A patient, 62 years of age, with type 2 diabetes, obesity, and an intellectual disability disorder, had been a patient at our clinic for over ten years. Treatment included metformin and insulin. He met regularly with his endocrinologist and diabetes educator. He often spoke about wanting to lose weight....
Read More »Trio Of Recent Studies Uncover Truths About The Gut Microbiome and T2DM
Three recent studies reveal insights into potential links between the gut microbiome and type 2 diabetes mellitus (T2DM).
Read More »Gut Flora Composition and Abundance Differs in Diabetes
The intestinal microbiota in people with type 1 and those with MODY2 differs in abundance and type compared to people without.
Read More »Gut Proteins May Indicate Higher Risk of Progression to Type 1 Diabetes
A new study finds that proteins found in the gut can distinguish patients with type 1 diabetes and islet autoimmunity from healthy individuals.
Read More »Gut Reactions
This is not one patient’s disaster averted but what I have experienced working in the field of diabetes and obesity for years. Many times patients who are taking glucose lowering and/or anti obesity medications will report different GI complaints-such as bloating, diarrhea, constipation, nausea, vomiting, and GERD. They tell me they are going to see a gastroenterologist for an evaluation.
Read More »Importance of GI Events for GLP-1 Receptor Agonists
Study finds fewer T2 patients on exenatide once-weekly reported gastrointestinal adverse events, compared with those on exenatide twice-daily or liraglutide once-daily.
Read More »Incretin Therapy: Role in Gallbladder and Bile Duct Diseases
Initiation of glucagon like peptide-1 agonists may increase risk of gallbladder or bile duct disease and cholecystectomy; no increased risk associated with DPP-4 inhibitor therapy.
Read More »Delayed Stomach-Emptying: Gastroparesis – Part 1
Diabetes Solution Richard K. Bernstein, MD, FACE, FACN, FACCWS Part 1 Chapter 22 Gastroparesis Anumber of times throughout this book, you’ve come across the terms “delayed stomach-emptying” and “gastroparesis.” As I explained in Chapter 2, elevated blood sugars for prolonged periods can impair the ability of nerves to function properly. …
Read More »How Does Gastroparesis Affect Blood Sugar Control? – Part 2
Diabetes Solution Richard K. Bernstein, MD, FACE, FACN, FACCWS Part 2 Chapter 22 Gastroparesis How Does Gastroparesis Affect Blood Sugar Control? – Part 2Consider the individual who has very little phase I insulin release and must take fast-acting insulin or one of the older-type (sulfonylurea) or newer pancreas-provoking OHAs before …
Read More »Diagnosing Gastroparesis – Part 3
Diabetes Solution Richard K. Bernstein, MD, FACE, FACN, FACCWS Part 3 Chapter 22 Gastroparesis Efforts at diagnosis are usually unnecessary if there is no reason to suspect the presence of gastroparesis. So first we must have an index of suspicion. If, at the initial history-taking interview with your physician, you …
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