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Daily Archives: Jan 3, 2017

Jan. 3, 2017

This morning I was listening to my local NPR station, and although they don’t have advertising like a regular station, they do have sponsors. One sponsor, a major vitamin and nutrition company, was making a big deal about new products and new programs for the new year. I knew that …

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Watch Out. It’s That Time of Year Again.

Yes, it’s that time of year again when your phone/email/computer is busy with patients wanting appointments and making commitments to make their New Year’s Resolutions. Often at this time of the year, my patients come in wanting to change just about everything about what they eat, when they eat, how much they eat, and the same for being physically active. So many of these patients have told me they have tried and tried and tried and failed in the past, but now it’s the New Year and it’s going to be different.

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International Textbook of Diabetes Mellitus, 4th Ed., Excerpt #56: Incretin Physiology in Health and Disease Part 6 of 6

Potential mechanisms of incretin dysfunction in type 2 diabetes: Various potential explanations have been expounded in order to explain the reduced incretin effect in type 2 diabetes. One obvious factor to examine was the secretion of GIP and GLP-1. Regarding GIP, a number of studies have compared postprandial plasma concentrations between patients with and without diabetes. These studies have revealed increased, normal, or reduced GIP levels in patients with diabetes. Considering all studies together, there does not appear to be a general defect in GIP secretion. If anything, a slight increase in postprandial GIP levels might occur in patients with early type 2 diabetes, but clearly the differences in GIP levels would not sufficiently explain any alterations in insulin of glucose concentrations.

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