Diabetes In Control. A free weekly diabetes newsletter for Medical Professionals. News and information for Medical Professionals.
- Intermittent Fasting and Its Beneficial Effects On The Body
- Controlling Depression Can Help to Control Diabetes
- Shocking Increase in Adolescent Diabetes Complications
- Leaving The Salt In Cooking And On The Table
- Empagliflozin/Linagliptin Combination with Metformin for Triple Therapy
- The Effects of Glucose-Lowering Agents on Mortality Rate
Letter from the Editor
I did a quick search, and in the past 2 years we have had over 80 items on food choices and the best way to eat for diabetes. This does not even begin to include the ones we turned down. Often these ideas conflict, and experts flip-flop on what works best more often than a politician running for office.
Our publisher, Steve Freed, worked for many weeks with Mark P. Mattson, MD, from the National Institute of Health, to cut through all the recent dietary suggestions and look at the use of intermittent fasting. Along the way he dispelled some long-standing ideas of when to eat, how much to eat, and what to eat. His ideas, concepts and comments about the use of fasting for weight loss and glucose control may seem foreign to most of us. When he did his interview, Steve found that he had more questions than answers, and so he persuaded the good doctor to go in front of the camera and give us a series of videos explaining his interview and ideas. We have all that for you.
Announcements:
Free CME Courses
Our web site CME resource is back online! Be sure to check out the new CME courses posted there. Courses are currently available on topics including: Advances in the Medical & Surgical Management of Obesity; Diabetic Retinopathy; Strategies to Improve Prevention and Treatment of Diabetes; and more!
dLifeTV.com: Sunday, January 31, 7PM ET
From dLife.com: “Actress, comedienne, and “The View” co-host Sherri Shepherd talks candidly about her diabetes life. Plus, Jim Turner examines the wild world of competitive eating.” Sundays live online at dLifeTV.com at 7 PM ET, 6 PM CT, and 4 PM PT. Keep up on the latest dLife news at dLifeTV.com.
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We can make a difference!
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Dave Joffe, Editor-in-chief
This Week's Poll
Which format would you like to see for interviews? Video, audio (podcast), written transcript? Follow the link to respond!
Tool: Updated Insulin Stability Chart
Newsflash 1: Possibly New Diet to Control Diabetes, The Metabolic Syndrome That Can Save Money
Newsflash 2: FDA MedWatch - SPOTCHEM II Test Strips by Arkray: Class I Recall - Inaccurate Blood Sugar Readings
(Continued from Question #816 and Question #817)
Mrs. O’Doole is a 34-year-old of Irish descent. She works as a florist and is married with three children. She arrives at your clinic for her annual wellness exam. Her blood pressure is 130/84 mmHg, pulse 65, BMI 24 kg/m2 and her physical exam is notable for acne and mild hirsutism. Her only current medication is oral birth control pills. She recalls starting OCP, 15 years prior, due to irregular menses.
Based upon her medical history and physical, you believe it would be prudent to screen Mrs. O’Doole for type 2 diabetes. You discuss your recommendations with her and she agrees be tested. The lab returns a fasting plasma glucose (FBG) of 112 mg/dL. You share these results with your patient and inform her that, while only mildly elevated, she has impaired fasting glucose. She was started on lifestyle modifications plus dietary modifications, and exercise for weight loss.
At a follow-up appointment 6 months later, Mrs. O’Doole tells you, despite good intentions, she has not been able to adhere to any meaningful lifestyle changes; in fact she has gained 5 pounds. At this time her repeat fasting plasma glucose shows FPG 138 mg/dL. After discussing management options with her, you decide the best management would be: (follow the link to respond!)
Fact: Most U.S. Restaurant Meals Exceed Recommended Calories
A new study reports that more than nine in 10 U.S. restaurants are serving meals that exceed the recommended calorie limit for a single meal. Plus, that is not even including the drinks, appetizers or desserts. Study author Susan Roberts, director of the Energy Metabolism Laboratory at Tufts University in Boston, added that restaurants don’t do a good job when providing portions, which could possibly be a cause for metabolic syndrome. The study was based on an analysis of 364 American, Chinese, Greek, Indian, Italian, Japanese, Mexican, Thai and Vietnamese meals offered at restaurants in Boston, San Francisco and Little Rock, Ark., between 2011 and 2014. Fans of American, Chinese and Italian fare may be particularly dismayed by the study findings. These foods topped the list with an average 1,495 calories per meal. The researchers noted that the average woman in the United States needs about 2,000 calories a day, and the average U.S. man, about 2,500 calories. One suggestion is to order off the kids menu. — Jan. 20, 2016, Journal of the American Academy of Nutrition and Dietetics
Old tradition potentially benefits body’s organs, providing possible cure and treatment.
Healthier lifestyle found to be result of symptom treatment.
Diabetic nephropathy risk found on rise in 12- to 18-year-old patients.
Heart failure patients may not need sodium restrictions.
Two pills provided greater glucose-lowering efficacy than three with low hypoglycemia risk.
Metformin, sulfonylureas, and insulin studied in type 2 patients.
Quote of the Week!
“Without hard work, nothing grows but weeds.”
…Gordon B. Hinckley
Diabetes in Control gratefully acknowledges the assistance of the following pharmacy doctoral candidates in the preparation of this week’s newsletter:
Javeria Fayyaz, LECOM College of Pharmacy
Jennifer Zahn, University Of South Florida College of Pharmacy
Samantha Ferguson, FAMU College of Pharmacy
Jimmy Tran, LECOM College of Pharmacy
Your Friends in Diabetes Care
Steve and Dave
Diabetes In Control
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