November 29, 2016 : DCMS #321

DISASTERS AVERTED — Near Miss Case Studies

 When Patients Cannot Afford Insulin

EXCLUSIVE INTERVIEW — Candid Video Interviews with Top Practitioners

 Dr. Jeffrey Mechanick Part 5, Tips to Alter Lifestyle

HOMERUN SLIDES — Great Clinical Presentation Highlights

Continuous Glucose Monitoring in the Hospital Part 4

CLINICAL GEMS — The Best from Diabetes Texts

International Textbook of Diabetes Mellitus, 4th Ed., Excerpt #52: Incretin Physiology in Health and Disease Part 2 of 6

MOST POPULAR ARTICLES OF THE MONTH

#1 ADA Issues New Recommendations on Physical Activity
#2 Simple Cure For Remission of Prediabetes
#3 When Losing Weight, Warn ’em!

Each and every week, we try to bring you the best in diabetes care in our clinical newsletter. However, no matter how much education we give a patient or how great the new drugs are, if a patient can’t afford the medicines they need then they are doomed to failure. This is especially true if the medication they need is insulin. These insulin-dependent patients have no other choice. If they can’t get the insulin they need, the outcome will always be bad.

Dave Joffe

Editor-in-chief

Dr. Desmond Schatz and the American Diabetes Association are petitioning to  Stand Up for Affordable Insulin. See this week’s Disaster Averted for details.

Laurie Klipfel, RN, MSN, BC-ANP, CDE was recently asked if she could offer any pearls of wisdom for another Disaster Averted regarding a patient with type 1 diabetes who couldn’t afford his analog insulin. After reading her advice, keep reading to learn how you can take action to help make insulin more affordable.

Dr. Jeffrey Mechanick talks with Diabetes in Control Publisher Steve Freed at the 2016 AACE Meeting. In part 5 of this Exclusive Interview, Dr. Mechanick explains how he helps patients determine ways to improve their lifestyle.

In this week’s Homerun Slides, blood-based glucose sensors vs. subcutaneous CGM sensors.

Secretion of incretin hormones: The mucosa of the intestinal tract harbors a large number of endocrine cells that give rise to various peptide hormones. These include cholecystokinin, motilin, secretin, gastrin, gastric inhibitory polypeptide (GIP, also referred to as glucose-dependent insulinotropic polypeptide), glucagon-like peptide 1 (GLP-1), glucagon-like peptide 2, and peptide YY.

Updated guidelines suggest short periods of movement every 30 minutes.

There has been a controversy over the last 30 years as to which is the best diet to prevent diabetes.

I work in obesity medicine. As many of us know, losing weight isn’t the problem for most, but weight regain is.

As the saying goes for many, you can’t be rich enough or thin enough. Many of our patients come in with unrealistic goals regarding their weight loss, and don’t give themselves enough credit for the weight they have lost. Many, for many reasons, regain.