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 #17 

Anti-Inflammatory Effect of Rosiglitazone in Obese Diabetic Patients

Rosiglitazone exerts an anti-inflammatory effect at the cellular and molecular level. 

We have recently demonstrated a potent anti-inflammatory effect of rosiglitazone (RSG) in obese non-diabetic subjects. We have now investigated the anti-inflammatory action in 11 obese diabetes patients who were given RSG 4 mg/day for 6 weeks. Fasting blood samples were obtained at 0, 1, 2, 4, 6 and 12 weeks.  

Blood glucose concentration decreased significantly following RSG treatment, from a basal concentration of 157 ± 16 mg/dL to 127 ± 9 mg/dL at week 6 (p<0.05). Insulin concentration also significantly decreased from a basal concentration of 32.6 ± 4.6 mU/mL to 16.1 ± 2.2 mU/mL at week 6 (p<0.05). NF-kB binding activity in MNC nuclear extract fell significantly (p<0.02). This inhibition was significant by week 1 (77 ± 13% of the basal level) and continued up to week 6 (66 ± 10.6% of basal). There was a significant fall in ROS generation by MNC (p<0.05), decreasing to 94 ± 6% by week 1 and 66 ± 10% at week 6. RSG treatment reduced plasma MCP-1 (75% of the basal level; p<0.05) and CRP (70% of basal; p<0.05). FMD at baseline was 3.4 ± 1.2% and this increased significantly to 8.6 ± 1.9% (p<0.05) at week 6. Nitroglycerin-induced endothelium independent vasodilatation also increased from 11.8 ± 1.4% at baseline to 16.7 ± 2.3% at week 6 (p<0.05).  

We conclude that RSG exerts a profound ROS suppressive and anti-inflammatory effect as reflected at the cellular and molecular level, and in plasma. RSG also improves vascular reactivity. These observations may have implications for atherogenesis in the long-term in patients treated with RSG.

Endo 2002 [P2-376]

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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*

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  Night-Light May Prevent Diabetic Eye Damage*

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

Click Here



FREE WEBSITE!!!

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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

Generate Individualized meal plans for your patients!

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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