Resources

After starting a new medication (gabapentin) for his neuropathy, a patient of mine gained 30lbs and presented with peripheral edema without symptoms.

by Sheri R. Colberg, PhD
Adequate fluid intake is essential to living well at any age, and being dehydrated can impact your health and your athletic endeavors. While it is harder to stay hydrated when exercising in the heat, you can dehydrate under other conditions—even during exercise in cold temperatures if you wear lots of clothing and sweat underneath it. As people grow older, they also begin to lose some of their normal thirst sensations, thereby increasing the risk for dehydration unless they make a conscious effort to drink more.

I visited a housebound patient who had uncontrolled blood glucose, in spite of her physician having increased her insulin dose over a period of two weeks to twice her previous dose.  The physician requested that I ask in depth about any factors that might be causing her to need so much more insulin.

We invite you to participate in exclusive research that will provide new insights into what you think about insulin pumps and daily injections. Whether you’re a patient, a patient family member, medical professional or diabetes educator, we need to hear from you.

Does your ancestral origin determine your risk of developing type 1 diabetes?

A new study revealed that plasma aspartic acid and asparagine levels predict development of prediabetes; histidine plasma levels proved protective of prediabetes risk.  

I recently started working with a 58 y/o gentleman who had insulin dependent type 2 diabetes. He was 110 pounds overweight, and was using 120 units of Lantus and 30 units of Humalog daily. His most recent A1c was 8.6. The program he was placed on involved drinking a medical liquid food supplement 5 times a day which contains 12 grams of carbs per serving plus a meal that consisted of a small amount of protein and vegetables.

Preserving beta cell function will maintain glucose homeostasis and may prevent diabetes.

By Sheri Colberg, PhD, FACSM
The human body only has insulin to lower blood glucose but has five hormones that raise it (with some overlap). This hormone redundancy tells you that, at least from a survival standpoint, your body is desperate to make sure you do not run out of blood glucose; it is not as concerned about you having too much.

A recent cross-sectional, cohort study found that too little or too much sleep is associated with higher HbA1c.