Most of us have seen the benefits of testosterone supplementation for our patients with diabetes. We most often think of the increased muscle mass, and libido in our prescribing decision. This week a new study shows additional benefits of replacement therapy, including improvement in….. See this week’s Item #6 for the …
Read More »Editor’s Note, GLP-1 Analog Special Edition, April 2014
When we sit down with our patients to talk about starting on GLP-1 analogs, we usually explain the main ways that they work. These are usually decreased glucagon release, less glucose dumping from the liver, increased and faster insulin secretion, slowing of gastric emptying and increased satiety. However there is …
Read More »Letter from the Editor #725
This past week I was in the corporate office of one of the most successful ACO’s in the country meeting with members of their diabetes initiative project. As you know, improvement in A1c’s is a major grading point for 5-star quality ratings and this group has been charged with lowering …
Read More »Special Edition, SGLT2 Inhibitors, April 2014
The role of the kidneys are becoming very well known in the Ominous Octet of Diabetes. The SGLT2 receptor on the kidneys is a new target for novel treatments of diabetes. This month we have a set of very well done slides from the Worldwide Initiative for Diabetes Education that …
Read More »Editor’s Note, DCMS #184
How would you feel if your 85-year-old mother or grandmother got a call from her hospital that she needed to get an HIV and hepatitis test? This might have happened to her if she was one of over 4,200 patients in a Long Island hospital where they found…. Click here …
Read More »Letter from the Editor #724:
This week the CMS announced that they will start to publish the amount of money that is paid to prescribers for Medicare patients. This goes along with ProPublica’s announcement that they will be releasing complete information on fees paid to physicians, nurse practitioners, and physician’s assistants. Your patients will now …
Read More »Letter from the Editor #723: Patient Handouts for Managing Weight and Medications, and the Artificial Sweetener Maze
It seems like every week our patients come to us with a new diet plan or a 1 minute exercise routine that will make them drop 25 lbs in the first week. It amazes me that these patients won’t pay a 20 dollar copay for a diabetes med but they …
Read More »Editor’s Note, DCMS #182: Basal Insulin Incorrectly Withheld
Multiple studies have shown that patients who are overweight or obese are more likely to have impaired pulmonary function, obstructive sleep apnea, and the obesity hypoventilation syndrome. These problems are in addition to the more recognized ones such as diabetes and heart failure. The best thing we can do for …
Read More »Letter from the Editor #722: Enrollment in ACA May Mean More Patients Needing Diabetes Prescriptions
This Monday ends the official enrollment period for The Affordable Care Act, aka Obamacare, and both the Obama White House and the Congressional Budget office are reporting that over 6 million people have enrolled in the state and federal exchange programs. This is actually more enrollees than were predicted in …
Read More »Editor’s Note, DCMS #181: Metabolically Healthy Obesity
Do you have any healthy looking weight appropriate patients who are metabolically unhealthy or any obese patients who are metabolically healthy? Can you tell the difference? This week’s Homerun Slides from Dr. Stanley Schwartz and Mastery In Minutes video with Prof Philipp Scherer help us sort out the definitions. Our …
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