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Letter From The Editor

If you get diabetes when you are 60 years old, the odds of developing kidney disease in your lifetime is low. However, if you are diagnosed when you are in your 30s or 40s, the risk is increased, and the likelihood of needing dialysis is greatly increased. This week, we have two articles on the use of drugs to help those patients and a survey to see if you think that doing a simple urine test may be a way to identify the early development of kidney problems. Check out Items #7 and #11 to learn more and be sure to register your vote in this week's survey.

In addition, Dr. Sheri Colberg brings us an interesting article on how we can help our patients use the insulin they make more efficiently. You might be surprised as to what she found out.


Announcements: Sunday, July 26, 7PM ET

From "The story of two mothers who founded a diabetes fundraising powerhouse. dLife visits a physical therapist to discuss little-known diabetes complications. And, teen pop star Nick Jonas of the Jonas Brothers talks about his new life with diabetes. Plus, Chef Michel Nischan spices things up with a Mexican pizza." Sundays live online at at 7 PM ET, 6 PM CT, and 4 PM PT. Keep up on the latest dLife news at


We can make a difference!


Dave Joffe, Editor-in-chief

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Tool for your Practice

altBrought to you by the American Diabetes Association / Academy of Nutrition and Dietetics (pack of 10). Carbohydrates in food raise blood glucose levels. Learn to count carbohydrates, understand labels and control portion sizes to maintain control! Your Price: US $13.75 Count Your Carbs

Product of the Week

altZosano Pharma is making progress with a patch-based glucagon delivery system for severe hypoglycemia, recently announcing that it has completed enrollment for a phase 2 trial. The idea is to deliver glucagon through a coin-sized patch (about the size of a U.S. quarter). Early studies suggest the microneedle delivery can raise glucose just as fast as injected glucagon (starting in about 5-10 minutes), but in a design that is less confusing than current glucagon kits. The Zosano system is still in early stages of research and not yet FDA approved. Click for more info.


Special Survey

We are considering making a urine test strip that measures microalbumin and creatinine levels, high levels of which can indicate an increased risk for kidney failure. For patients, the kit would include two test strips for $9 dollars, and for clinicians, it would be $29.95 for 100 strips (30 cents each). (Tests for protein, glucose and ketones would also be included on each strip.) Would you be interested in such a test? Please answer in this week's poll.


Sheri Colberg, PhD: Maximizing Your Insulin Action


Having ineffective insulin action, or an insulin resistant state, is associated with numerous health risks, such as hyperinsulinemia, or high levels of insulin in the blood, that may damage blood vessels and contribute to arterial plaque formation and heart disease. A decrease in your insulin action is also directly related to higher levels of systemic inflammation, which means that your body is releasing more of certain substances called cytokines. High insulin levels and inflammation are also associated with high blood pressure, obesity (particularly intra-abdominal), osteoporosis, and common cancers like colon, breast, and prostate. Full Story




Test Your Knowledge Question #791

Your patient has been newly diagnosed with type 2 diabetes (A1C 7.7%) and you have prescribed metformin. Metformin should be titrated to minimize which side effect?

A. Rebound hyperglycemia
B. Reactive hypoglycemia
C. Weight gain
D. Gastrointestinal-side effects

For the complete question and answer, just follow this link. 


Diabetes In Control Has Over 16000 Studies & Articles In Our Archives

Quote of the Week!

"Only those who risk going too far can possibly find out how far one can go."
                                                        ...T.S. Eliot

Diabetes in Control gratefully acknowledges the assistance of the following pharmacy doctoral candidates in the preparation of this week's newsletter: 

Ashley Spies, USF College of Pharmacy
Shatera Peace, FAMU
Thao Luutran, LECOM
L'Shantey Wells, Creighton College of Pharmacy
Diane Jules, USF College of Pharmacy

Cast Your Vote
Would you be interested in a urine test strip product that measures microalbumin and creatinine levels to determine kidney failure risk in your patients?

CME/CE of the Week
Warren Joseph, DPM, FIDSA

Category: General Diabetes
Credits: .75