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Letter From The Editor

May 2, 2017

dave

We all make the assumption that insulin resistance comes from eating too much glucose. However, for many patients, this resistance occurs because they release too much insulin. This can be environmentally related or it can be blamed on heredity. Regardless of the cause, this hyperinsulinemia can result in long-lasting effects ...

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April 29, 2017

dave

The first line therapy for type 2 diabetes has long been metformin, and nowadays we are using it for patents who have prediabetes; it is also used “unofficially” by a lot of Weight Loss clinics. A lot of patients who are on metformin progress to insulin, and for many years ...

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April 25, 2017

dave

We all know of patients who walk around with glucose levels of 400mg/dl without any problems functioning. Most of our patients are often 100-200 points too high and they don’t even know it. When we start them on insulin, we usually go slow for fear of hypoglycemia, as often it ...

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April 22, 2017

dave

For many years, we never really gave great concern to the micro- and macrovascular problems in type 2 patients. Most of them were not diagnosed until they were in their late 50’s or early 60’s, and they did not really live long enough to develop severe problems. Now that diabetes ...

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April 18, 2017

dave

I recently spent some time talking to the director of one of the transplant centers in Florida that specializes in liver and kidney transplants. She was explaining all the the factors that go into finding a correct match for patients, how patients who need a kidney are selected and how ...

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April 15, 2017

dave

This week, the AMA, in their journal, advised that they were in discussions to shift their focus from A1c and glucose readings as an indicator of successful diabetes management to a more cardiovascular outcomes and mortality data measurement of success. I am in total agreement that improving these numbers will ...

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April 11, 2017

dave

I got to the office in Atlanta after a week at home and it looked like the sidewalks have been coated with yellow paint. But it was pollen from all the trees. Evidently the rapid changes in temperature over the past month or so had driven the pollen factor into ...

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April 8, 2017

dave

About 6-7 years ago, Dr. Oz came on TV touting the benefit of reservatrol for weight loss, and overnight sales went through the roof. He had his own brand and pretty soon every nutritional company had their product on the market. Just like every nutritional product, it worked for motivated ...

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April 4, 2017

dave

For years they said there would be a “cure” for diabetes. There was INGAP therapy, beta cell transplants, Dr. Denise Faustman, and many other promising developments that were supposed to be the next big thing in diabetes. However, it seems that now we are looking to manage diabetes rather than ...

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April 1, 2017

dave

One of the biggest methods of improving glucose levels and weight that we recommend is exercise. It seems like a simple solution: be more active, burn more calories, burn more glucose — lose weight and improve A1c’s. However, many of our patients have other complications, and often programs that work for ...

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