Clinical Gems

Nikolaos Tentolouris, Nikolaos Katsilambros           Symptoms and signs of hypoglycemia in Type 2 diabetes    The symptoms of hypoglycemia do not differ between people with Type 1 and Type 2 diabetes.

Richard S. Beaser, MD, Edward S. Horton, MD and Catherine A. Mullooly, MS, RCEP, CDE The weeks excerpt answers the following questions: Explains how to lower risk of diabetes by 58% How many daily minutes of exercise is recommended Importance of free fatty acids What are the two major sources …

Stavros Liatis, Nikolaos Katsilambros           Sulfonylureas and non-sulfonylurea insulin secretagogues (meglitinides) exert their antidiabetic effects by binding to the sulfonylurea receptor (SUR) on the beta-cell, which regulates the activity of an ATP-dependent potassium channel.1

A Possible Key in Understanding the Metabolic Mysteries, Part 2 Osama Hamdy, MD, PhD, FACE The weeks excerpt answers the following questions: What is the liptoxicity theory? How best to measure visceral fat? Is all fat the same?  What is "metabolic obesity"? What are the 3 kinds of fat? Does …

Stavros Liatis, Nikolaos Katsilambros           Case 4.1 A 65-year-old man with history of Type 2 diabetes presented to the emergency department at 10.30 pm.

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.