Clinical Gems

2.7 Evaluation of the Intensity and Duration of the Effort The following is an excerpt that answers the questions regarding the evaluation of the intensity and duration of the effect of exercise.   Intensity Effort intensity is well correlated with heart rate (HR) in the absence of heart rhythm abnormalities …

By Richard S. Beaser, M.D. Can insulin injections make you fat…? Find out when you read our latest excerpt from the Joslin Diabetes Deskbook:

by Jean-Jacques Grimm   2.5 Hyperglycemia Exercise can cause a rise in blood glucose in two situations when…

 By Richard S. Beaser, M.D.   Chapter 3: Monitoring Diabetes: The Importance of Self-Monitoring of Blood Glucose and Glycohemoglobin Measurements (Overview)  

by Jean-Jacques Grimm   2.3 Insulin Absorption   The importance of changing the injection site when doing sports or being physically active continues to be actively debated.

 By Richard S. Beaser, M.D.   Can you answer this question? If a person without diabetes were to be given a slow intravenous infusion of a 5% glucose solution into the right arm, what would the glucose levels be from blood drawn from the left arm? Find out what the …

Jean-Jacques Grimm   2.1 Introduction Regular exercise in people with diabetes does not necessarily lead to improved control. Indeed, the metabolic disturbances associated with sustained exercise may lead to worsening control unless great care is taken to adjust carbohydrate intake and the insulin dosage.

By Richard S. Beaser, M.D.   Chapter 3: Monitoring Diabetes The Importance of Self-Monitoring of Blood Glucose and Glycohemoglobin Measurements The Glycohemoglobin Measurement (A1C) One of the functions of the red blood cells is to carry oxygen to the cells throughout the body. Hemoglobin within the red blood cells is …

Dinesh Nagi, Editor   Drinking before exercise helps to delay the onset of severe dehydration, but the type of fluid taken should be chosen with care. Water empties from the stomach quickly but crosses the walls of the small intestine only slowly.

By Richard S. Beaser, M.D. and Richard Jackson, MD The Approach to Diagnosis and Treatment: Collaboration is Key to Adherence The gap in meeting clinical targets is in large part due to the gap that presently exists between actual and optimal treatment goals and strategies for patients and physicians. Even when …