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Read More »Yearly Archives: 2018
Sharp Drop in U.S. Life Expectancy Rankings by 2040
U.S. expected to fall from 43rd in 2016 to 64th by 2040, with an average life expectancy of 79.8
Read More »Mortality Due to Suicide, Alcohol, Accidents Up in Diabetes
Patients with diabetes have higher mortality in nearly all end points, especially for insulin-treated
Read More »Fertility Rates Down for Each Urbanization Level 2007 to 2017
Fertility rates decreased from 2007 to 2017 with larger decreases in metro versus rural counties
Read More »Oct. 16, 2018
We work very hard with our patients to help them lose weight. Often it is a slow and agonizing process but it will work. Many of our patients choose to have a surgical procedure like lap band, sleeve gastrectomy or bypass. When you look at the procedures they may all …
Read More »Take a Second Look at Surgery Recommendations
Patient is male, 48 years of age, type 2 diabetes with hyperglycemia for eight years, class III obesity, and very symptomatic GERD. Patient planned to have laparoscopic sleeve gastrectomy. I asked him why he chose that particular surgery. He said, "Because it's less invasive." I asked if his surgeon told him the sleeve gastrectomy could increase his GERD, and is not as effective for the treatment of type 2 diabetes nor for weight loss as is a bypass. He said, "No, the surgeon just left it to my choice. I said I wanted the sleeve and he was good with that."
Read More »Joshua Safer Complete Interview
Joshua Safer, MD, FACP, is the Executive Director of the Mount Sinai Center for Transgender Medicine and Surgery in New York. Previously, he was the inaugural Medical Director of the Center for Transgender Medicine and Surgery at Boston Medical Center. He is also Senior Faculty at the Icahn School of Medicine at Mount Sinai.
Read More »Endocrinology Jeopardy: Pituitary for $200!
In this week's Homerun Slides, it's time for another round of Endocrinology Jeopardy, courtesy of Dr. Claude Lardinois! This week's clue: 56-year-old male with loss of libido, testosterone 40 mg/dL, and prolactin 65 mg/dL (Normal <20).
Read More »International Textbook of Diabetes Mellitus, 4th Ed., Excerpt #147: Glucose Toxicity Part 3
Chronic hyperglycemia as a cause of impaired insulin secretion In 1948, Lukens and Dohan administered large doses of glucose to normal cats and induced permanent hyperglycemia, hydropic degeneration of the islet of Langerhans, and ketonuria in 4 out of 35 cats studied. These investigators proposed that hyperglycemia could play a role in the pathogenesis of diabetes. In recent years, several approaches have been used to directly examine the harmful effects of chronic hyperglycemia on insulin secretion. These studies have established that chronic hyperglycemia impairs beta-cell responsiveness to glucose although the exact biochemical mechanism(s) mediating this effect remain to be clearly defined.
Read More »Joshua Safer 2018 Transcript
In this Exclusive Interview transcript, Joshua Safer talks with Diabetes in Control publisher Steve Freed during the AACE 2018 convention in Boston about transgender medicine and the role of endocrinology in treating transgender patients.
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