Konstantinos Makrilakis, MD, PhD Nikolaos Katsilambros, MD, PhD. Hyperosmolar non-ketotic hyperglycemia (also called hyperosmolar hyperglycemic state [HHS]) is one of the most serious acute complications of diabetes, with significant morbidity and mortality.
Read More »Joslin’s Diabetes Deskbook, Updated 2nd Edition, Excerpt #30: Macrovascular Complications, Part 2
Richard S. Beaser, MD Michael Johnstone, MD The week’s excerpt answers the following questions: What is the relationship between triglyceride levels and the degree of insulin resistance? Which lipid abnormalities are markers of coronary artery disease (CAD)? What are the current goals for lipids for diabetic patients? Can improved glucose …
Read More »Diabetic Emergencies, Diagnosis and Clinical Management: Diabetic Ketoacidosis in Adults, 5 Quiz Questions
This week we have a short quiz. If you’ like to review the topic a little more before taking the quiz, just follow this link to our previous excerpt at Diabetic Emergencies – Diagnosis and Clinical Management: Diabetic Ketoacidosis in Adults.
Read More »Joslin’s Diabetes Deskbook, Updated 2nd Ed., Excerpt #29: Macrovascular Complications, Part 1
Richard S. Beaser, MD Michael Johnstone, MD This week’s excerpt answers the following questions: What are the risk factors for the premenopausal female? What is the likelihood of macrovascular disease among those with diabetes? While diabetes is a result of a metabolic dysfunction resulting in hyperglycemia complications make diabetes mellitus …
Read More »Diabetic Emergencies, Diagnosis and Clinical Management: Sick-Day Rules in Diabetes, Case Studies
Konstantinos Makrilakis, Nikolaos Katsilambros A 28-year-old man with Type 1 diabetes for 12 years is under treatment with long-lasting insulin (e.g., insulin glargine) 26 IU at bedtime and a rapid-acting insulin analog (e.g., insulin lispro) three times a day before each meal (the dose determined depending on the carbohydrate content …
Read More »Joslin’s Diabetes Deskbook, Updated 2nd Edition, Excerpt #28: Physical Activity and Type 1 Diabetes
Richard S. Beaser, MD, Edward S. Horton, MD and Catherine A. Mullooly, MS, RCEP, CDE The weeks excerpt answers the following questions: How to adjust insulin for activity What is the "lag effect" Which snack foods are best for exercise
Read More »Diabetic Emergencies, Diagnosis and Clinical Management: Sick-Day Rules in Diabetes, Part 2
Konstantinos Makrilakis, Nikolaos Katsilambros In patients taking insulin — either basal only ( ± pills) or a more intensified regimen (insulin mixtures two or three times daily or a basal-bolus regimen) — the “sick-day rules” should be taught and the patient should be provided with urine strips to test for …
Read More »Joslin’s Diabetes Deskbook, Updated 2nd Ed., Excerpt #27: Physical Activity for Fitness, Part 4
Richard S. Beaser, MD, Edward S. Horton, MD and Catherine A. Mullooly, MS, RCEP, CDE The week’s excerpt answers the following questions: How much resistance training is needed to improve insulin sensitivity Frequency, duration and intensity levels required Self-care skills applied to physical exertion Individualized physical activity for type 2 …
Read More »Diabetic Emergencies, Diagnosis and Clinical Management: Sick-Day Rules in Diabetes, Part 1
Konstantinos Makrilakis, Nikolaos Katsilambros During an acute illness, blood sugar levels usually rise. Illness causes a greater than normal demand for insulin due to the release of stress hormones such as adrenaline (epinephrine), cortisone, and growth hormone. These hormones can be triggered by any kind of stressful condition such as …
Read More »Joslin’s Diabetes Deskbook, Updated 2nd Edition, Excerpt #26: Physical Activity for Fitness, Part 3
Richard S. Beaser, MD, Edward S. Horton, MD and Catherine A. Mullooly, MS, RCEP, CDE The week’s excerpt answers the following questions: What the four necessary factors are in a fitness program The formula to use to estimate individuals maximum heart rate How to use the Karvonen formula Which is …
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