A predictive detection system helps to reduce risk of low blood glucose.
Read More »Yearly Archives: 2018
Get off the Couch and Work Your Core: 10 Exercises for Core Fitness
By Sheri R. Colberg, PhD
If you suffer from diabetes, you already know that staying fit greatly benefits your health. Yet, many of the complications caused by diabetes can make it difficult to get the exercise you need; in fact, they can make a normal exercise routine difficult or even dangerous. For example, peripheral neuropathy (numbness in the feet caused by nerve damage) may affect your balance and put you at risk for a fall, or could lead to slow-healing ulcers that keep you inactive. On top of that, diabetes patients may have heart disease symptoms or vision problems that make getting up and going for a walk more risky than helpful.
Exercise Intervention
You are reviewing lifestyle modifications with a 42-year-old, relatively sedentary patient who has been newly diagnosed with prediabetes. Your screening for any cardiovascular risk factors was negative, so she has agreed to a 3-month trial of dietary modifications and increased physical activity. Structured exercise interventions and modest weight loss have been shown to lower the risk of developing type 2 diabetes in high-risk populations by an average of: A. 22% B. 35% C. 58% D. 70% Follow the link for the answer.
Read More »Insulin vs Other Treatment Options
Are you more likely to add a basal insulin to the treatment plan for a patient with type 2 on two oral meds with an A1c of 8% for 5 months, BMI of 30, or add another medication besides insulin? More likely to add insulin More likely to add another med besides insulin Follow the link to share your opinion.
Read More »Feb. 27, 2018
For the past three years, I have been working with a Pharma company to build a network of independent pharmacies for prescribers to send their patients to. When we started this, the idea was simple — “send your patients to someone you would want to go to.” In the last …
Read More »Establish the Relationship with a Local Pharmacy
Many of your patients think they must use mail order pharmacies, but many times they have a choice. This past holiday weekend a patient of mine was out of her medication, a medication she cannot be without without having serious effects of missing a dose. She went to her local pharmacy.
Read More »Framework for Understanding DM Part 10
In this week's Homerun Slides, the myth of the inevitability of insulin for patients with type 2 diabetes.
Read More »International Textbook of Diabetes Mellitus, 4th Ed., Excerpt #114: Diabetes and Sleep Apnea Part 4
OSA and glucose metabolism: OSA and dysglycemia have similar risk factors (namely obesity) and hence it is not surprising that these conditions co-exist. However, not all obese patients have both conditions and many patients have one and not the other. Hence, understanding this association and the mechanisms that underpin this relationship is important to understand the pathogenesis of OSA and T2DM. There are many studies that have examined the association between snoring, as a surrogate marker of OSA, and different aspects of glucose metabolism; here, however, we will mainly focus on studies that validated the presence and severity of OSA using more accurate methods.
Read More »Feb. 24, 2018
Every week we bring you great information on the latest details of new drugs and new studies on old drugs. In fact in 2018 alone we have had over 20 articles on pharmaceuticals. This plethora of choices and information often overwhelms even the most astute clinician, and when you add …
Read More »What You Need to Know About SGLT2i Use in Obesity
Therapy offers beneficial weight loss in treatment of diabetes, but which agent in the class leads to the greatest body weight reduction?
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