March 29, 2016 : DCMS #286

DISASTERS AVERTED — Near Miss Case Studies

Don’t Blame All Symptoms on Glucose Levels

HOMERUN SLIDES — Great Clinical Presentation Highlights

 Diabetes and Periodontitis Part 5

CLINICAL GEMS — The Best from Diabetes Texts

International Textbook of Diabetes Mellitus, 4th Ed., Excerpt #17: Development and Maintenance of the Islet Beta Cell Part 1 of 4

EXCLUSIVE INTERVIEW — Candid Video Interviews with Top Practitioners

Dr. George Bakris Part 2, BP In Patients with Microalbuminuria

MOST POPULAR ARTICLES OF THE MONTH

#1 Factors Impacting Diabetes Remission and Glycemic Control Following Bariatric Surgery
#2 Empagliflozin: Potential New Approach to Treating T2DM
#3 The Importance of Diabetes Self-Management Education

If you are old enough to remember the original Mission Impossible shows, then you probably remember the small cassette player that had a self-destructing tape that gave Mr. Phelps (played by Peter Graves) his mission. Each time, the show started with Phelps going to a private location and finding the tape player and a manila envelope with information on the mission. The tape always started with, “…your mission, should you decide to accept, is….” Over the past five years, we have been providing you with our weekly clinical newsletter and now you have a mission — if you decide to accept!

Your mission is to click on this link and see how quickly you can take control in the Battling A1C challenge. By the way, don’t waste too much time as this chance will self-destruct in 30 seconds.

Dave Joffe
Editor-in-chief

A woman, 72 years of age, type 2 diabetes, obesity, taking metformin, GLP1, ARB, and antidepressant (SSRI). Lost 20% total body weight in the past year. Recently complaining of dizziness and weakness. Glucose levels in the 60’s at home, at which time had symptoms of hypoglycemia. Glucose-lowering medications (metformin and GLP-1) were stopped. Continued to complain of dizziness and weakness especially in the morning.

In this week’s Homerun Slides, glycosylated proteins (AGEs) and manifestations of periodontal disease.

The discovery of insulin by Banting and Best in the early 1920s marked the beginning of a new era of diabetes research that focused on the study of insulin and the biology of the hormone-producing cells of the pancreas. In the ensuing decades, although much was learned regarding the synthesis, structure, and action of insulin, the developmental origins of insulin-producing β cells remained ambiguous.

In part 2 of this exclusive video, DIC publisher Steve Freed once again visits with Dr. George Bakris to discuss causes of microalbuminuria (small amounts of albumin in the urine) and blood pressure recommendations for patients with microalbuminuria.

Study finds remission rates of diabetes in patients who undergo weight loss procedure.

Empagliflozin is proving to be a strong proponent for monotherapy in patients with T2DM.

In part 4 of this Exclusive Interview, DIC publisher Steve Freed asks Dr. Andy Rhinehart, “How would you improve the care of a patient going to a family practitioner with type 2 diabetes?”