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Monthly Archives: December 2017

Dec 7, 2017

When a parent finds out that their child has type 1 diabetes all they can think of is getting their glucose under control. After they get used to the changes for the child and the family, they start to look for ways to either minimize the damage diabetes causes, or …

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Dec. 5, 2017

This week, we want to help you simplify your selection of injectables for patients. While most patients often think that an injection is always insulin, we know that is not true. We also have GLP-1 analogs, as well as combinations of these products, so in our Homerun Slides, we make …

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How Do You Discuss Vitamins?

So many of my patients who have insulin resistance, type 1 or type 2 diabetes with hyperglycemia and/or obesity have vitamin D or vitamin B12 deficiency. Often they have never had their levels checked or, if they have, were diagnosed with either or both vitamin D deficiency and vitamin B12 deficiency and do not take their prescribed vitamins. Why?

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International Textbook of Diabetes Mellitus, 4th Ed., Excerpt #102: Pathogenesis of Nonalcoholic Fatty Liver Disease (NAFLD) Part 4

Hypertriglyceridemia and low HDL cholesterol, increased risk of type 2 diabetes: Under fasting conditions, the liver of subjects with NAFLD overproduces triglyceride-enriched VLDL particles despite hyperinsulinemia when compared to equally obese subjects without NAFLD. Insulin normally decreases production of VLDL by inhibiting adipose tissue lipolysis, and by directly suppressing hepatic production of VLDL.

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