April 1, 2017 : Issue #879

• “Aspirin Resistance” in Type 2 Diabetes
• Cost Effectiveness of Preventing Diabetic Foot 
• Unique Biomarkers in Predicting Gestational Diabetes
• Delayed Treatment Intensification Can Delay Improved Glycemic Control
• Low-gluten or Gluten-free Diets Linked to Type 2 Diabetes
• Finding Fitness Professionals Trained in Diabetes (It’s Hard!)
  • by Sheri Colberg, Ph.D.

One of the biggest methods of improving glucose levels and weight that we recommend is exercise. It seems like a simple solution: be more active, burn more calories, burn more glucose — lose weight and improve A1c’s. However, many of our patients have other complications, and often programs that work for healthy patients will not work for them.

The choice of finding a specialist in diabetes exercise is more difficult than most of us perceive. This week, Dr. Sheri Colberg educates us all on how to find that person that can help your patient the most.

*****************************

We can make a difference!

*****************************

Dave Joffe

Editor-in-chief

Do you believe that the new proposed healthcare bill that failed was positive or negative? Follow the link to see what your colleagues think!

The most comprehensive type 2 diabetes app on the market, designed by a Certified Diabetes Educator.

One of the advantages of the newer long-acting insulin analogs over current basal insulins is:

a. No injections needed
b. Clear from the body more quickly
c. Reduced risk for nocturnal hypoglycemia
d. Less expensive

Follow the link to see the correct answer!

Millions of Americans unknowingly have diabetes or prediabetes. Early identification through a reliable and convenient screening test can lead to prompt identification, intervention, and improved health outcomes. Fasting blood glucose measured through a chemistry panel is inconvenient, highly variable, and delays care, unlike HbA1c point-of-care (POC) tests. This prospective longitudinal study compares diabetes screenings between standard practices vs systematically offered point-of-care (POC) hemoglobin A1c (HbA1c) tests in patients age 45 years or older. Systematically screened participants (n = 164) identified 63% (n = 104) with unknown hyperglycemia and 53% (n = 88) in prediabetes. The standard practice (n = 324) screened 22% (n = 73), most commonly by blood glucose (96%); 8% (n = 6) and 33% (n = 24) were found to have diabetes and prediabetes, respectively. The association between screening outcome and screening method was statistically significant (P = 0.005) in favor of HbA1c.. HbA1c may be the most effective method to identify patients unknowingly living in hyperglycemia. Point-of-care tests further facilitate screening evaluation in a timely and feasible fashion. — Ann Fam Med. 2017 Mar;15(2):162-164. doi: 10.1370/afm.2035. ONUDL 28289117

The reason may be simpler than first thought.

Does an ounce of prevention beat a pound of cure?

Is it time to challenge the glucose challenge?

Better outcomes with HbA1c reduction associated with intensification of OADs in type 2 diabetes.

Does reduction in gluten consumption provide long-term health benefits?

One in three Americans has diabetes or prediabetes. You would think that finding a fitness professional—a personal trainer, physical therapist, or other allied fitness and health trainer—who knows enough about diabetes to be helpful rather than harmful would not be that hard, right? Think again.

Quote of the Week!

“The attitude is very important. Because, your behavior radiates how you feel.”

…Lou Ferrigno

Diabetes in Control gratefully acknowledges the assistance of the following pharmacy doctoral candidates in the preparation of this week’s newsletter:

Mark T. Lawrence, University of Colorado-Denver, School of Pharmacy NTP

Tenzing Dolkar, Lake Erie College of Osteopathic Medicine, School of Pharmacy

Your Friends in Diabetes Care
Steve and Dave
Diabetes In Control
810 Bear Tavern Road Suite 102
Ewing, NJ, 08628
USA
www.diabetesincontrol.com