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Monthly Archives: December 2016

Diabetes Cure

When do you think there might be a cure for type 1 diabetes? 1. Less than 5 years 2. Less than 8 years 3. Less than 10 years 4. More than 10 years Follow the link to share your opinion and see what your colleagues think.

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Dec. 15, 2016

Recently the ADA and the AHA came together to adjust the guidelines in diabetes patients with cardiovascular problems. They have agreed that managing the cardiovascular problems should be the guiding light in overall patient care, and worrying about A1c levels is of less importance. This is especially true in older patients. …

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Dec. 13, 2016

A few years ago Dr. Steven Nissen turned the diabetes world upside down when he went on a crusade to get TZD’s off the market due to cardiovascular risk. One of the results of his efforts was the FDA’s requirement that all new diabetes drugs would have extensive cardiovascular testing, …

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The 5 Rights of Medication Administration

Male, 56 years of age, type 2 dm, hypertension with orthostatic hypotension, peripheral neuropathy, hyperlipidemia, class II obesity. He fills his pill box every month and has been doing so for years. It has taken some time, but we finally came up with a plan with his meds and lifestyle where he has been feeling very well and his numbers are better than ever. He filled his med box a week before contacting me. He wasn’t feeling well. Feeling dizzy and his legs were feeling like rubber.

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International Textbook of Diabetes Mellitus, 4th Ed., Excerpt #54: Incretin Physiology in Health and Disease Part 4 of 6

Central nervous effects: A role for GLP-1 in the central nervous regulation of food intake has been inferred from the high density of GLP-1 receptors in the hypothalamus. Also, direct intracerebroventricular administration of GLP-1 has caused a significant reduction in food intake in rats, and these actions could be abolished by co-administration of the GLP-1 receptor antagonist exendin.

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Dec. 10, 2016

Over the years Steve and I have reviewed many PowerPoint presentations on diabetes, and we have published quite a few of these ourselves. Whenever the presentation explained how type 2 diabetes developed, there was always a slide showing increased insulin resistance and decreased insulin production. Wherever these 2 lines crossed, …

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