Thursday , December 14 2017
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Letter From The Editor

For many years we have known that amyloid deposits in the brain cause Alzheimer’s, and the more deposits the worse the disease becomes. In 2011 scientists from ModGene LLC and Scripps Research Institute found that these deposits in the brain may come from the liver. This week our clinical text …

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May 14, 2016

Over the past 4 months, we have had over 22 items looking at the cardiovascular effects of diabetes drugs. Some of the items were focused on the increased risk of cardiovascular events; others were focused on the benefits in patients to either prevent or help reduce cv events; and a third group …

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Patients have long told us that their grandmother lived to 100 and had diabetes for 40 years with no problems, or that no one in their family has had it before so how could they have gotten it? These patients usually become our worst nightmares because they don’t take their …

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May 7, 2016

According to Pulseanalytics, 46% of all employees have a $1000 or higher deductible, the majority of plans have 5 tiers of copays, and each year 20% more products require a prior authorization. This makes it harder and harder for our patients to get their medications, and according to Item 1 …

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This week I was involved in a new sales representative training. There was a segment on how to challenge a prescriber when they don’t seem to really be expressing their true feelings about the use of a certain drug. It wasn’t the kind of challenge we think of where the …

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April 30, 2016

This week I decided to drive from Atlanta to Lexington, Ky to visit my dad and my sister. As I got into the hills of Northern Tennessee, it was time for lunch, so I got off I-75 at the Rocky Top (yep, the one from the song) and looked for …

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When patients ask me where insulin comes from, the automatic answer is the pancreas. I will often show them a drawing of where that is in the body. Most patients note how large the organ appears to be and wonder how they can be losing the ability to make and …

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April 23, 2016

This week we find research on two old drugs for hypertension and  diabetes, but the interesting thing is that they may be changing places as to why we are using them. It seems that the old calcium channel blocker, verapamil, may actually be able to save beta cells. Taking an …

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Many of you know that although Metformin was first introduced in Europe in 1958, it was actually the second drug in the biguanide class. The first was Phenformin, which was introduced in the U.S. at about the same time. In 1975 Phenformin was withdrawn from the U.S. market due to …

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Last week I had my physical. When they checked my blood pressure, it was 141/81 and my doctor was a little concerned that it was elevated. He asked me if it was like this most of the time and I told him it was not. I asked him to check …

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