Overall prevalence of diabetes may have increased, but undiagnosed diabetes may be declining.

Mr. Carlson is a 52-year-old Caucasian grocery store manager you saw last week for a new patient visit. His labs from that visit were significant for elevated random plasma glucose 166 mg/dL, A1C 7.4% and elevated lipids (TG=175 mg/dL, LDL 148 mg/dL, HDL 38 mg/dL, total cholesterol 221 mg/dL). He has returned to your clinic for a follow-up appointment. His physical exam is notable for central abdominal obesity (waist circumference 42”), left eyelid xanthelasma, BP 147/91, HR 72, RR 18, BMI 36 kg/m2, but otherwise normal. A repeat A1C test shows A1C 7.6%. Mr. Carlson smokes between 1 and 1.5 packs of cigarettes daily. After discussing the labs and your findings with Mr. Carlson, you begin collaborating on a management plan. You write prescriptions for metformin, a statin and ACE inhibitor. Mr. Carlson doesn’t think “taking medication will be too tough,” but expresses skepticism about your recommendations for a change in his diet, exercise and smoking programs because he has tried them, without success, in the past. You are concerned about Mr. Carlson’s cigarette use because cigarette smoking has been shown to have multiple physiological impacts on health. Which one of the following statements regarding smoking and type 2 diabetes is true? A. It equally affects all-cause mortality in individuals with and without diabetes. B. In individuals with diabetes, it causes more rapid progression to micro- and macroalbuminuria. C. It has not been linked to worsening glycemic control. D. The use of bupropion is contraindicated in diabetes. Think you've got the right answer? Follow the link to check!

For your patients with prediabetes (A1c of 5.7 to 6.4%), do you recommend they begin metformin even with providing them info on physical activity and nutrition? Follow the link to express your opinion!

Take bone density, history of osteoporosis into consideration when prescribing.

I was watching a commercial for a new whitening tooth paste and the whole focus of the commercial was that it made your teeth whiter and everyone liked you better. There was not a single thing mentioned about cavity prevention or gum care. At first I felt the whole premise …

56-year-old man, type 2 diabetes, had been prescribed SGLT-2 to lower his glucose levels. He had been taking an SGLT-2 for the past two years. His A1C, blood pressure and weight were elevated since the last visit 3 months ago. When asked if he was doing anything different, he said he had read articles and seen on TV about these types of medications causing heart disease, so he stopped taking his.

In part 4 of this exclusive video, Dr. Bakris contemplates the rate of potential false positives in an at-home kidney test for microalbuminuria, the possible causes of false positives and the need for patient education in the use of such tests.

In this week's Homerun Slides, therapeutic strategies to fight periodontal disease.

What makes a beta cell? The insulin-producing beta cell is perhaps the most intensely studied endocrine cell type, largely because of the implications for understanding the pathogenesis and treatment of diabetes.

From time to time we check out some kind of fitness equipment that might help our patients increase their activity and reduce the risk of diabetes. For the past couple of months I have been using the Misfit Flash Cyclist edition. As many of you know, I road bike whenever …