December 6, 2016 : DCMS #322

DISASTERS AVERTED — Near Miss Case Studies

What’s a Pattern?

EXCLUSIVE INTERVIEW — Candid Video Interviews with Top Practitioners

Dr. Jeffrey Mechanick Part 6, Bariatric Surgery and Obesity Treatment

HOMERUN SLIDES — Great Clinical Presentation Highlights

Continuous Glucose Monitoring in the Hospital Part 5

CLINICAL GEMS — The Best from Diabetes Texts

International Textbook of Diabetes Mellitus, 4th Ed., Excerpt #53: Incretin Physiology in Health and Disease Part 3 of 6

MOST POPULAR ARTICLES OF THE MONTH

#1 ADA Issues New Recommendations on Physical Activity
#2 Towards a Game-Changing Type 1 Diabetes Vaccine
#3 When Losing Weight, Warn ’em!

As we approach the holiday season a lot of patients will bring you gifts, and many of them will be handmade creations, including some of the gaudiest sweaters known to mankind. Some people are good enough to design these creations as they go along, but most people have to use a pattern of some sort in order to make sure the left sleeve is as long as the right. In fact, without a pattern there would likely be no chance for them to create anything.

This same concept holds true for insulin management, where following patterns does deliver better A1c’s with less hypoglycemia. In this weeks Disaster Avoided, we look at the difference between using a pattern to manage glucose levels and a “pattern” of correcting problems.

Dave Joffe

Editor-in-chief

Woman, 42 years of age. Type 1 diabetes for the past 22 years. I’ve been working with her and reviewing her CGM reports, and teaching about checking patterns before making changes in her pump settings.

Dr. Jeffrey Mechanick talks with Diabetes in Control Publisher Steve Freed at the 2016 AACE Meeting. In part 6 of this Exclusive Interview, Dr. Mechanick explains the changes to the AACE obesity treatment guidelines and how they impact current healthcare behavior.

In this week’s conclusion of Homerun Slides: Continuous Glucose Monitoring in the Hospital, computerized glucose regulation in the ICU.

Physiologic effects of incretin hormones: GLP-1 — The GLP-1 receptor has been detected on numerous organs and tissues. High levels of GLP-1 receptors have been found on pancreatic beta cells, delta cells, endothelial cells, cardiomyocytes, the gastrointestinal tract, and the kidneys.

Updated guidelines suggest short periods of movement every 30 minutes.

In part 3 of this exclusive interview, Dr. Faustman discusses how a cure based on the inexpensive BCG vaccine could permanently change type 1 treatment, and whether results could also apply to type 2.

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.