When I was doing Diabetes CME for clinicians and pharmacists I had a couple of slides that showed a patient hooked up to a machine as big as a small car. This device was able to control glucose levels way back in the 70’s.
The question we used to ask was, “If you could normalize a diabetes patient’s glucose 24/7 in the hospital for 2 weeks, how long would it take their A1c to work its way back up?” Most everyone answered anywhere from 2 days to 2 months; however, the answer was 2 years.
The doctor that first researched this phenomenon was Dr. Gerald Reaven. He was called the “Father of Insulin Resistance” by the ADA in 2014, and now all current research is said to be based on his initial work. This week in our Clinical Text, Jerry, as he insisted everyone call him, shared his knowledge of the concept of Metabolic Syndrome with the authors.
As a side note, Jerry passed away this past February at the ripe old age of 90. If you want to learn more about what this man did for the forward movement of diabetes care, take a few minutes to read Gerald M. Reaven, MD: Demonstration of the Central Role of Insulin Resistance in Type 2 Diabetes and Cardiovascular Disease, by clicking here: http://care.diabetesjournals.org/content/diacare/37/5/1178.full.pdf