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Yearly Archives: 2017

Oct 12, 2017

When we talk about children and young adults and type 1 diabetes, we often put most of our focus on preventing hypoglycemia. This is likely the one symptom of diabetes that keeps many patients and their parents from reaching the prescribed target. Part of this occurs because of the child’s irregular …

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Oct. 10, 2017

For years, we have pretty much put every patient with diabetes on a statin. In fact, HEDIS guidelines mandate that Medicare patients have to be on a statin in order for a plan to get a 5-star rating. But we all know the potential dangers that we expose patients to …

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Knowing Numbers Keeps Patients on Track

Received a phone call from someone I know. Has not yet come in for a visit. Just called to see if she qualified to come in for a visit. Woman, 68 years of age, denies history of diabetes, hypertension or other health problems, except being overweight. She stated, “Last year my weight was up. I went on a diet because my triglycerides were high, in the 600’s, but they came down to 140’s when I lost 30 pounds last year. I think I gained back about 10 pounds so that would be about 155 pounds now.” I asked her if she’s weighed herself. She said, no, not since I got off the program, but when I was on the program, I weighed daily. You know, I had holidays, travel, I was with a group, paid for the food, so ate what they all ate, then I just couldn’t get back on track.”

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International Textbook of Diabetes Mellitus, 4th Ed., Excerpt #94: Lipid and Lipoprotein Metabolism, Hypolipidemic Agents, and Therapeutic Goals Part 6

Nicotinic acid (niacin) has been used for more than 50 years to lower LDL-C and TGs, and increase the level of HDL-C. Indeed, niacin is the most potent HDL-C-raising pharmacologic agent available. Of note, we still, at this late time in the life of niacin, do not have definitive evidence regarding its mechanism(s) at the molecular level.

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Oct. 7, 2017

I first got my CDE back in 2004. Before that I was the proud holder of a certificate from the Lifescan Pharmacist Diabetes education program that they were offering to us in Milpitas, CA. After I became a CDE, I desperately wanted to become a pump trainer. I talked to …

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