Thursday , March 22 2018
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How to Be More Culturally Sensitive

Having worked with patients, children, adolescents, and adults who have diabetes for oh so many years, I’ve learned it’s better to change what I teach than to expect my patients to change their entire lifestyle. One of the toughest things for patients to do is to change the way they eat, especially if deep rooted in their ethnic background. One example is asking patients who are from the Middle East or those who are brought up on rice and beans to avoid or cut back on rice.

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International Textbook of Diabetes Mellitus, 4th Ed., Excerpt #95: Metabolomics: Applications in Type 2 Diabetes Mellitus and Insulin Resistance Part 1

Type 2 diabetes mellitus (T2DM) is not simply a disorder of blood sugar control, but a condition in which multiple biochemical pathways are impacted. An illustrative example of this is the elevated blood ketone body concentration typical of T2DM, which can progress to diabetic ketoacidosis if insulin action and/or availability deteriorates.The elevations of ketone bodies and the acetone accumulation (with associated “sweet breath odor”) of severe or poorly controlled diabetes are indicative of abnormal fatty acid homeostasis and specifically, high lipolysis and hepatic beta-oxidation.

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