For many years the Holy Grail of diabetes therapy has been oral insulin. The thought process has been: if patient did not have to inject, they would be happy to use insulin multiple times a day. While we don’t seem that close to oral insulin, we do have an opportunity …
Read More »June 18, 2019
Our good friend — and gadget wearing friend — from Diabetic Investor, David Kliff, was at the recent ADA Scientific Sessions and he was talking about TIR. This is the new standard for measuring control of insulin-using diabetes patients. For those of you who don’t know, TIR means “time in …
Read More »June 15, 2019
When my wife was first diagnosed with diabetes we immediately started her on long acting insulin and the GLP-1 agonist Trulicity. I believe that the use of these 2 meds prolonged her insulin producing capacities for 3 years before the antibodies won out. This week we have a report from …
Read More »June 11, 2019
There are so many eating plans on the internet, with so many different names and so many supposed experts or famous people endorsing them, that it is no surprise that people are so confused and jump from one eating plan to another looking for the holy grail. Although this usually …
Read More »June 8, 2019
Most times when the FDA calls for an early discontinuation of a drug study, it is because there are complications, or the drug does not work at all. It is not often that good results cause an early discontinuation. This week our new intern, Marian Ayad, BPharm, PharmD candidate, University …
Read More »June 4, 2019
In April we had a feature on how OSA is linked to obesity, hypertension and dyslipidemia. In 2009 we showed the link between OSA and diabetes, and in 2013 we looked at the relationship between OSA and diabetes. In all of these cases it was OSA that was the cause, …
Read More »June 1, 2019
There are a lot of reasons why type one diabetes patients may gain weight. One of the most prominent is increased insulin use. This insulin use is often increased because the patient is controlling their glucose with the goal of an 80%TIR and an A1c target of 6.0 or lower. …
Read More »May 28, 2019
The use of insulin pens in most hospitals has gone back and forth more times than a tennis ball in a Williams sisters tennis match. It makes sense that having one pen for each patient would reduce errors and chances for cross-contamination, but the cost of throwing out unfinished pens …
Read More »May 25, 2019
We all have patients who suffer from benign prostatic hyperplasia; they are usually seniors and most all of them are on dutasteride or finasteride, both steroidal 5-alpha reductase inhibitors. A lot of these seniors also have diabetes. This week our intern Adam Chalela, B.S. Doctor of Pharmacy Candidate from the …
Read More »May 21, 2019
Since there has been an explosion in the number of television shows available from sources such as Netflix, Amazon, Hulu and the like, there has been a natural progression to feature older, and less physically fit performers than 20-30 years ago. Shows like Grace and Frankie feature older actors who …
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