Clinical Gems

A Possible Key in Understanding the Metabolic Mysteries Osama Hamdy, MD, PhD, FACE (Note to our readers: we inadvertently skipped a number in this series of text excerpts so there was no "Excerpt #21." Our apologies for any confusion, and thanks to the sharp-eyed reader who pointed this out!) The …

Consequences of acute hypoglycemia         Acute hypoglycemia can lead to health damage either directly (from deleterious effects of low blood glucose supply to the brain) or indirectly, usually via trauma due to loss of consciousness or seizures. As an example, hypoglycemia may occur during driving and may …

Amy P. Campbell, MS, RD, CDE, and Richard S. Beaser, M.D.  The weeks excerpt answers the following questions: How to teach your patients to read food labels What "dietetic" foods actually are How much alcohol will affect blood sugars How to use insulin if fasting  When and how to use …

Stavros Liatis, Nikolaos Katsilambros       Classification of iatrogenic hypoglycemia  A confirmatory blood glucose test during an episode of hypoglycemia is often unavailable while, in other cases, a discrepancy may be observed between self-measured blood glucose values and clinical presentation of hypoglycemia (usually due to defective counter-regulation).

Amy P. Campbell, MS, RD, CDE, and Richard S. Beaser, M.D.       Carbohydrate counting, a method of keeping track of the grams of carbohydrate one eats at meals and snacks, is a form of meal planning that has become increasingly popular.

Stavros Liatis, Nikolaos Katsilambros         Hypoglycemia is defined as blood glucose concentration below the normal range, the lower level of normality being equivocal.

Amy P. Campbell, MS, RD, CDE, and Richard S. Beaser, M.D.  The weeks excerpt answers the following questions:  The best way to approach "Behavioral Change"? What is the "Nutrition Prescription"? The 17 Questions you need to ask in the "Patient Nutrition Assessment"?

Case Study 1           A 32-year-old male with type 1 diabetes since the age of 14 years was taken to the emergency room because of drowsiness, fever, cough, diffuse abdominal pain, and vomiting.

Amy P. Campbell, MS, RD, CDE, and Richard S. Beaser, M.D. The weeks excerpt answers the following questions: How important is timing of meals? How flexible can meal timing be? What is the traditional gauge to measure obesity? What are the forces that can affect the ability to achieve a …

Treatment of Acidosis         Most experts do not recommend the administration of bicarbonate because acidosis is corrected with insulin infusion and rehydration.