February 27, 2018 : DCMS #386

DISASTERS AVERTED — Near Miss Case Studies

Establish the Relationship with a Local Pharmacy

EXCLUSIVE INTERVIEW — Candid Video Interviews with Top Practitioners

Dr. Mark Mattson Intermittent Fasting: What is it? Recommend it?

HOMERUN SLIDES — Great Clinical Presentation Highlights

Framework for Understanding DM Part 10

CLINICAL GEMS — The Best from Diabetes Texts

International Textbook of Diabetes Mellitus, 4th Ed., Excerpt #114: Diabetes and Sleep Apnea Part 4

MOST POPULAR ARTICLES OF THE MONTH

#1 Know Your Insulins, Teach Your Patient
#3 Elevated A1C? Consider Lowering Insulin
#3 A Summary of ADA’s New 2018 Standards of Medical Care in Diabetes

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 three years, we have filled over 750,000 prescriptions and shown countless patients why working with their local hometown pharmacy can make a big difference.

This week, our Medical Editor, Joy Pape, shares her experience with a local pharmacy and a patient’s missing medication that will make you want to send your patients there as well.

Dave Joffe

Editor-in-chief

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.

Dr. Mark Mattson intermittent fasting video series – exclusive discussion with Diabetes in Control In part one of this special interview, Dr. Mark Mattson and DIC publisher Steve Freed discuss Dr. Mattson’s research into brain aging and neurodegenerative disorders, and the positive effects of intermittent fasting in delaying aging and preventing diabetes. To read the transcribed …

In this week’s Homerun Slides, the myth of the inevitability of insulin for patients with type 2 diabetes.

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.

Woman, 67 years of age, type 2 diabetes for 22 years, class II obesity. Has recently been managing her glucose levels with weight loss, using Tresiba, Trulicity, and metformin. Recent A1C 6.5%, which she’s worked hard for and been extremely proud of. She hasn’t had numbers like she has recently had for years.

This Disaster Averted is not just about one patient but about many who take insulin. Most think high A1C means one needs to increase insulin. Not always! Remember, A1C is an average. Just because someone has an A1C of <7% doesn't actually mean glucose is managed.

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