Clinical Gems

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.

Amy P. Campbell, MS, RD, CDE, and Richard S. Beaser, M.D. The weeks excerpt answers the following questions: When to take vitamins? Who should take vitamins? Can chromium really lower blood sugars? Is vitamin E recommended? Is too much vitamin E harmful? Does cinnamon really work? What dose of cinnamon …

Clinical Management Treatment consists of rehydration with intravenous fluids, the administration of insulin, and replacement of electrolytes.

Amy P. Campbell, MS, RD, CDE, and Richard S. Beaser, M.D. The weeks excerpt answers the following questions: Do sugar alcohols have any caloric value? Should non-nutritive sweeteners be included in daily carbohydrate allotments? How many calories do sugar alcohols have per gram?  Why sugar alcohols can result in an …

Hyperglycemia Hyperglycemia in DKA is the result of reduced glucose uptake and utilization from the liver, muscle, and fat tissue and increased gluconeogenesis as well as glycogenolysis. The lack of insulin results in an increase in gluconeogenesis, primarily in the liver but also in the kidney, and increased glycogenolysis in …

Amy P. Campbell, MS, RD, CDE, and Richard S. Beaser, M.D. The weeks excerpt answers the following questions Does fiber have any caloric value? The current recommendation for fiber intake is? The recommended daily allowance (RDA) for protein is? What percentage of calories should protein constitute? The different pathways fat …

      Diabetic ketoacidosis (DKA) is an acute complication of diabetes mellitus. It is characterized by the triad of hyperglycemia, ketosis, and metabolic acidosis.1