Diabetes Solution Richard K. Bernstein, MD, FACE, FACN, FACCWS Part 2 Chapter 22 Gastroparesis How Does Gastroparesis Affect Blood Sugar Control? – Part 2Consider the individual who has very little phase I insulin release and must take fast-acting insulin or one of the older-type (sulfonylurea) or newer pancreas-provoking OHAs before …
Read More »The Present and Future of Insulin Therapy Part 6
In this week's Homerun Slides, we see how sulfonylureas, metformin and TZDs work in the treatment type 2 diabetes...
Read More »Effects of Glycemic Control on Renal Complications
Researchers study antidiabetic treatments, other factors associated with control… There are two main kidney diseases that are correlated with type 2 diabetes, which are chronic kidney disease and diabetes nephropathy. Good glycemic control can interrupt the progression of kidney diseases in type 2 diabetes patients with renal problems. Currently, the …
Read More »Case Study: The Importance of Patient-Centered Therapy
A 59 YOF is recently discharged from hospital after an allergic reaction to an anesthesia induction agent. She was placed on high-dose steroid for the reaction while she was in the hospital. Patient had completed her steroid tapering dose 2 months prior to her visit to endocrinology clinic today due to high blood glucose (a1c 8.9%). Past medical history included: hypertension, hyperlipidemia, atrial fibrillation, obesity and diabetes for 7 years. She was well controlled on metformin 1000mg BID before...
Read More »Hypoglycemia Can Increase Mortality at 12 Months with Diabetic Patients
Low glucose events requiring emergency services differs according to diabetes type… Hypoglycemic episodes are a common event among patients with diabetes. Most hypoglycemic events are treated without ambulance services or admission to a hospital. However, severe hypoglycemic events are treated differently. Severe hypoglycemia is defined as “an episode requiring external …
Read More »Early Diabetic Responders Benefit More
The way that type 2 diabetics respond to initial treatment could predict the long term effectiveness of their treatment regimen… There are a variety of treatment options for type 2 diabetics, with no clear reason why some drugs work better than others in some individuals. That is why diabetes treatment …
Read More »The Impact of Glucagon-Like Peptide 1 Receptor Agonists on Weight Reduction
GLP-1 agonists have additional benefits for type 2 diabetes besides lower blood glucose… Over 1.4 billion adults were overweight in 2008, and of the 1.4 billion people, 500 million were obese. Obesity is defined as a body mass index >30 g/m2. Also, obesity increases the chance of being diagnosed with …
Read More »Sulfonylureas Increasing Lipids for Type 2 Diabetes Patients?
In the study, sulfonylureas correlated with a significant increase in levels of free fatty acids….
Read More »Investigational Drug ITCA 650, a GLP-1 Receptor Agonist, on the Way
Drug shows a significant reduction in HbA1c in patients with type 2 diabetes… A new investigational drug is underway to help with reduction of HbA1c, weight, and improve glycemic control in type 2 diabetes patients. ITCA 650 is an injection-free GLP-1 receptor agonist that provides continuous subcutaneous exenatide for 12 …
Read More »No Association Between Sulfonylurea Use and Cardiovascular Mortality
Sulfonylureas not associated with increased cardiovascular mortality, myocardial infarction and stroke in a meta-analysis of 47 randomized clinical trials… Sulfonylureas are relatively inexpensive and are important therapeutic agents in type 2 diabetes management. However, they are not widely used due to safety concerns regarding hypoglycemia and weight gain. Furthermore, it …
Read More »
Diabetes In Control. A free weekly diabetes newsletter for Medical Professionals. News and information for Medical Professionals.