This weeks Items

DIABETES IN CONTROL

Kristina Sandstedt, MS

Kristina Sandstedt, MS, Clinical Exercise Physiologist, Diabetes Educator

“The Role of Exercise in the Treatment of Arthritis”, Why this information is important for Diabetes Educators

Evan D. Rosen, M.D., Ph.D

Dr. Evan Rosen

 

Evan D. Rosen, M.D., Ph.D.Winning the Battle, but Losing the War

The trials of trying to get your patients to achieve ADA and AACE goals.  Click Here

Shafer Monthly Feature

“ANTIOXIDANTS”

Antioxidants have received a lot of attention in recent years, in relation to wellness and disease prevention. More studies are needed to better understand how antioxidants may affect diabetes management and treatment. Click Here

By Sherri Shafer, R.D., CDE,

View Sherri's Archives

NOMINATE YOUR CHOICE 

Best Diabetes Product or Service of the New Millennium

Medical Professionals

CHOICE AWARD

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Dr. Eric S. Freedland

 

Dr. Eric Freedland continues his series Why Focusing On Intensive Glucose Control With Drugs Alone Is Counterproductive with Part 10 Manipulating Macronutrient Ratios 

Eric S. Freedland, MD



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Dr. Thomas Burke Ph.D

Dr Thomas Burke brings us a wound care case study by Alan Kochman, PT, MS and Diane Pogmore, RN, CWOCN  

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Item #13 

ADA: Nateglinide Effectively Lowers Hemoglobin A1c in Type 2 Diabetics

It is good for patients in the real world who occasionally overeat

The addition of nateglinide (Starlix; Novartis) to metformin controls postprandial surges in blood glucose in patients with poorly controlled type 2 diabetes, researchers reported at the 62nd scientific sessions of the American Diabetes Association.

Dr. Kenneth S. Hershon of Albert Einstein College of Medicine in the Bronx, New York, reported results of a study of 141 patients with poorly controlled disease. Of these, 58 had been maintained on diet alone and 83 were taking metformin. Nateglinide was added to the regimens for a 12-week study period.

Dr. Hershon reported that 78% of patients in the diet-maintained group and 70% of the metformin group responded well to the addition of the rapid-onset insulinotropic agent, with a drop of postprandial hemoglobin a1c of 0.5%.

About 10% of the diet-maintained patients and 5% of the metformin patients experienced mild symptoms of hypoglycemia. Plasma glucose levels below 60 mg/dL were confirmed in 2.9% and 1.9%, respectively.

"Nateglinide works very quickly--within 5 minutes--and the effects last about 2 hours. "This drug takes away the effects of the sulfonylureas, which cause a constant stimulation of insulin. This gives a bolus and then goes away."

"Although this is not how this trial is set up and it's not FDA-approved for this, you can use nateglinide prn. It is good for patients in the real world who occasionally overeat, such as when they go out to eat. They can take this with meals [to prevent postprandial hyperglycemia]," Dr. Hershon commented. Because of its rapid onset of action and short bioavailability, "you can use it how you see fit."

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DIABETES NEWS FLASH

Dr. Jennifer Larson Feature

Dr Jennifer Larson, MD, University of Nebraska Medical Center, gave a very informative overview of Pancreas, Islet, and Kidney Transplantation: Metabolic and Endocrine Consequences, at the Endo2002 conference. We have an overview of her presentation, click here

 

TOP DIABETES STORIES

  New Drug Restores Eyesight*

Click Here

  Diabetes Management Market Predicted to Explode*

Click Here 

  Night-Light May Prevent Diabetic Eye Damage*

Click Here

  New Test Predicts Which Type 2’s Will Become Type 1’s Within 5 Years*

Click Here



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Dr Richard K. Bernstein

This Months Corner:  

 

Dr. Richard BernsteinDr. Bernstein's Feature:  

Will eating a low-fat diet help you live longer?



INSIDE DIABETES

David Kliff 

The Pump Market - A Market in Turmoil
ADA Highlights

David Kliff, Publisher 

The Diabetic Investor

In 2 Nutrition

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See how your patients can receive over 250 personalized recipes that are ideal for individuals with diabetes, high cholesterol, heart disease and weight management problems.



NEWS FLASH !!!

Over One million US adults can't afford their drugs

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FREE CME!

Free CME

The Hyperactive Platelet in Type 2 Diabetes- sponsored by Baylor College of Medicine, Houston, Texas, offers 2 hours of AMA PRA category 1 credit   To access this free on-line activity, visit Click Here

 


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