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Daily Archives: Apr 3, 2018

April 3, 2018

This year the ACC and AHA announced new Blood Pressure guidelines that have been shared by every medical newsletter and journal. The idea is to reduce heart failure and death by improving patient care. Not only were there new guidelines, there were also new definitions and descriptions as to what heart failure looks like. This week we have …

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Diabetes Wisdom Comes with Practice, Not Age

As I am working with patients, I have so many thoughts about how different each patient is. I also have thoughts about how in this day and age, with all we have available, some people who have had diabetes for oh so many years still have no clue how to manage their diabetes.

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International Textbook of Diabetes Mellitus, 4th Ed., Excerpt #119: Diabetes and Sleep Apnea Part 9

OSA management: OSA should be treated promptly and the aim of treatment is to reduce the morbidity and mortality associated with this condition. Weight loss and positional treatment (i.e., avoiding the position in which most episodes occur, which is usually the supine position) are important aspects of treatment. As with all obesity-related disorders, weight loss (regardless of the means) can result in significant improvements in OSA. In a randomized controlled trial of intensive lifestyle intervention in 264 patients with OSA and T2DM (the Sleep AHEAD study), weight loss of 11 kg on average in the treatment group resulted in a reduction in the AHI of about 10 events per hour.

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