January 5, 2016 : DCMS #274

DISASTERS AVERTED — Near Miss Case Studies

Make Sure “Quick and Easy” Food Plans Meet Specific Patient Needs

HOMERUN SLIDES — Great Clinical Presentation Highlights

Diabetes for Cardiologists Part 4

CLINICAL GEMS — The Best from Diabetes Texts

International Textbook of Diabetes Mellitus, 4th Ed., Excerpt #1: Classification of Diabetes Mellitus and Other Categories of Glucose Intolerance Part 5 of 6

EXCLUSIVE INTERVIEW — Candid Video Interviews with Top Practitioners

Dr. Don Fetterolf, Part 1: Prevalence of Diabetic Foot Ulcers

MOST POPULAR ARTICLES OF THE MONTH

#1 Liraglutide Success Shown Dependent on Early Weight Loss
#2 Antioxidants May Help Reduce Diabetes Risk
#3 Diabetes Linked to Increased Risk of Tooth Loss

For thousands of years humans had to adapt to their conditions. We were affected by heat and cold, severe weather events, and times of feast or famine. We became good at adapting to our environments, and our bodies learned mechanisms to carry us through almost any condition. During these millennia we discovered how to keep ourselves warm with heat, shelter, and clothing, and cool with air conditioning. Over time our bodies lost the ability to adapt to the seasons, because we actually took control of the seasons. This not only affected our comfort and living arrangements, but also our metabolism and weight control. This week in our homerun slides look at how this happens and what we can do to possibly reverse it.

If you want to be able to explain the concept in terms that your patients can understand then check out this article,  and also a video interview with Dr. Cyrus Desouza, Chief of the Division of Diabetes, Endocrinology and Metabolism, University of Nebraska Medical Center.

19-year-old female, type 1, insulin pump, and counting carbs, wanted to use a particular food plan that touted no counting and no need to worry about numbers. She asked me what I thought of that and I informed her that for weight loss, this can work for some, but she has type 1 diabetes, and she will need to check her glucose and most likely count carbs, or at least make some adjustments in her boluses at each meal.

In this week’s Homerun Slides, the action and safety of the type 2 medication, bromocriptine.

Type 1 diabetes in children and youth is typically characterized by weight loss, polyuria, polydipsia, blurring of vision, very high plasma glucose concentrations, and ketonuria.

In part one of this interview on the use of amniotic membrane as a possible treatment for diabetic ulcers, Diabetes in Control publisher first talks with Dr. Don Fetterolf about the prevalence of diabetic foot ulcers, the impact of the condition and the groups who are affected.

Patients who responded to medication had greater improvement in cardiometabolic risk factors.

Study shows high carotenoid serum concentration may prevent development of type 2.

Study of 40-year trend focused on three ethnic groups prone to dental complications.