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Monthly Archives: January 2016

New classification for Monogenic and Pre-Diabetes

In part six of this special interview with DIC publisher Steve Freed, Dr. Stanley Schwartz discusses the role of gene defects within the beta cell in monogenic diabetes. In terms of prediabetes, since beta cell damage exists before the development of diabetes, better markers may help in prevention.

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Diabetes Classification

Would you like to see a different classification for diabetes instead of type 1, type 2, type 1½, LADA, etc.? Follow the link to respond.

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Question #817

Mrs. O’Doole is a 34-year-old of Irish descent. She works as a florist and is married with three children. She arrives at your clinic for her annual wellness exam. Her blood pressure is 130/84 mmHg, pulse 65, BMI 24 kg/m2 and her physical exam is notable for acne and mild hirsutism. Her only current medication is oral birth control pills. She recalls starting OCP, 15 years prior, due to irregular menses. Based upon her medical history and physical, you believe it would be prudent to screen Mrs. O’Doole for type 2 diabetes. You discuss your recommendations with her and she agrees be tested. The lab returns a fasting plasma glucose (FBG) of 112 mg/dL. You share these results with your patient and inform her that, while only mildly elevated, she has impaired fasting glucose. What is the best choice for initial management of Mrs. O’Doole’s prediabetes? Follow the link to respond.

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January 23, 2016

Are you ready for the opening of a large can of worms, when it comes to classifying diabetes? We have all heard type one, type one and one half, type two, type 3, adult onset, MODY, LADA and many other ways of naming diabetes, and now top researchers and endocrinologists …

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