure “Quick and Easy” Food Plans Meet Specific Patient Needs

19-year-old female, type 1, insulin pump, and counting carbs, wanted to use a particular food plan that touted no counting and no need to worry about numbers. She asked me what I thought of that and I informed her that for weight loss, this can work for some, but she has type 1 diabetes, and she will need to check her glucose and most likely count carbs, or at least make some adjustments in her boluses at each meal.

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