We are all aware of the problems which can occur when our patients take too much insulin or sulfonylureas, potentially leading to dangerously low blood glucose levels. But can you imagine that a diabetes patient could end up beaten and in jail because of hypoglycemia caused by a non-diabetes medication? …
Read More »Letter from the Editor #645
This week we have an article in the European Heart Journal that points out having high levels of cardiorespiratory fitness can actually help an obese patient have a lower risk of mortality and cardiovascular events, than individuals who have low cardiovascular fitness and are not obese. These patients often also have …
Read More »Editor’s Note, DCMS #103
Each time we see our diabetes patients we stress lifestyle modifications. We know that our patients want to improve but we also know how hard it can be. This week, we feature Homerun Slides prepared by Margarita Stanosyan, Doctor of Pharmacy Candidiate, LECOM College of Pharmacy covering GLP-1 Analogs and Lifestyle Modifications. …
Read More »Letter from the Editor #644: The “Arnold Factor” and Waist-to-Hip Ratio
Years ago we made a determination that BMI was the most important indicator of a person’s risk for diabetes, hypertension and heart disease. We even use a BMI value to determine if a person is either obese or just overweight. However there was always a lot of controversy because of …
Read More »Editor’s Note, DCMS #102: All About Sugars
Did you know that fructose is the only sugar that does not need insulin to be absorbed into the muscles or fat cells? If you give a little thought to this, then you might think that fructose would be a good energy source for athletes. However for our diabetes patients …
Read More »Letter from the Editor #643 My Well Planner
About two months ago I was asked to be on an advisory board with other medical professionals, including physicians, nurses and other CDE’s. We were brought together to review a new web portal for diabetes patients. Like most of my colleagues in attendance we were ready for the same old …
Read More »Letter from the Editor: Lifestyle Changes and GLP-1
Seven years ago the first line therapy for the onset of type 2 diabetes was lifestyle changes and often we would take up to a year of trying various exercise and diet methods before we started medication. Because diabetes has reached epidemic proportions we are much more aggressive in our …
Read More »Letter from the Editor #642: Seinfeld, Shrinkage and Diabetes
Most of us have seen all of the episodes of Seinfeld enough times that a single word or phrase brings back memories. Just the mention of the name, "Newman," conjures up images of the overweight and probably pre-diabetic mailman who was Kramer’s best pal and Jerry’s arch-enemy. There was also the …
Read More »Editor’s Note, DCMS #100:
Many of you sent some great feedback in on last week’s Homerun Slides on Leveraging Weight Loss in the Treatment of Type 2 Diabetes, Part 1, and we are glad to bring you part 2 this week. Our Clinical Text from Joslin’s Diabetes Deskbook — A Guide for Primary Care …
Read More »Letter from the Editor #641: Starting ACE-Inhibitors at Diagnosis
This week we have an interesting item from a very large study on the benefit normotensive patients with diabetes can receive by lowering their blood pressure when it comes to the risk of heart attack, stroke, and renal failure (Dramatic Benefits in Diabetes for Small Blood Pressure Drops to Below Normal). …
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