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Yearly Archives: 2016

For those of you trying to enrich your vocabulary and understand the biological side of diabetes, you may want to look up the word mesenchyme. I was totally in the dark as to the meaning, and when I first read this week’s Clinical Text from International Textbook of Diabetes Mellitus, I found …

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International Textbook of Diabetes Mellitus, 4th Ed., Excerpt #18: Development and Maintenance of the Islet Beta Cell Part 2 of 4

Pancreatic growth and epithelial branching morphogenesis: the extensively branched structure of the mature pancreas is attained by continued growth and remodeling of the primitive tubular epithelium in both dorsal and ventral buds. Once the buds have been induced, they are critically dependent on interaction with the mesenchyme for continued morphogenesis and cytodifferentiation.

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April 2, 2016

This week we focus on some different ideas on controlling obesity and weight in our patients. Although many of the studies we read about sound good, they don’t work for everybody. In addition, individual life schedules make doing the right things, once they find them, difficult as well. Next, we …

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What You Don’t Know About Statins and Exercise Can Hurt You

Dr. Sheri Colberg on Avoid Weight Gain from Insulin Use and Treating Lows

I recently received an email from a person with type 1 diabetes living in Denmark (Guido) whose physician believes in prescribing many medications to manage cholesterol and high blood pressure in anyone with diabetes, regardless of need. Guido has been taking a statin (Atorvastatin, brand name Lipitor), along with at least four others for blood pressure control. He used to take Simvastitin (Zocor), but a year prior had been changed to Atorvastatin (and his dose doubled). That’s when his problems with exercise began.

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