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Yearly Archives: 2017

DiabetesPlus

Developed by diabetics for diabetics. DiabetesPlus lets you administer your readings on your device and saves time by enabling you to send the data directly to your doctor.

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March 7, 2017

In order to ensure that patients who really need their opioids get them, the state of Florida now mandates that every pharmacist must have a CE on Controlled Medication Dispensing. Seven years ago, Florida dispensed 10 times the amount of opioids as the rest of the country added together. However, …

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Non-Compliant No More!

A patient, 48 years of age, female, type 2 diabetes and obese, was referred to me for diabetes and weight management. Her first visit was 8 a.m., after fasting for 10 hours. Her A1c was 7.4%, BMI 37, BP 164/92, HR 92. The previous hcp had recorded she was recommended a low carb diet and the following medications: Metformin, 1,000mg twice daily; Byetta 10mcg sq twice daily. It was also written that she was non-compliant.

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International Textbook of Diabetes Mellitus, 4th Ed., Excerpt #65: Regulation of Glucose Metabolism in Liver Part 1 of 11

The liver regulates nutrient supply to the entire body. Antoine Lavoisier first scientifically disputed the concept of vitalism by proving that the combustion of material in the blood formed the basis of life and mechanical work by muscle. He suggested that these nutrients were not only absorbed by digestion but that liver played an important anabolic role in maintaining life.

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March 4, 2017

For many of our patients, the desire to exercise is often overwhelmed by the pain associated with the activity. Other patients who are reluctant to exercise in the first place will use any pain as an excuse to stop. Interestingly, much of the pain they complain of could be eliminated …

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