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Gastroenterology

Modifications of Preprandial or ISA Regimens to Accommodate Gastroparesis – Part 10

Diabetes Solution Richard K. Bernstein, MD, FACE, FACN, FACCWS Part 10 Chapter 22 Gastroparesis Modifications of Preprandial or ISA Regimens to Accommodate Gastroparesis It takes a while for your physician to select and fine-tune a program to improve stomach-emptying. In the meantime, it’s possible to reduce the frequency and severity …

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Impact of Gastric Bypass Surgery on Post-Challenge Serum Glucose Levels

New evidence suggests surgery has glucose benefits beyond weight reduction effects… A decrease in blood sugar values after gastric bypass surgery is associated with weight reduction. In addition to that, evidence suggests that gastric bypass surgery has affected glucose metabolism as well. The Morbid Obesity treatment, Bariatric surgery versus Intensive …

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Gastric Bypass Surgery Increases Energy Expenditure During Food Intake

Researchers seek explanation for sustained weight loss after procedure… The mechanism that causes long-term weight loss with gastric bypass surgery is currently unclear. Reduced caloric intake does not provide the entire explanation for why gastric bypass patients maintain long-term weight loss. Previous studies suggests that enhanced energy expenditure might play …

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The Outcome of Modified Roux-en-Y Gastric Bypass Surgery on Glycemic Control in Type 2 Patients

Blood glucose showed significant decrease months after procedure… Type 2 diabetes has become more common in today’s society. Currently, modified gastric bypass surgery is used to treat type 2 diabetes. This intervention has been utilized since the 1990s. The procedure reached 83% efficiency and currently the therapeutic mechanism is still …

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Practical Diabetes Care, 3rd Ed., Excerpt #25: Diabetic Neuropathy Part 5 of 5

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David Levy, MD, FRCP      Erectile dysfunction This is the commonest neuropathic complication: 20% of men have erectile dysfunction (ED) at diagnosis, increasing to 34% at 12 years (UKPDS). The prevalence in a newly diagnosed Kuwaiti population was 30%, and nearly 50% in a large survey of Canadians attending their primary-care physicians …

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