Ricardo, a 35-year-old man, newly diagnosed with type 1 diabetes, was hospitalized for diabetic ketoacidosis (DKA). Once he was stabilized, he wanted to go home. He refused to learn how to self-administer insulin. However, he was told he would not be discharged until he self-administered insulin, at least one time....Read More »
by Sheri Colberg, Ph.D., FACSM
Addressing how to balance blood glucose levels during (and after) exercise with type 1 diabetes is not new. In fact, it is likely the KEY topic to address to be successful at being physically active if you take exogenous insulin and want to prevent hypoglycemia or hyperglycemia during exercise. Strategies include changing in insulin doses and/or supplementing with food, either of which can be done in myriad ways depending on the activity, timing and more.
Does investment in a telephonic diabetes intervention result in significant decreases in hospitalizations and costs?Read More »
In an inpatient setting, a type 1 diabetes patient was scheduled for surgery the next morning. The patient was to be NPO after midnight and so the RN on duty withheld the patient's Lantus. The patient's glucose crept up, but this was not communicated....Read More »
John, a gentleman in his 70's who has diabetes, always visited my group after he exercised. I noticed he always had something (hard candy) in his mouth and he seemed tired. I asked him why he was doing this candy thing. He said, "After exercise I like to refresh my breath, and want to make sure I prevent a low blood sugar...."Read More »
By Sheri R. Colberg, PhD
It pays to get your core muscles — the muscles around your trunk and pelvis — in better shape, if only to keep your balance. Having a strong body core means you’ll be better able to manage any physical undertaking, even just grocery shopping or a round of golf. What’s more, core exercises are an important part of a well-rounded fitness program including aerobic and resistance workouts, and they’re easy to do at home on your own.
Hypertension, obesity, and diabetes found to be the most prevalent comorbidities among 5700 hospitalized patients with COVID-19 in the New York City Area.Read More »
We were running a clinical study on erectile dysfunction. An 68-year-old male with obesity came in looking for help for his ED, so he thought he might qualify for the study. He had not had a medical workup for some time and wasn't aware of any underlying diseases. I recommended he be screened for diabetes....Read More »
Data focuses on veterans who have poorly controlled diabetes, and whether the intervention of self-care management skills works as compared to using traditional means of education.Read More »
We were following up with a person with type 2 diabetes who was recently started on the new oral formulation of the GLP-1 receptor agonists semaglutide (Rybelsus®). This patient had a 12-year history of type 2 diabetes as well as several comorbidities that included hypertension, hyperlipidemia, obesity (BMI = 33 kg/m2), knee osteoarthritis, and hypothyroidism. The patient was previously resistant to initiating a GLP-1 receptor agonist due to his hesitancy toward self-injection. He agreed at his last primary care visit to start a trial of oral semaglutide to improve his glucose control and lose some weight....Read More »