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Letter from the Editor, #768

Feb 13, 2015

When we do a diabetes education program for patients we always talk about food choices. The overwhelming key to success is not to give people impossible goals to follow and try to restrict everything they can have. Having them cut portions down too much will lead to failure over the long term. We know from research on GLP-1 analogs that a diabetes patient can have quickened gastric emptying leading them to be hungry even sooner. In our classes, we try to make sure that while we are cutting the carbohydrates, we encourage patients to eat extra protein and healthy fats to slow digestion and gastric emptying.

In many instances patients are concerned about their cholesterol levels and the risk for CV disease because for years fat consumption has been blamed for increased CVD. Ever since the U.S. government introduced dietary guidelines on fat in 1977 we have pushed for low fat or no fat and it just hasn’t worked. Now we have a reason: this week’s Item #1 shows that these guidelines were actually put in place with not enough data to support them.

Our patients need motivation to stay on their treatment plan and we often "threaten" them with complications that can occur. This has little effect over time as we can’t give them a clear target of risk. If you use RetinaRisk, our Tool for Your Practice this week, you can actually show each patient how their diabetes care will affect their retinopathy risk.

Studies and research projects often mention patients with Latent Autoimmune Diabetes of Adults (LADA). This unique type of diabetes is often misunderstood and can take on may forms. Our special feature this week from Dr. Stanley Schwartz looks at the latest research and why he needs you to refer patients for the study



TCOYD Health Fair Conference, Santa Clara Convention Center, Santa Clara, California, Saturday, March 7, 2015
With a day packed full of education, motivational tools, one-on-one sessions, and workshops, the TCOYD health fair is a great way to get your patients to take better care of their health and themselves. Sunday, February 15, 7PM ET

From "dLife follows psychologist, filmmaker, and type 1 adventurer Dr. Jonny White as he travels down the coast of Africa by bicycle. Also, the story on nighttime eating syndrome; Dr. Nat Strand with shoe shopping tips; and Jim Turner swaps low stories." Sundays live online at at 7 PM ET, 6 PM CT, and 4 PM PT. Keep up on the latest dLife news at

We can make a difference!


Dave Joffe, Editor-in-chief