December 22, 2015 : DCMS #272

DISASTERS AVERTED — Near Miss Case Studies

The Danger of Assuming a Patient “Knows What to Do”

HOMERUN SLIDES — Great Clinical Presentation Highlights

Diabetes for Cardiologists Part 2

CLINICAL GEMS — The Best from Diabetes Texts

International Textbook of Diabetes Mellitus, 4th Ed., Excerpt #1: Classification of Diabetes Mellitus and Other Categories of Glucose Intolerance Part 3 of 6

EXCLUSIVE INTERVIEW — Candid Video Interviews with Top Practitioners

Dr. Richard Bergman, Part 4 – Diabetes, Altitude and the Role of Kidneys in Research

MOST POPULAR ARTICLES OF THE MONTH

#1 SGLT-2 Inhibitor Reduces Risk of Cardiovascular Death: Should Current Guidelines be Impacted?
#2 Breastfeeding after Gestational Diabetes Mellitus
#3 Nordic Food Associated with Lowering Risk of Type 2 Diabetes

Happy holidays to every one of you this week, and hope you have some time to enjoy the season.

Oftentimes we assume that our patients who are involved with healthcare take good care of themselves, and know exactly what they are doing, However, as we see in this week’s diabetes disaster, that is usually not the case. In fact we all know what we should do to stay healthy, but how many of us actually “practice what we preach”?

A good example of this can be seen in our clinical text for Cardiologists.

Your partner in diabetes care,
Dave Joffe
Editor-in-chief

Female, 41 years of age, A1C 7%, Indian, family history of type 2 diabetes, at least one was insulin-requiring. For unknown reasons, perhaps the fact the patient was a personal trainer and “should have known what to do,” her hcp didn’t put much attention on her A1C, nor was she asked to return for follow up. For various reasons, one of which was not having insurance, she did not return to a hcp for 3 years.

In this week’s Homerun Slides, the vicious circle of hyperinsulinemia in patients with type 2 diabetes.

The other specific types of diabetes are less common and can be broadly classed as genetic, exocrine pancreatic, endocrine, and drug-induced causes. A more comprehensive breakdown is provided in Table 1.2 and the more common types are discussed briefly later.

Diabetes in Control Publisher Steve Freed and Dr. Richard Bergman discuss his ADA presentations — the relationship between diabetes and altitude, and the role of kidneys in diabetes research. Steve also asks why the degredation of insulin in the liver is important in the pathogenesis of diabetes. Dr. Bergman is the founder and director of Diabetes and Obesity Research Institute, Biomedical Sciences at Cedars-Sinai in Los Angeles. He introduced the use of engineering principles to understand the pathogenesis of diabetes.

New study generates lively discussion among experts at EASD on how to consider the results in prescribing, exploration of possible mechanism and potential class effect.

Longer duration of breastfeeding showed correlation with reduction of type 2 risk.

Diet containing foods high in antioxidants found to reduce risk of stroke.