Beta-Cell function and glucose homeostasis: Insulin secretion, together with the sensitivity to insulin of glucose-utilizing tissues, is a key player in glucose homeostasis. What is relevant for glucose homeostasis is not the absolute insulin secretion levels but insulin secretion relative to glucose, as typically assessed by the beta-cell dose-response during the physiologic condition of oral glucose ingestion. Thus, beta-cell glucose sensitivity is strongly inversely associated to mean glucose levels during a standard OGTT and explains, together with insulin sensitivity, a substantial proportion of the variability in glucose levels.
Read More »Yearly Archives: 2016
September 10, 2016
There have always been conversations amongst medical professionals on the best way to get patients to take the diagnosis of type 2 diabetes seriously. Most of these patients have no symptoms and find out by accident when labs are done or they go to a health fair screening. Because the …
Read More »Early Short-term Intensive Insulin Causes the Remission of Type 2 Diabetes
Starting patients diagnosed within the last 7 years on 2-4 weeks of intensive insulin therapy could help keep them off additional medications for at least 48 weeks.
Read More »Fenofibrate Therapy in Diabetic Retinopathy
Studies suggest fenofibrate can prevent microvascular changes, decrease need for surgery.
Read More »Chronic Kidney Disease and the Incidence of Diabetes
Tighter glucose and blood pressure control found to decrease incidence.
Read More »Once-Monthly Exenatide Shows Promising Results for Adequate Glucose Control
A phase 2 randomized controlled trial demonstrated clinically significant changes in glycemic control.
Read More »Metabolic Effects of Metformin in Patients with Acute Renal Failure
Metformin use has been associated with significant disturbances in acid-base balance.
Read More »Could Influenza Vaccination Prevent More Than Just the Flu?
Influenza vaccination may reduce cardiac-related hospital admissions and all cause mortality in patients with diabetes.
Read More »Remission Treatment
If the FDA approved, and if it would cause their diabetes to go into remission for 1 or 2 years — giving them time to use lifestyle changes to delay or prevent having diabetes return – would you recommend to your newly diagnosed patients with type 2 diabetes, a 2- or 3-week treatment with insulin twice a day? Follow the link to share your opinion!
Read More »Question #850
Here's another test of your graph-interpreting skills! Follow the link to see this graph at full size and indicate the parameter that best describes Curve 2.
1. Insulin Secretion
2. Postprandial glucose
3. Fasting glucose
4. Insulin Resistance
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