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Letter From The Editor

Letter from the Editor #701

Last week I shared some information on saturated fat in my Letter from the Editor from the BMJ. Many of you asked for more information and had some less than complimentary comments on what Dr. Aseem Malhotra, an interventional cardiology specialist at Croydon Hospital in London, had to say. Although …

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Editor’s Note, DCMS #160

For the past three weeks we have given you a powerpoint presentation on changes in provider care, especially ACOs and PCHMs. During this time we have been discussing the way that these care models are being built and the goals they are striving for. This week in Part 4 we …

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Letter from the Editor #700:

Week after week it seems like old myths about diabetes, lipidemia and hypertension are falling by the wayside. For years we focused on calories and sugar and never made an effort to limit carbohydrates. In fact it has only been in the past five years that the ADA has even …

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Editor’s Note, DCMS #159

This past Saturday I was working with 11 patients in an interactive education class at a progressive doctor’s office in Palmetto, Florida. This office takes a very unique approach to diabetes and provides every patient who has an A1c of 5.7 or greater with education at no charge. None of …

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Letter from the Editor #699:

When you look up alpha-1 antitrypsin you find out that it is a protease inhibitor belonging to the serpin superfamily, and a deficiency leads to a condition in which the body does not make enough of a protein that protects the lungs and liver from damage. This condition can lead …

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Special Edition on Insulin, Issue #2

While we were preparing this endocrinologist-only special edition I realized that I had an opportunity to speak to the insulin experts. I am often called upon to speak to primary care physicians about early insulin use in type 2 patients and typically find a lot of resistance. However I know …

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Editor’s Note, DCMS #158

Did you know that clinicians who work for PCMH’s actually get paid more money from state Medicaid and other programs than their colleagues who practice medicine "the old-fashioned way"? Payers are realizing that this care model gives better outcomes, improves patient-provider interaction and reduces the likelihood of urgent care, emergency …

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Letter from the Editor, #698

This week we have an article on how gastric bypass and other laparoscopic procedures can cause remission in diabetes and improve cardiovascular outcomes. While I am glad that this study shows the value of these procedures, it points to a bigger problem that we have with our diabetes patients. The lack …

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Editor’s Note, DCMS #157

Have you ever heard of the three letters, VBP? They stand for Value-based Purchasing and represent the latest tool to get high-quality, patient-centered, efficient, affordable healthcare. Our Homerun Slides this week cover Provider Evolution starting with VBP and how the new healthcare guidelines will affect all of us. Our Clinical Text excerpt …

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