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Letter From The Editor

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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April 20, 2019

I am not sure if you are like me, but often when I get a new medical journal or an online newsletter, I will take a look at the publication’s advisory board. From a personal perspective I like to see if I know any of them, and as a pharmacist …

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April 16, 2019

When I would see male diabetes patients in the endocrinologist’s office, we would always order a testosterone level as part of the labs. It seemed that regardless of the severity of their diabetes or their age, the majority of these men had low levels. The association between low testosterone and …

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