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Yearly Archives: 2018

CGMS for Type 2

Using a CGMS for type 2 diabetes can be very beneficial for type 2 patients not using insulin. Do you agree or disagree? Follow the link to share your opinion.

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March 20, 2018

It is interesting that with all the medications we have for diabetes we often overlook the hypoglycemic effects. This is because we have moved away from the sulfonylureas, as they were always the ones that got blamed. This has opened many of our patients up to hypoglycemic effects from newer …

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Gut Reactions

This is not one patient’s disaster averted but what I have experienced working in the field of diabetes and obesity for years. Many times patients who are taking glucose lowering and/or anti obesity medications will report different GI complaints-such as bloating, diarrhea, constipation, nausea, vomiting, and GERD. They tell me they are going to see a gastroenterologist for an evaluation.

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International Textbook of Diabetes Mellitus, 4th Ed., Excerpt #117: Diabetes and Sleep Apnea Part 7

OSA and diabetes-related complications: Recently, there has been increasing interest in the association between OSA and diabetes-related complications. There is one cross-sectional published study regarding the association between OSA and macrovascular complications in T2DM, but several studies have examined the association between microvascular complications and OSA in T2DM. Most of these studies are cross-sectional in nature but more recently prospective studies proving causality have been published. Many of these studies fail to adjust for many of the possible confounders.

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March 17, 2018

As our knowledge of diabetes has grown from just a deficiency of insulin to a disease caused by more than 10 problems, there has always been a problem classifying the different stages, severities and types. This has often led to much confusion and underuse of aggressive treatment algorithms for care. …

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