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Letter From The Editor

January 30, 2016

I did a quick search, and in the past 2 years we have had over 80 items on food choices and the best way to eat for diabetes. This does not even begin to include the ones we turned down. Often these ideas conflict, and experts flip-flop on what works best …

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It is very frustrating when we take our time to educate patients on the complications of diabetes and then they flat out ignore us. These patients usually don’t have symptoms that make them feel bad, and so they feel we are overreacting and don’t really listen or make changes. Usually …

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January 23, 2016

Are you ready for the opening of a large can of worms, when it comes to classifying diabetes? We have all heard type one, type one and one half, type two, type 3, adult onset, MODY, LADA and many other ways of naming diabetes, and now top researchers and endocrinologists …

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The kidneys play a big part in controlling blood pressure. In fact, many of the major hypertensive medications have the root of their actions located in the kidneys. Diuretics work there, ACE inhibitors work there, as do the ARB’s, Spironolactone, and Triamterene. Over the past 18-20 months we have been …

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There are times that patients think that, magically, they start doing things right and their diabetes improves. We have all seen the obese diabetes patient who has started losing weight and feels they are doing well, only to find out that the weight loss is coming from the failure of …

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January 16, 2016

I was traveling this past week and it seemed that almost every person was wearing some kind of fitness tracking device. As I was going through the Atlanta airport, I watched people checking their devices and commenting on their steps while they were walking underground between terminals. When I sat on the plane, …

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It has been a few years since Dr. Steven Nissan shook the diabetes world apart with his scathing review of the TZDs, pioglitazone and rosiglitizone. Many professionals blame him for the demise of rosiglitizone and the almost-death of pioglitazone, because of his comments on heart problems caused by the class …

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January 9, 2016

This week CES (Consumer Electronics Show) is in full swing in Las Vegas. There are over 180,000 attendees, and over the next four days they will look at more than 10,000 displays of products for home, auto, industrial and personal use. When we were there 3 years ago there was one …

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For thousands of years humans had to adapt to their conditions. We were affected by heat and cold, severe weather events, and times of feast or famine. We became good at adapting to our environments, and our bodies learned mechanisms to carry us through almost any condition. During these millennia …

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January 2, 2016

Happy New Year! Now that the last leftovers of the holidays are gone and the last big party of the season is over, our patients will make resolutions to eat better, lose weight, exercise more and lower their A1c’s. There will be at least 100 new commercials, YouTube videos, and …

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