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Monthly Archives: January 2017

Jan. 17, 2017

When we explain to a patient how insulin release occurs, we often oversimplify it. We tell them that the release is caused by signals sent to the beta cells when food enters our body. We often add in the “simplicity” of, if you eat the right foods your pancreas will …

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A Different Kind of Disaster

When we think about disasters, we usually think of the outcome, a poor health outcome. We don’t always think about the journey. The journey to poor health outcomes are many. Today I am reminded of not having the insurance coverage for the correct medication. Without it, one can have a disaster, poor diabetes management. The consequences of that, as well as the disruption to running a smooth office.

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International Textbook of Diabetes Mellitus, 4th Ed., Excerpt #58: Mechanisms of insulin signal transduction Part 2 of 8

Insulin receptors, ligand binding: The insulin action sequence is initiated with specific binding to high-affinity receptors on the plasma membrane of target cells. The insulin receptor is a large transmembrane glycoprotein consisting of two alpha- and two beta- subunits that form a heterotetramer, as depicted in Figure 12.1. The insulin receptor is synthesized from a single gene as a polypeptide pro receptor comprised of alpha- and beta- subunit sequences in tandem.

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Jan. 14, 2017

This past Thursday, Congress passed a resolution to begin the dismantling of the Affordable Care Act. If you remember, many of the candidates, including the president-elect, touted this as their first act if they won the election. Now that they have made the first move, you have to wonder if …

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