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Letter from the Editor #626:

Each week I see insulin using patients who are not in control. It doesn’t seem to matter if they are type 1 or type 2, old or young, rich or poor, they all have high A1c’s and wide swings in blood glucose levels. When we look carefully we find that these patients are just not titrated on their insulin often enough so we err on the side of safety and keep them higher than they should be. This becomes an even greater dilemma since we see our patients less often and for less time than before. Now a new tool, the Diabetes Insulin Guidance System (DIGSTM), may offer us a much simpler way to be able to adjust insulin dosing to attain optimum control in much less time. Check out this week’s Item #5 to find out more.

Last month Sheri Colberg PhD, recent winner of the Old Dominion University Faculty Research Achievement award, discussed the need for exercise in seniors in her article Fall Much? You Need to Exercise More, Not Less, to Prevent Falls — this month she follows up on this with her May feature Practice Balance Exercises to Stay on Your Feet. 

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Announcements:

dLife.com: May 13, 7PM ET on CNBC

Topics: From glucose tabs to used test strips, Jim Turner hits the street to find out what’s in your diabetes kit. And the personal journey of a woman who is living well with diabetes and neuropathy. Plus, Dr. Nat Strand answers your questions and a trip to the dLife kitchen. Sundays on CNBC at 7 PM ET, 6 PM CT, and 4 PM PT. Catch up on dLife.com

TCOYD Conference and Health Fair, Raleigh Convention Center, Raleigh, North Carolina, Saturday, May 19, 2012

Join Steven Edelman, MD and Featured Speaker, Ben Vereen, (Singer, Dancer, Actor) for a day focused on diabetes education, health and wellness.

Please answer this week’s poll: Now that once-weekly GLP-1 is available, which product are you recommending for your type 2 patients?

Vote in and then see results from previous polls here.

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We can make a difference!
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Check out this week’s Test Your Diabetes Knowledge question!

Dave Joffe, Editor-in-chief