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Letter From The Editor

For years we at Diabetes in Control have advocated a lower carbohydrate diet with protein and fat increases to manage diabetes. Over time many mainstream organizations and diabetes care facilities have adjusted their thinking and one of our long term advisory board members, Dr. Richard Bernstein, is no longer ostracized for his 30 plus year insistence on carb reduction.

This week we have two different articles that point to the value of this concept. Item 9 points out that replacing 150 calories of fat or protein with carbohydrates can lead to an 11-fold risk of diabetes. Item 11 has information on how the weight gain of over 128,000 medical professionals was influenced by the glycemic mix of the foods they ate.

We jokingly comment that they ought to put metformin in the drinking water to help prevent the onset of diabetes. This is because with 79 million prediabetics in the US it is only a matter of time before they will need the medication. We know that metformin can slow the onset and so it would seem that we as medical professionals would want to start all our at-risk patients on metformin, however according to Item 1, less than 5% do. There are many reasons more clinicians don't start their patients on metformin, but it makes sense that we should.

If you are a medical professional who uses metformin in your prediabetic or obese patients, please let me know by sending an email to 


Announcements: Sunday, May 3, 7PM ET

From "Dr. Johnny White explains why how you think about your diabetes may be the most important key in controlling it. Also, Jim Turner's devilish alter ego returns to crash a party, and Dr. Nat Strand talks animals and diabetes." Sundays live online at at 7 PM ET, 6 PM CT, and 4 PM PT. Keep up on the latest dLife news at

TCOYD Health Fair Conference, Overland Park Convention Center, Overland Park, Kansas, Saturday, May 16, 2015

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.

We can make a difference!


Dave Joffe, Editor-in-chief

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Intarcia Therapeutics was able to raise an additional $225 million to continue their development and commercialization of an implantable pump that delivers a year's supply of exenatide. See Product of the Week.


Product of the Week


This matchstick-sized pump -- currently called the ITCA 650 (Intarcia Therapeutics; Boston, Massachusetts) -- could replace pills and injections for type 2 diabetes. It's implanted under the skin of the abdomen and releases doses of the glucagon-like peptide-1 agonist exenatide (Bydureon®, Byetta®) to help control blood glucose. It must be replaced yearly. Clinical trials are nearing completion, and the maker hopes to bring the device to market in 2016.



Mobile App of the Week

Visualize You

If you're looking for a way to motivate your patients to lose weight, this app could be a huge help. Researchers at the Cleveland Clinic and the University of Colorado Anschutz Health and Wellness Center have developed the first "scientifically accurate, photographic weight change app," Visualize You. The app also provides additional tips and information for losing weight and managing weight-related co-morbidities such as heart disease and diabetes. Note: the app is not compatible with older software and devices and there are still a lot of bugs that need to be worked out. That said, giving your patients something to aim for might just be the motivation to tip them into pursuing a healthier lifestyle. For more information and to download the app.


Test Your Knowledge Question #779

Please refer to the graph below and indicate the parameter that best describes Curve 3.

A. Insulin Secretion

B. Postprandial glucose

C. Fasting glucose

D. Insulin Resistance

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


Diabetes In Control Has Over 15500 Studies & Articles In Our Archives

Quote of the Week!

"Research is formalized curiosity. It is poking and prying with a purpose."
     ...Zora Neale Hurston

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

Trisha Le, LECOM College of Pharmacy

Julie Vu, PCOM College of Pharmacy

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Robert A. Warriner, III, MD,

Category: Wound Care
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