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Letter From The Editor

Dec. 14, 2019

One of my cycling friends called me on Tuesday night and was upset. His brother, who had diabetes and was on a pump, had gone into the hospital with a broken collarbone from a cycling accident. The hospitalist decided to keep him overnight for observation, and per hospital policy his …

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Dec. 10, 2019

When my wife was first diagnosed with diabetes, I wanted to start insulin on the first day. My thinking was to save pancreatic function for as long as possible. This turned out to be good in the long run as she was later diagnosed with LADA and is now on …

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Dec. 7, 2019

It used to be that many of our diabetes patients would slow their activities as the weather got colder and the days got shorter. However, the development of indoor devices such as Peloton style cycles and rowers, and indoor running and cycling trainers that mimic outdoor activities, means hard exercise …

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Dec. 3, 2019

Many, many times we have had features on the SGLT-2 inhibitors since the first one was introduced in 2013. We have watched as the research has continued, and we have learned that these medications work to lower blood glucose levels, weight and cardiovascular risk. This week we look more at …

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Nov. 30, 2019

We have all read about the use of AI (artificial intelligence) by companies such as Google, Amazon and Facebook, to know what we want to order before we even look for it. You can see that when you place an order and they offer to have the product to you …

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Nov. 26, 2019

I was talking about insulin use with my interns today. We were talking about the Team NovoNordisk cycling club, and they figured that these guys would never need insulin because they exercised so much. They were surprised that the riders’ glucose could climb so much with all that activity. As …

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Nov. 23, 2019

Last week I mentioned the problems with the TZD’s and cardiovascular health. The uproar that this correlation had was enough to cause the FDA to require cardiovascular studies on all new and future diabetes medications. Many times the pharma companies looked at these studies as an unnecessary hindrance to bringing …

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Nov. 19, 2019

Have you ever heard the phrase “If I only had a dollar for every time….”? There is nowhere that this seems to be the comment more often than when the FDA adds a side effect and later there are enough challenges to get them to change it. My favorite one …

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Nov. 16, 2019

Whenever you look at the slide from the international diabetes center that shows the progression to diabetes, there is always an arrow pointing to the decline in insulin production as resistance increases. Supposedly fixing this problem was the target of the first oral diabetes medication, chlorpropamide, which became available in …

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Nov. 12, 2019

Many times our patients survive their diabetes by finding substitutions for foods they just can’t live without. They will find breads made of cauliflower, candies made from nuts and syrups that replace sugar with non-caloric artificial sweeteners. Just a quick look at YouTube will show thousands of these tricks. However …

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