Clinicians treating patients with type 2 diabetes should include lifestyle interventions when developing diabetes management plans. Which of the following is NOT appropriate? 1.Weight reduction, if necessary 2. A minimum of 150 minutes/week of moderate-intensity aerobic physical activity, spread over at least 3 days/week with no more than 2 consecutive days without exercise 3. Diabetes Self-Management Education & Support (DSME/DSMS) 4. A calorie fixed ADA diet 5. Individualized plan of calories including recommended amounts carbohydrates, fats, and proteins Do you have the right answer? Follow the link to find out!
Read More »Yearly Archives: 2016
Diabetic Coach
Would you know what to do in a diabetic seizure emergency situation? There are simple solutions to ensuring you have what it takes to help a family member, co-worker, child, or stranger in need of emergency first aid.
Read More »August 23, 2016
Last week, I had a new patient referred to me with adult onset type 1 diabetes. The patient was 63 years old and — although she had been losing weight over the past year — it was a 16 pound loss over the previous 2 weeks that got the physician concerned. An A1c test came …
Read More »When There’s Water, Check the Shoes
People who have diabetes are usually taught to purchase protective soft leather shoes with a wide toe box. That doesn’t mean everybody who has diabetes follows those recommendations. A woman, type 2 diabetes, who is knowledgeable about diabetes and foot complications was wearing cloth shoes with a “corded” bottom and manmade rubber sole. She was caught in the rain. Her shoes were soaked.
Read More »Kimberly Ward Part 6, Insurance Reimbursement
In the conclusion of this Exclusive Interview, Kimberly Ward explains how Roche can help the patient with private insurance to get help obtaining a preferred co-pay for the Accu-Check system.
Read More »Beta-Cell Classification of Diabetes and the Egregious Eleven Part 6
In this week's Homerun Slides, the call for patient-centered approach to diabetes therapy that factors in the patient's individual cause of metabolic dysregulation.
Read More »International Textbook of Diabetes Mellitus, 4th Ed., Excerpt #38: Normal Beta-cell Function Part 3 of 6
Beta-Cell response to nonglucose secretagogues: Proteins and amino acids -- The insulinotropic effect of oral proteins was first described almost 50 years ago and recently confirmed. After the ingestion of a small amount of proteins (30–50 g) or a larger amount of proteins (2 g kg−1), plasma insulin was raised two- to threefold over baseline and remained persistently elevated for 90 or 240 minutes, respectively. In either case, blood glucose did not change, whereas both GLP-1 and GIP levels were raised threefold over fasting values.
Read More »August 20, 2016
Sometimes, when we want to impress our patients with the importance of their disease, we will list all the possible effects of the disease. These include blindness, kidney failure, and amputations. But what do we tell our patients that have pre-diabetes or impaired glucose tolerance? This week, we have an …
Read More »IGT Tied to Increased Mortality
A study in Diabetes Care showed that 74.7% of deaths among patients with impaired glucose tolerance happened after progression to type 2 diabetes.
Read More »A Dietary Approach to Managing Type 2 Diabetes
Adopting a Mediterranean diet in patients with diabetes helps improve glucose levels.
Read More »
Diabetes In Control. A free weekly diabetes newsletter for Medical Professionals. News and information for Medical Professionals.