In study, 40 percent of adults with type 2 diabetes achieved a fasting glucose level of less than 126mg/dL.(7mmol/L) after eight weeks on a very low-calorie diet.
Read More »Yearly Archives: 2016
Standing or Sitting?
To combat the negative effects of too much sitting, standing desks have been rising in popularity. But does the science support their supposed benefits?
Read More »Acupuncture Helps to Increase Insulin Sensitivity
Electro-acupuncture may be beneficial through different mechanisms: weight loss, anti-inflammatory effects, and improvement of lipid metabolism and adipokines.
Read More »Do Lifestyle Interventions Fix Diabetes Depression?
Meta-analysis examines the effectiveness of interventions in improving and preventing diabetes depression.
Read More »Diabetes Apps
Do you use Diabetes Apps with your patients? Follow the link to let us know and see what others are doing!
Read More »No Higher Risk of Heart Failure with DPP-4 Inhibitors
Type 2 patients who used saxagliptin or sitagliptin had similar risks for heart failure as those who received other anti-hyperglycemic agents, according to a retrospective cohort study.
Read More »Diabetes Personal Calculator
Diabetes Personal Calculator is an all-in-one insulin calculator and carbohydrate database. It is developed for people with type 1 diabetes injecting pre-meal fast or rapid acting insulin.
Read More »Question #834
Mrs. Wilson is an overweight 71-year old African American patient who has come to your clinic today for a new patient visit. She recently moved to the area to live with her daughter and is concerned about her diabetes care plan. She was diagnosed with type 2 diabetes 12 years ago at a wellness check through routine screening. In hindsight, she wonders if maybe she “went undiagnosed for a while” because she “didn’t get to the clinic very often and was having some problems with frequent urination at night” before she was screened. She currently takes metformin, glyburide, captopril, pravastatin, aspirin and has recently titrated to.6 U/kg/day insulin NPH as a nightly basal dose. Her current A1C goal is below 7.5% and she has been working hard to get to that level. However, for the first time her life, she is finding herself to be nauseated and irritable in the morning, but always feels better after a little breakfast. She states she feels “pretty good for her age” although she occasionally has “a little chest tightness when walking more than 4 or 5 blocks.” Last time she remembered to check it a few days ago, her postprandial glucose was a little high at 214 mg/dL. After discussing her situation with her, you decide to modify Mrs. Wilson’s antihyperglycemic regimen. Which of the following treatment options would you choose? [A] metformin + long-acting analogue + rapid-acting analogue [B] metformin + glyburide + long-acting insulin analogue + rapid-acting analogue [C] metformin + glyburide + NPH + rapid-acting analogue [D] metformin + NPH + rapid-acting analogue Follow the link to see if you're correct!
Read More »The Safest First-Line Therapy for Type 2 Diabetes
According to more than 200 studies involving 1.4 million patients, metformin reduces heart disease risk in diabetes patients more effectively than its competitors.
Read More »Sometimes we are so interested in the process that we forget to look for the outcome with our patients. This means we take our diabetes patients and start low and go slow. This kind of treatment regimen may be following the “guidelines” but oftentimes getting to the goal we want …
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