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International Textbook of Diabetes Mellitus, 4th Ed., Excerpt #110: Type 2 Diabetes and Cancer Part 3

Dyslipidemia: The relationship between cholesterol and cancer risk has been difficult to discern from epidemiologic studies. Individuals with the metabolic syndrome and T2DM frequently have a dyslipidemic profile with elevated triglycerides and decreased high-density lipoprotein cholesterol (HDL-C). In the Metabolic Syndrome Cancer (Me-Can) European cohort elevated triglyceride levels were associated with colon, respiratory, kidney, thyroid cancers, and melanoma in men and respiratory, cervical, and nonmelanoma skin cancers in women.

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How To Overcome The Complexities of Treatment Decisions For Your Patients with Type 2 Diabetes

Part 3: Trade Offs — Clinical Decision Making for Patients with Type 2 Diabetes: In the previous series of articles, we discussed the complexity of clinical decision making and the role the cost plays into that decision. Cost is only one dimension of the complex process of deciding the appropriate next steps in the treatment of type 2 diabetes. In this article, we will discuss the other aspects of clinical decision making, and how clinicians can think about the trade-offs involved in making medication choices.

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Exercise Benefits

A 39-year-old, overweight (BMI 27 kg/m2) patient comes into your office for his annual wellness examination. Routine labs show random plasma glucose of 176 mg/dL, so you ask him to return for a fasting plasma glucose and A1C. The results show a FPG 139 mg/dL and A1C of 7.7%. He is resistant to the idea of starting medication and is very keen on pursuing a trial period of dietary modifications and an exercise program, especially after you tell him about the benefits of moderate exercise on diabetes. Which of the following statements about exercise is true? A. Exercise reduces basal insulin levels only when paired with proper diet B. Exercise can lead to weight loss, but rarely reduces A1C levels C. Exercise can reduce all-cause mortality by up to 38% D. Exercise must be rigorous and regular to lead to greatest reduction in mortality Follow the link for the answer.

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Diabetes Treatment Software

Would you consider using a diabetes software program that can determine the best treatment for type 2 and provide you 3 possible solutions that fit into the patient’s budget using their insurance? Follow the link to see how you and your colleagues compare.

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