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Letter From The Editor

Sept. 13, 2016

Many publications take advantage of videos of Key Opinion Leaders in order to share information with their readers. Most of them will also convert the interview to a transcript. Most times a transcript is good when it is technical knowledge, but there are times when the information is more thought-provoking, …

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September 10, 2016

There have always been conversations amongst medical professionals on the best way to get patients to take the diagnosis of type 2 diabetes seriously. Most of these patients have no symptoms and find out by accident when labs are done or they go to a health fair screening. Because the …

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September 6, 2016

Many times we get rushed when working with our diabetes patients and try to squeeze in too much in a 12-minute appointment. This means either things get overlooked or our patients are confused. Based on this, it is important to take advantage of the whole patient care team, especially when …

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Sept. 3, 2016

In issue 162, published in June 2004, we had an item from the BMJ touting a polypill that could reduce heart attack and strokes in 80% of all people over 55 who had some sort of vascular problem. This pill had 6 drugs, including: a cholesterol-lowering statin; three blood-pressure medications; folic acid; …

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August 30, 2016

Three days ago I got a call from a patient who needed some insulin. The problem was, I had not seen the patient in 6 years — since I had first trained him on his insulin pump. Apparently they had gone out of town; he had prefilled cartridges with him and left them in a …

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Aug. 27, 2016

Last week in our Clinical Series we had an excerpt from International Textbook of Diabetes Mellitus, 4th Ed., looking at Beta-Cell response to nonglucose secretagogues. This text dealt with how the beta cells might be affected by more than just glucose. We are learning more about how fat. protein, and non-insulin peptides might have effects we had never …

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August 23, 2016

Last week, I had a new patient referred to me with adult onset type 1 diabetes. The patient was 63 years old and — although she had been losing weight over the past year — it was a 16 pound loss over the previous 2 weeks that got the physician concerned. An A1c test came …

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August 20, 2016

Sometimes, when we want to impress our patients with the importance of their disease, we will list all the possible effects of the disease. These include blindness, kidney failure, and amputations. But what do we tell our patients that have pre-diabetes or impaired glucose tolerance? This week, we have an …

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August 18, 2016

For years the crux of diabetes care for type 2’s has been to reduce the amount of glucose going in and the amount of glucose being absorbed. We put patients on carbohydrate-restricted diets, have them take fiber before a meal, and use medicines such as acarbose. For the most part …

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August 16, 2016

If you are still stuck on the “metformin to start with and max out the dose” diabetes treatment algorithm, then you’d better take a look at this week’s homerun slides. Considering there are 11 distinct pathways to developing diabetes, it doesn’t make any sense that all our patients would only have …

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