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Letter from the Editor #516

Apr 11, 2010
 

This week, the diabetes news included everything from the simple to the complex. On the simple side there were studies showing the value of food choices. Dr. Nancy F. Krebs, professor of pediatrics and head of the division of pediatric nutrition at the University of Colorado, completed a positive successful study on the safety of a high-protein, low-carbohydrate diet for severely obese teenagers to lose weight, and Molly Bray, Ph.D., professor of epidemiology in the UAB School of Public Health, brought to light the differences in breakfast choices and how the amount of carbohydrates you eat can affect your metabolism for the entire day. (See this week’s Item #12.)

On the complex side we are starting to see that not all Type 2 patients are created equal. According to an article in the Journal of Clinical Endocrinology & Metabolism by Robert J. Smith, MD, of Brown University, technologic advances have led to the recognition that a variety of clinical, genetic, behavioral, and socioeconomic factors might influence diabetes’ development, progression, and response to therapy. He writes that we are going to have to start looking at pathophysiological subgroups within Type 2 diabetes mellitus, including evidence that the prevalence of diabetes and its precursor states may vary significantly by gender, ethnicity, and age. So get ready to rethink your one-size-fits-all education and therapy options.

 

I was reviewing the new Lead6 study results (See this week’s Item #14.) comparing the effect of switching patients from OAD’s and exenatide to OAD’s and liraglutide. As I was reading the study I wondered if the results would be similar if you reversed the change, and if there were any studies done to compare the medications that way.

Sheri Colberg, Ph.D., FACSM  continues to share some of her most frequently asked questions. This week, check out Physical Activity Q&A with the Doctor, Part 2.

Announcements:

Taking Control of Your Diabetes: Honolulu and Kauai, Hawaii, April 24-25
The TCOYD team will be in Honolulu at the Hawaii Convention Center for a conference and health fair on Saturday, April 24, and then on the island of Kauai, Hawaii, on Sunday, April 25, at the Kauai Marriott Resort Lihue. For more 2010 upcoming conference details, please go to TCOYD.org.

dLife.com: April 11, 7PM ET on CNBC
Topics:A dLife special presentation — the Story of Insulin. The story of the discovery of this life-saving drug and how it has made a difference in the lives of millions. Special Guests: dLife Food & Professor Michael Bliss. Sundays on CNBC at 7 PM ET, 6 PM CT, and 4 PM PT. Catch up on dLife.com.

Please answer this week’s Poll question:

What percent of your patients meet the recommended A1c, BP and CHO goals?

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We can make a difference!

 

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Check out this week’s “Test Your Diabetes Knowledge” question!

Dave Joffe, Editor-in-chief