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Letter From The Editor

May 25, 2019

We all have patients who suffer from benign prostatic hyperplasia; they are usually seniors and most all of them are on dutasteride or finasteride, both steroidal 5-alpha reductase inhibitors. A lot of these seniors also have diabetes. This week our intern Adam Chalela, B.S. Doctor of Pharmacy Candidate from the …

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May 21, 2019

Since there has been an explosion in the number of television shows available from sources such as Netflix, Amazon, Hulu and the like, there has been a natural progression to feature older, and less physically fit performers than 20-30 years ago. Shows like Grace and Frankie feature older actors who …

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May 18, 2019

When Steve and I started this newsletter we would call up our local meter or insulin rep and ask for some money for the website. Sometimes we would meet someone from a major company at ADA or AACE and they would give some funding for a feature on their product, …

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May 14, 2019

Have you ever had a patient that, no matter how much you raised their insulin dose, their glucose doesn’t improve? Sometimes they just don’t want to inject, but more often they are just doing something wrong because of their original training.  Patients are taught how to self dose by injecting …

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May 11, 2019

When my wife was first diagnosed with diabetes at the age of 63 her A1c was 14.3 and she had lost weight. Her primary allowed me to start her on long acting insulin the first day. As we progressed she was at 6.8 with a regimen of Toujeo, Trulicity and …

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May 7, 2019

This week we focus on the relationship of diabetes and hypertension. Our main feature looks at the value of aggressive treatment of hypertension in both type 1 and type 2 diabetes, and why tight control is beneficial. Our item 3 looks how metformin, in addition to the use of an …

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May 4, 2019

Most of you know by now that my wife was diagnosed with type 1 diabetes at the age of 66. After trying to manage her with multiple medications for 3 years her endo confirmed she has absolutely no insulin production and was positive for the antibodies indicating type 1 diabetes.  …

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April 30, 2019

I had a friend of mine send me some guidelines on the use of low carb, high protein programs for diabetes management. One of the tenets of these guidelines was the value of replacing animal protein with vegetable proteins.  Seems to make sense when you think about saturated fat, and …

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April 27, 2019

We have all watched the FDA do some crazy things but I believe they have just set the new standard in “stupidity” with their latest decision on the contaminated ARB, losartan.  According to USA Today the FDA will allow certain lots of losartan that contain trace amounts of a potential …

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April 23, 2019

There is so much press about depression causing people to do things that often hurt others. These actions are often the result of stress caused by both past and present experiences.  For years we have always felt that diabetes causes depression, and the life long stress of managing the disease …

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