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Yearly Archives: 2017

Prediabetes Diagnosis Test

Which test do you use to determine if a patient has prediabetes? 1) fasting blood sugar 2) A1c 3) OGTT 4) Random blood sugar Follow the link to see how you and your colleagues compare!

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CV Risk Management in a Patient with High BP and a Significant Family History

Test Your Knowledge

A 52-year-old Asian-American man presents for a wellness visit. He has borderline elevated blood pressure (136/84 mm Hg), a BMI of 27 kg/m2, and a family history of diabetes and myocardial infarction. He is a nonsmoker, drinks 1-2 glasses of wine nightly, and jogs 4-5 times/wk for 40 min. Total cholesterol is 173 mg/dL (high-density lipoprotein cholesterol, 40 mg/dL; low-density lipoprotein cholesterol, 112 mg/dL). His 10-y atherosclerotic cardiovascular disease risk is 7.5%, and takes no medications. According to the 2013 American College of Cardiology/American Heart Association cholesterol guidelines, what's the first step you should take with this patient? A. Prescribe atorvastatin 20 mg daily B. Check high-sensitivity C-reactive protein C. Check carotid intima-media thickness test D. None of the above Follow the link to see the right answer!

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Dr. Scott Isaacs Full Interview

Dr. Scott Isaacs talks with Diabetes in Control Publisher Steve Freed during the AACE 2017 convention in Austin, Texas about endocrinology, obesity, and medical weight loss. Dr. Scott Isaacs, MD, FACP, FACE is an endocrinologist and adjunct instructor of Medicine at Emory University School of Medicine, Division of Endocrinology, Metabolism …

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May 23, 2017

There has been a lot of press lately about the high cost of insulin, and even Congress has called the leaders of insulin companies to task for the prices. Some of the companies have linked up with discount programs like Blink to make insulin more affordable, and the companies themselves …

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International Textbook of Diabetes Mellitus, 4th Ed., Excerpt #75: Insulin actions in vivo: glucose metabolism Part 1 of 9

Glucose is widespread in living organisms and, with protein and fat, completes the triad of the major metabolic fuels. To a much lesser extent than in plants, glucose also constitutes a building block for structural and enzymatic components of cells as well as the extracellular matrix. As a metabolic substrate, glucose is present in organisms essentially in its simple, monomeric form (alpha-D-glucopyranose) and as a branched polymer of alpha-glucose, namely glycogen. Disaccharides of glucose (lactose, maltose, and sucrose) are quantitatively less important. Glucose is present in plasma water at a concentration that — in a healthy adult who has fasted overnight — ranges between 3.6 and 5.5 mmol L−1 (65 – 99 mg dL−1 ).

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