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Letter from the Editor, #779

Apr 27, 2015

For years we at Diabetes in Control have advocated a lower carbohydrate diet with protein and fat increases to manage diabetes. Over time many mainstream organizations and diabetes care facilities have adjusted their thinking and one of our long term advisory board members, Dr. Richard Bernstein, is no longer ostracized for his 30 plus year insistence on carb reduction.

This week we have two different articles that point to the value of this concept. Item 9 points out that replacing 150 calories of fat or protein with carbohydrates can lead to an 11-fold risk of diabetes. Item 11 has information on how the weight gain of over 128,000 medical professionals was influenced by the glycemic mix of the foods they ate.

We jokingly comment that they ought to put metformin in the drinking water to help prevent the onset of diabetes. This is because with 79 million prediabetics in the US it is only a matter of time before they will need the medication. We know that metformin can slow the onset and so it would seem that we as medical professionals would want to start all our at-risk patients on metformin, however according to Item 1, less than 5% do. There are many reasons more clinicians don’t start their patients on metformin, but it makes sense that we should.

If you are a medical professional who uses metformin in your prediabetic or obese patients, please let me know by sending an email to 


Announcements: Sunday, May 3, 7PM ET

From "Dr. Johnny White explains why how you think about your diabetes may be the most important key in controlling it. Also, Jim Turner’s devilish alter ego returns to crash a party, and Dr. Nat Strand talks animals and diabetes." Sundays live online at at 7 PM ET, 6 PM CT, and 4 PM PT. Keep up on the latest dLife news at

TCOYD Health Fair Conference, Overland Park Convention Center, Overland Park, Kansas, Saturday, May 16, 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.

We can make a difference!


Dave Joffe, Editor-in-chief