It is amazing how things have changed in the way we work with diabetes patients. In the office this week I was seeing some patients for individual counseling, and as we were talking about food choices I kept hearing one comment over and over: “This is not what they taught …

David Levy, MD, FRCP Introduction Infections in patients with diabetes are a persistent trap for both the inexperienced and world-wise physician. Whenever someone with diabetes presents unwell, always consider the possibility of infection. High blood glucose levels predispose to some acute infections, especially postoperatively, but other mechanisms are involved, for example …

"Heloderma suspectum" is the buzz phrase this week. It turns out that he is a cousin of Martin, the green lizard of Geico fame, and was the first reptile to make using incretins in diabetes therapy possible. This class has changed the ideas we previously had about diabetes management and …

David Levy, MD, FRCP Drugs acting on the incretin system (entero-insular axis) (Fig. 6.2) The incretin effect Bayliss and Starling inferred the existence of gut-derived substances affecting carbohydrate metabolism more than a century ago, but the incretin effect was not described until 1969: the observation that for a given achieved level …

Peter Katzmarzyk, PhD, discusses the growing problem of childhood obesity which frequently contributes to the earlier development of adult type 2 diabetes. He also mentions that, particularly in the southern U.S., there are more and more incidences of type 2 in children and teens being reported. More videos with Dr. …

Peter Katzmarzyk, PhD, talks about how, even though dieting and exercise should be part of every patient’s regimen, this can be extremely difficult in certain places. He says there are many ways we could improve the physical environment, however, in our towns and cities, including simple things like adding sidewalks …

With this week’s Homerun Slides, we look at the current realities of modern life which seem to be encouraging the development of insulin resistance and how Modern Man is "locked" into a "Seasonal Insulin Resistance Syndrome Physiology"…. To download the complete set of slides in PowerPoint (.ppt) format, just use this …

American College of Cardiology Foundation Free/iOS & Android   The ASCVD Risk Estimator is published jointly by the American College of Cardiology (ACC) and the American Heart Association (AHA) to help health care providers and patients estimate 10-year and lifetime risks for atherosclerotic cardiovascular disease (ASCVD) using the Pooled Cohort …

From our publisher, Steve Freed, comes this thought-provoking discussion of how better diabetes control can impact cost, quality of life and mortality…

Diabetic peripheral neuropathy can have an effect on balance… Previous studies show that patients with diabetic peripheral neuropathy (DPN) have an altered gait strategy and a fivefold increased risk of falling. Falling is a major health risk, especially with disease progression and in the elderly. Diabetic patients with peripheral neuropathy …