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Daily Archives: Jul 3, 2018

July 3, 2018

This past week, my wife forwarded me an email for a weight loss product that had taken the internet by storm and was so good that all the Shark Tank investors had gone in on the deal for a product by two sisters that guaranteed rapid weight loss. All you …

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What’s the Real Story?

Man, 55 years of age, type 2 diabetes, hypertension, was referred to see us. The patient reports coming to us because he does not think he is getting the right treatment. Reports having been put on insulin upon diagnosis 4 years ago--at which time he had lost 50 pounds, was very hungry, thirsty, and had urinary frequency. When visiting, he did not have his labs from diagnosis but did have labs from 3 months ago at which time A1C was 7, and C-Peptide was 2.2. He said his past endocrinologist changed him to oral meds after his glucose had come down to an average of 140.

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W. Timothy Garvey 2018 Complete Interview

W. Timothy Garvey, MD is the Butterworth Professor of Medicine in the Department of Nutrition Sciences at the University of Alabama at Birmingham. He obtained his MD degree from St. Louis University, completed residency training in Internal Medicine at Barnes Hospital, Washington University, and was a clinical fellow in Endocrinology and Metabolism at the University of Colorado Health Sciences Center and University of California, San Diego School of Medicine.

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International Textbook of Diabetes Mellitus, 4th Ed., Excerpt #132: Pathogenesis of Type 2 Diabetes Mellitus Part 3

Beta-Cell function: Although the plasma insulin response to the development of insulin resistance typically is increased during the natural history of T2DM , this does not mean that the beta cell is functioning normally. To the contrary, studies have demonstrated that the onset of beta-cell failure occurs much earlier and is more severe than previously appreciated.

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