December 26, 2017 : DCMS #377

DISASTERS AVERTED — Near Miss Case Studies

Diabetic Complications and Frostbite

EXCLUSIVE INTERVIEW — Candid Video Interviews with Top Practitioners

Ray Kausik Part 1, PCSK9 Inhibitor Treatment For Diabetes

HOMERUN SLIDES — Great Clinical Presentation Highlights

Framework for Understanding DM Part 1

CLINICAL GEMS — The Best from Diabetes Texts

International Textbook of Diabetes Mellitus, 4th Ed., Excerpt #105: Treatment of Nonalcoholic Fatty Liver Disease and Nonalcoholic Steatohepatitis Part 3

MOST POPULAR ARTICLES OF THE MONTH

#1 1-Hour Post-Prandial Glucose Predicts Risk For Type 2 Diabetes
#2 Type 1 Cured in Mice
#3 A Summary of ADA’s New 2018 Standards of Medical Care in Diabetes

Today it was 81 degrees in St. Petersburg, Florida, and after a great bike ride, we were out looking at outdoor spas. This great weather often makes me forget how cold and wet it can get “up north.”

When Steve sent the Disaster Averted to me to review, the last thing on my mind was freezing cold weather and the risk of frostbite. Then I took a look at the weather map, and it made sense why he had chosen that feature. As you can guess, our patients have a greater risk of frostbite because of decreased circulation in their extremities, and the cold that would not bother us can be deadly for them.

The holiday season is often the worst time of year for many of our patients as they are out in the cold to visit friends and relatives and a lot of time they just don’t dress properly. Be sure to read this week’s Disaster Averted so you can let patients know what to do.

Dave Joffe

Editor-in-chief

With much of the U.S. in the grip of harsh winter weather as December 2017 comes to a close, we’re revisiting a post we originally published in 2013 about how having diabetes or prediabetes can increase the risk of frostbite. The risk was dramatically illustrated by the experience of British explorer Sir Ranulph Fiennes, who had to pull out of a grueling expedition to cross Antarctica due to the effects of frostbite. We wish all our readers a healthy, safe, and warm new year!

In part 8, the conclusion of this Exclusive Interview, Dr. Aaron Vinik talks with Diabetes in Control Publisher Steve Freed during the AACE 2017 convention in Austin, Texas about the reward of his work and making time for patients.

In this week’s Homerun Slides, Dr. Stanley Schwartz updates his lecture on a unifying pathophysiologic approach to the complications of diabetes in the context of the beta-cell classification of diabetes with a framework for understanding diabetes.

Combined dietary intervention and exercise: The available information on the role of combined lifestyle interventions (hypocaloric diets plus exercise) in patients with NAFLD is much more extensive, with several randomized, controlled trials showing significant benefit with this comprehensive approach. Again, the overall reduction in liver fat reported in most of these trials has been strongly correlated with the amount of weight loss.

Study finds diabetes complications and mortality may be better predicted with elevated 1-hour blood glucose levels compared with 2-hour blood glucose levels.

Ralph DeFronzo and his researchers at UT Health at San Antonio announced that they have cured type 1 diabetes.

Comprehensive recommendations feature notable new recommendations for people with cardiovascular disease and diabetes.