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Yearly Archives: 2017

Question #875

Test Your Knowledge

A 34-year-old female presents to your office for a new patient visit. Her medical history is positive for gestational diabetes mellitus (GDM). The Diabetes Prevention Program Research Group found that implementing intensive lifestyle modifications and prescribing metformin resulted in an equivalent risk reduction of developing diabetes by: a) 15% b) 25% c) 50% d) 65% Follow the link to see the correct answer!

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Testing for Prediabetes

In your practice, how do you test for prediabetes? 1) OGTT 2) A1c 3) Fasting blood sugar 4) Random blood sugar Follow the link to see how your answer compares!

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Feb. 28, 2017

I am willing to guess that if Pharma did not produce tools for patients, we would all have a harder time delivering information. When I look back at some of the handouts from the ’90s, it is amazing how much better the current ones are. There is much more focus …

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Sometimes You’ve Got to Get in Their Face

Woman, 86 years of age, very active, history of type 2 diabetes, but does not check glucose or even admit she has diabetes. She has refused to take any medications at all for the last 20+ years I’ve known her. Had gastroenteritis for 3 days. Even when well, she does not drink anything but coffee, and sometimes sugar-sweetened beverages, but only a few ounces of that at a time.

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International Textbook of Diabetes Mellitus, 4th Ed., Excerpt #64: Mechanisms of Insulin Signal Transduction Part 8 of 8

Suppressor of cytokine signaling-3: Observations pertaining to suppressor of cytokine signaling-3 (SOCS-3) point to a new mechanism for insulin signal modulation. The SOCS family of proteins (CIS and SOCS 1 – 7) were originally described as a negative feedback loop for cytokine receptor signaling through Janus kinase (JaK).

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