Issue 413

Test Your Knowledge Issue 413

A 25-year-old Hispanic woman with a 5-year history of type 2 diabetes presents for a routine follow-up visit.  Despite education, she has had difficulty making diet and lifestyle modifications and currently has a BMI of 45 kg/m2.

Too Fat? Common Virus May Be To Blame: Update

Have you tried to refer a child to a pediatric endocrinologist lately? According to the Journal of Pediatrics it may be harder than you think. For every 290 children with diabetes in the United States, there is only one board-certified pediatric...

Upper-body resistance training exercises: Lateral raise and modified push-ups

Dr. Sheri Colberg, Ph.D., FACSM continues talking about Resistance Training. This week Upper-body resistance training exercises: Lateral raise and modified push-ups This is a great chart for your patients.

Self-Monitoring of Blood Glucose Counterproductive in Type 2 Diabetes

Publishers comment: This is another study that is flawed. Educating patients properly in the use of self monitoring can teach patients which foods are good and bad for them and can demonstrate the benefits of physical activity, if they are taught what...

Creatinine Increase in Elderly Means Increased Renal Disease, Mortality

Even small increases in serum creatinine levels during hospitalization raise the risk of end stage renal disease and mortality of elderly patients over the long term in a 10-year study of 87,094 patients according to a University of Alabama at...

Vitamin D An Effective Analgesic for Type 2’s With Neuropathic Pain*

Vitamin D insufficiency is under recognized and may be a significant contributor to neuropathic pain in type 2 diabetes. Vitamin D supplementation may be an effective "analgesic" in relieving neuropathic pain.

How and Where Fat Is Stored Predicts Disease Risk Better than Weight

A new study indicates that overeating, rather than the obesity it causes, is the trigger for developing metabolic syndrome, a collection of heath risk factors that increases an individual’s chances of developing insulin resistance, fatty liver, heart...

Saliva Can Help Diagnose Heart Attack

Early diagnosis of a heart attack may now be possible using only a few drops of saliva and a new nano-bio-chip, according to a new study.

Bitter Melon Has Potent Anti-diabetes Effects

Substances isolated from bitter melon, a plant eaten and used medicinally in much of Asia, could provide the basis of new drugs for treating diabetes and obesity, an international team of researchers reports.

Measuring Minute Amounts Of Insulin Aids Diabetes Treatment

A new method that uses nanotechnology to rapidly measure minute amounts of insulin is a major step toward developing the ability to assess the health of the body's insulin-producing cells in real time.

Combination of Antidepressants Linked to Risk of Diabetes

Patients taking both a tricyclic antidepressant and a selective serotonin reuptake inhibitor (SSRI) were nearly twice as likely to develop type 2 diabetes as those taking a tricyclic antidepressant alone

Simvastatin Reduces Insulin Sensitivity in Patients With High Cholesterol

Although simvastatin improves flow-mediated dilation in hypercholesterolemic patients, the drug reduces adiponectin levels and insulin sensitivity, according to a report in the April issue of Diabetes Care. These effects were not dose-dependent and...

Why Not All Fat is Created Equal

The recent report that having a pot belly in your 40s roughly triples your risk of dementia in later life is just the tip of an ominous adipose iceberg.

Intensive Therapy Shows Durability Against Mortality in High-Risk Diabetes

For type 2 diabetes with microalbuminurea, multi-drug treatment with behavior modification reduced the risk of vascular complications and death from cardiovascular and other causes by 29%.

Men and Women Differ in Responses to Intranasal Insulin

There is a gender gap in some responses to the new intranasal insulin still in research.

Diabetic Retinopathy May Predict Heart Failure

Diabetic retinopathy appears to be an independent risk factor for heart failure, new research suggests, which supports the belief that microvascular disease plays a role in the development of heart failure in diabetics.

New Liver Pathway to Treat Diabetes

Metabasis Therapeutics unveiled another diabetes treatment. This one cuts down on glucose production by the liver. It works by inhibiting an enzyme called Fructose-1,6-bisphosphatase. Metformin, a standard drug for diabetes patients, also cuts down on...

Bariatric Surgery May Eliminate Need for Medication in Nonobese Type 2 Diabetics

A new type of bariatric surgery may eliminate the need for medication in patients with type 2 diabetes, according to a study reported here at the Society of American Gastrointestinal and Endoscopic Surgeons 2008 Annual Scientific Session and...