Resources

A patient who had had diabetes for over a year visited the office complaining that her A1c was high. Still, when she checks her blood sugars, they are low almost every day; she’s had many hypoglycemic reactions and doesn't understand how that could happen.... 

By Sheri Colberg, PhD
Just in time for the novel coronavirus (COVID-19) social distancing and closures of gyms and fitness centers in many areas, here’s a revisit of many important core exercises you can do at home to keep yourself strong and healthy, with an illustrated PDF you can print out.

Surveys indicate that eyesight is the one sense that Americans fear losing most. Several weeks ago, I examined a patient who complained of "sudden" onset vision loss....

By Sheri Colberg, PhD
 Part 2 of 2: Last month we covered the first five ways to get motivated to exercise, and we’re back this month to give you the next five to keep your motivation going strong. Check out the following sections for more ideas for those days where you can’t seem to get moving.  

I am a diabetes educator and have built a small business helping senior citizens care for their animals with diabetes. It seems that most of the pets I see are small dogs and their owners use insulin to manage their animals' diabetes.

A patient called to report that they had the flu, were vomiting and had diarrhea. The patient was not eating and so assumed, because of this, that they should not be taking their insulin. I had the patient check their blood sugars which were found to be over 340mg/dL....

A female patient, 42 years of age, with type 2 diabetes, is overweight with a history of vaginal yeast infections with elevated glucose levels. Wanting to better manage her diabetes and lose some weight, the commercials about SGLT-2 inhibitors caught her attention.

By Sheri Colberg, PhD 
Diabetes is a complex metabolic condition, and your blood glucose levels can impact you not only physically but also emotionally and mentally. Often, feeling depressed or anxious about diabetes management can be demotivating for taking better care of yourself. Whether that care involves getting more physically active or making more healthful food choices, getting and staying more motivated can only benefit you and your blood glucose. 

A new patient of mine was diagnosed with type 2 diabetes and obesity. We discussed a weight loss treatment to target both her diabetes and obesity, and she followed our mutually agreed upon treatment plan. Things were going well -- she would visit every three months and we would reassess and make treatment decision changes as needed. Then, my patient did not visit for two years. When she returned, she had gained back her weight plus a few more pounds, and her blood glucose, blood pressure and lipids were out of her target range....

A 29-year-old woman with insulin-dependent diabetes noted a painful erosion at the site of the tattoo which she had gotten 7 days before. A culture isolated staphylococcus aureus confirming the clinical impression of staph. This diagnosis was not entirely unexpected, since patients with diabetes mellitus are predisposed to staphylococcal infection.