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This past week I was in the corporate office of one of the most successful ACO's in the country meeting with members of their diabetes initiative project. As you know, improvement in A1c's is a major grading point for 5-star quality ratings and this group has been charged with lowering A1c's among all their patients. 
We discussed many things including the use of urine glucose testing strips. Before glucose monitors came into widespread use, our only patient use tool was a urine strip. These readings were not very timely for patients as they often lagged 6-8 hours behind actual glucose levels. 
They had prescription data showing that most of their type 2 patients either rarely or never checked their glucose. My suggestion was to give these patients urine strips and ask them to check their glucose 2-3 times a day just so they could see some indication of control. 
Now a new study published in the journal Heart seems to back up this idea of urine testing but this time for adherence to blood pressure medication. The study showed that most patients who appear to be taking blood pressure medications, who still have readings well above normal, are unlikely to be taking any of their drugs, and that a simple urine test could save time, money and expensive procedures later. 

While we are on the subject of hypertension you may want to check out item #8 about comparing the value of ACE inhibitors and ARB’s -- you may be surprised by the results.  


With a day packed full of education, motivational tools, one-on-one sessions, and workshops, the TCOYD health fair is a great way to get your patients to take better care of their health and themselves.
From "Joy Pape RN, CDE answers your diabetes questions from the dLife mail; Chef Michel Nischan shows us a modern take on another Italian classic – chicken saltimbocca; Jim Turner and friends talk about diabetes and cravings; Joy Pape RN, CDE educates us on prediabetes." 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  … Read More

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Actos Generic Available Shortly from Lupin - Lupin has announced that it received final approval from the FDA for pioglitazone tablets USP in 15-mg, 30-mg and 45-mg strengths. The product is the generic version of Actos tablets from Takeda Pharmaceuticals.

Albiglutide, Weekly Injectable GLP-1 Drug, Receives FDA Approval -  (See this week's Item #6.) 

Tool for your Practice
Google "Compare" Tool 

googleimageShow your patients how to use this clever new tool from Google. It's as simple as entering the word "compare" in a Google search box and then searching for two types of food. Adding either "vs." or "with" between the two foods also seems to work for some comparisons but not every single one. So, for example, say you want to compare the calories, sugar content, carbs and nutrients of mashed potatoes with sweet potatoes? Just type in "compare mashed potatoes with sweet potatoes" and the search results will produce a chart at the top revealing that sweet potatoes have 4.2 grams of sugar per 100 grams, compared with 0.5 grams in mashed potatoes. Scroll down and you'll see that sweet potatoes kill mashed potatoes in vitamin A, potassium and calcium content. As you contrast ingredients, perhaps out of sheer curiosity, perhaps to design a meal plan, the search tools at the top include a "recipe" option) your patients will learn a lot by playing around with the preparation and cooking method of the food. Tweak the mashed potatoes to "potato, mashed, with milk and butter," and unsurprisingly, the fat content jumps up. You can even compare apples and oranges (apples are slightly sweeter and have slightly more calories, in case you were wondering). Or analyze foods from totally different food groups — for instance, what do grapes and bacon have in common?

Product of the Week

Great Low Carb Pizza Crust 9" 

GLCBC-pizzaimageThis 8 oz. 9" pizza crust from the Great Low Carb Bread Company has just 4- 2 net carb servings. Great tasting and already par baked so just pile your toppings on and bake for 5 minutes in an oven or toaster oven at 350 degrees. Just $5.99 plus use the coupon code: "DiabetesControl" at





Mobile App of the Week

Perfect OB Wheel


Simple, fast, yet more thorough than any other pregnancy wheel available for the iPhone, Perfect OB Wheel is better than just a replacement for your trusty paper wheel. Features include: input flexibility and speed, thorough results, accurate results. For more info and to download the app....







Test Your Knowledge Question #725

Which of the following statements related to the use of glucagon is not correct?...

a)    Glucagon is a hormone secreted by the pancreas, which triggers the liver to release glucose stores into the bloodstream

b)    Glucagon is normally administered to an individual with diabetes when they are unconscious in response to hypoglycemia

c)    Individuals with depleted glycogen stores may not respond to a glucagon injection

d)    Glucagon must be administered through an intravenous injection


Diabetes In Control Has Over 14000 Studies & Articles In Our Archives

Quote of the Week!

"If you want to give yourself a fair chance to succeed, never expect too much too soon." 

          ..........Po Bronson 


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

David Mercadante, PharmD Candidate 2014


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CME/CE of the Week
Gary Scheiner, MS, CDE

Category: Nutrition
Credits: .5


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