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Letter From The Editor

Sept. 17, 2019

Although, for most of us reading this week’s newsletter, the idea of giving a GLP-1 mimetic in a once a week shot presents no problem, there are many patients who could never tolerate even one shot per year. This can present a problem and cause prescribers to choose other medications. …

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Sept. 14, 2019

Lately I have been hearing a lot of commercials for a weight loss program called Noom. According to their sponsor ad on our local NPR station, they offer success through small consistent goals, high touch and constant motivation. They accomplish this with the use of texts, videos and audios that …

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Sept. 10, 2019

When I was working as an insulin pump trainer we would have patients who needed upwards of 200 units a day. These patients would have to change the cartridge in their pump every couple of days rather than the normal 3-5 days most patients could do. One of our solutions …

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Sept 7, 2019

We missed the hurricane here in Tampa Bay, but the temperature has really cranked up. This morning when we finished our 43 mile ride the temp had hit 91 degrees and the heat index was 106, and that was at 11 AM. When these conditions exist it is not unusual …

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Sept. 3, 2019

Last week I was working on a project, and it seemed like I was spending my whole day looking at spreadsheets and pivot tables. As the day went by I kept making the numbers larger to make it easier to read, and finally I had to give up for a …

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Aug. 31, 2019

There are many occasions in diabetes history when the experts are either wrong or take too long to recognize what is logically correct. A good example of this is back in the 70’s when the ADA stated, paraphrasing here, “The thought that someone could check their glucose, count their carbs …

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Aug. 27, 2019

Last week we were having a discussion on how most healthcare companies want every diabetes patient on an ACE or ARB and a statin, regardless of their levels. I felt a 75 year old patient didn’t need to risk muscle pain and other side effects associated with statins, but one …

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Aug. 24, 2019

A lot of people will tell you that I am a gadget guy, and sometimes I just have to have something before everyone has even heard about it. As an example I am the proud owner of a Twicycle, a road bike that you can pedal with both your hands …

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Aug. 20, 2019

We have all seen the studies that show that both the GLP-1 analogs and SGLT-2 inhibitors are benificial for reducing the incidence of heart disease in patients with diabetes, and many of the drugs in each class can actually make that claim in literature and out in the field. Now …

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Aug. 17, 2019

There has been a lot of press about intermittent fasting, and sooner or later many of your patients with diabetes will want to try it for themselves. One of the attractive features for our patients is the ease of use. No special formulas, no special diets; patients simply have to …

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