Letter From The Editor

Each week I see insulin using patients who are not in control. It doesn’t seem to matter if they are type 1 or type 2, old or young, rich or poor, they all have high A1c’s and wide swings in blood glucose levels. When we look carefully we find that …

I am often in a position to recommend the selection of medications for the patients with type 2 diabetes who I see in prescribers’ offices.   Most medical practitioners will make metformin their first choice as this has become the standard of care and is a very effective and inexpensive …

Is it intensity or duration that gives the best results when you exercise? This week’s Clinical Text helps us to maximize both for our patients and what the differences are when you have diabetes. Our Disaster Averted gets serious about the problems that can happen when newer, younger physicians don’t …

I was at a program last week and we were talking about testosterone replacement in men and how our patients often go for years with low levels. There was a lot of conversation about testing and why it does not get done and one of the prescribers in attendance shared …

Did you know that standardizing the delivery process of high-alert medications and implementing hospital-wide protocols are key to maximizing safety in the hospital? The ways to do this are often simpler than you think, and our Homerun Slides focus on improving these aspects of safety in the hospital. Our Clinical …

The diabetes epidemic keeps finding younger victims and these 10 to 17-year-olds with type 2 diabetes need much more aggressive care than we have been willing to give them. This week’s first item, Type 2 More Dangerous in Children,  looks at the need for more than one medication for these …

Do you know the two situations when exercise can cause a dangerous rise in blood glucose? To find what these two situations are and how to treat them, be sure to check out this week’s Clinical Text on Hyperglycemia. The Homerun Slides continue to focus on hospital errors and be sure …

The use of GLP-1 analogs is up again this year as clinicians become more comfortable with the class of drugs and more patients are learning about the benefits of these analogs from their practitioners, friends, and websites and blogs on the internet. Many of those patients come to us under …

Last week’s Disaster Averted: Beware of Patient Gossip caught the eye of quite a few of our readers as innovations in practice methods can lead to new problems, and this week’s Disaster Averted: Checking the Electronic Records zooms in again on errors that can occur when shifting to new technology in the office. Our …

Have you ever noticed that when patients get older they become more scared of falling? Many times they will stop their physical activities because of this fear, which is not a good idea for our diabetes patients. Sheri R. Colberg, PhD addresses this issue in her new feature Fall Much? …